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Inspection report

Date of Inspection: 9 January 2013
Date of Publication: 5 February 2013
Inspection Report published 5 February 2013 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 9 January 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

The provider had systems in place to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

People who use the service and their relatives were asked for their views about the service and the care they received by the provider. We saw evidence of annual quality assurance surveys from people who use the service and their relatives. The provider took account of these surveys to improve the service.

We also saw there were procedures in place for making complaints. Information about how to make a complaint was visible in all bedrooms and there was a complaints book easily accessible. We spoke with two relatives who stated that they knew how to complain but had no cause to. People we spoke with stated that if they had any complaints or concerns they would raise them straight away.

There were records of accidents and incidents. The staff we spoke with were aware of the procedures for requesting the services of doctors and other medical staff in order for treatment to be delivered to people who use the service.