You are here

All reports

Inspection report

Date of Inspection: 28 February 2012
Date of Publication: 19 March 2012
Inspection Report published 19 March 2012 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

Our judgement

There are systems in place to monitor the quality of service provided.

User experience

We did not discuss this outcome with people using the service.

Other evidence

We saw that annual quality assurance surveys were carried out for staff and people who use the service. These were carried out by an external organisation. The survey outcomes were reviewed by the manager and compared to the previous year to see if any improvements or changes needed to be implemented. A survey carried out the previous month had shown a 98% satisfaction rate for people using the service and a staff survey done last year had shown an 83% satisfaction rate for staff employed by the service.

In addition the provider carried out their own Standards and Values Assessment every year, which looked at such things as person centred care, social involvement, medication, record keeping, staffing, training and management. Overall the service had scored 93%.

We saw that risk assesments were undertaken for people using the service with any necessary actions being taken and their effectiveness monitored with further changes being made if necessary. All risk assessments were regularly reviewed.

In addition, we saw that the manager audited care plans, medication and activities monthly and carried out a health and safety audit quarterly.