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Inspection report

Date of Inspection: 4 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF | 79.31 KB

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 4 November 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

People who used the service were asked for their views about their care and treatment and they were acted on.

We saw the results from satisfaction questionnaires which were completed by people who used the service. We saw the minutes from a staff meeting which showed that the results to the satisfaction surveys were discussed and ways that the service provided to people could be improved. This meant that people's comments were listened to and addressed.

People were further provided with the opportunity to express their views about the service provision in the residential service in ‘resident’s meetings.' We saw the minutes from these meetings which showed that people discussed their satisfaction and made decisions about the service provided. They also discussed their preferences relating to the menu and activities. We looked at the care records of five people who used the residential service which showed that people were included in their care reviews.

We saw the care records of three people who used the domiciliary care service. These records showed that the service regularly contacted them to ask if they were satisfied with the service. We saw records which identified that the care manager undertook 'spot checks' on the domiciliary care workers. These checks were observations on the domiciliary care workers when they were supporting people who used the service to ensure that they were working to the required standard. This meant that there were systems in place to assess and monitor the service that people received.

We saw records of audits which were undertaken to ensure that people were provided with safe and effective care. These audits included falls, pressure areas and health and safety.