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Inspection report

Date of Inspection: 5 November 2012
Date of Publication: 28 November 2012
Inspection Report published 28 November 2012 PDF | 82.96 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, reviewed information sent to us by other organisations, carried out a visit on 5 November 2012 and observed how people were being cared for. We checked how people were cared for at each stage of their treatment and care, talked with carers and / or family members and talked with staff.

Our judgement

The provider did not have systems in place to regularly monitor the quality of the service, this may mean that people are at risk of receiving and unsafe and inappropriate care.

Reasons for our judgement

We spoke with people using the service but their feedback did not relate to this standard. The provider explained that she had consulted the relatives of people who use the service about their care and support needs. There were records to show that relatives had been involved in reviews of people's care. People's needs had been discussed in their meetings with their key workers, and this had been recorded. Staff spoken to understood the importance of involving people in decisions about their care. The provider explained that there had not been a formal survey of people, relatives and other stakeholders about how the service could be improved. There were no records to show that this had taken place in the last year.

The provider could not show us how the delivery of care and management of the service were monitored. For example, there was no means of checking whether staff had received the training and support they needed. The provider could not show us a training plan that addressed the future training needs of staff or how they monitored staff supervision to make sure that all staff received support on regularly. The provider did not have systems in place to regularly monitor the quality of the service, this may mean that people are at risk of receiving and unsafe and inappropriate care.