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Archived: Nelson Mandela House

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Inspection report

Date of Inspection: 7 August 2014
Date of Publication: 4 September 2014
Inspection Report published 04 September 2014 PDF | 84.17 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 7 August 2014, 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 in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

Reasons for our judgement

We found there were systems in place to regularly assess and monitor the quality of service that people received. The registered manager told us that monthly audits were undertaken. These included infection control and fire safety. We saw that medication was audited weekly. We saw that infection control training had been undertaken as a result of an infection control audit. This meant that the provider monitored the quality of service provided so they could make improvements.

We saw that systems were in place to record and monitor incidents and accidents. We saw evidence that incidents and accidents were investigated and action was taken. Records were analysed to identify any trends and ensure appropriate actions were taken to reduce risks to people.

A procedure was in place to manage complaints. People and relatives told us how they would make a complaint. They told us that they were confident that they would be listened to. The registered manager told us that no complaints had been received since the last inspection.

The people who used the service and their family were asked for their views about the care and support delivered. The registered manager told us that questionnaires were issued to people and their relatives. We saw copies of completed forms that gave positive feedback. The information from the questionnaires was reported to head office for analysis. In addition to this people were invited to residents meetings. We saw copies of minutes from the last meeting. This gave people the opportunity to share their views and raise any issues or concerns.

The manager told us that staff received supervision and appraisal. This was confirmed by staff we spoke with. This meant that staff had the opportunity to raise any issues or concerns and discuss the care of people who used the service. Staff told us they felt they could raise any issues or concerns with the management.