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Archived: Grimsargh House

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Inspection report

Date of Inspection: 15 August 2013
Date of Publication: 18 September 2013
Inspection Report published 18 September 2013 PDF | 78.64 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)

Not met 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 15 August 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 staff and talked with commissioners of services.

Our judgement

There are a lack of appropriate systems to enable the provider to monitor the quality and safety of care provided.

Reasons for our judgement

The home had a registered manager who had been in post for several years. In discussion, the manager demonstrated a good understanding of her role and people that we spoke with told us she was supportive and approachable.

We saw a number of examples of processes used by the manager to monitor standards and ensure that people received a safe and effective service. However there appeared to be much confusion within the home in relation to current management arrangements at a provider level.

Arrangements for providing the home with cash for regular expenses and the arrangements for bill payments were unclear. Although we were able to clarify that cash was being made available on an ad hoc basis by the provider. In addition, the manager advised us that recent requests for equipment and furniture had been met without any problems.

We were able to confirm that a representative of the provider was maintaining contact with the home and carrying out occasional visits. However, these visits did not include any processes for monitoring quality on behalf of the provider.

In discussions with the manager and staff, there appeared to be some confusion about the new arrangements. As such, clear information had not been made available for people using the service or their representatives. By failing to make the new arrangements clear, there is an increased risk the service will not be run effectively on a day to day basis.

Documentation such as the Service User Guide and complaints procedure had not been updated, which meant that people were not fully informed about who to contact should they wish to escalate a complaint, for example.