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Inspection report

Date of Inspection: 12 August 2011
Date of Publication: 22 September 2011
Inspection Report published 22 September 2011 PDF | 47.94 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 reviewed all the information we hold about this provider and carried out a visit on 12/08/2011.

Our judgement

The service was not regularly assessing and monitoring what it is doing, so people may not consistently receive the care and support they need. Overall, we found that Fouracres Care Service was meeting this essential standard but, to maintain this, we suggested that some improvements were made.

User experience

On this occasion we did not speak to people about this outcome area.

Other evidence

The registered manager explained that she spoke with people's relatives regularly to get feedback on the service. She said that a survey of people's views of the service had not been carried out recently. There were no records to show that the views of people who use the service, their relatives and relevant professionals had been sought.

We found that there were a number of areas where the quality of the service provided had not been reviewed. For example, there were no records to show that medication audits were taking place. There was no monitoring of training to ensure that staff had the skills to meet the needs of people. The service was not regularly assessing and monitoring what it is doing, so people may not consistently receive the care and support they need.