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Inspection report

Date of Inspection: 28 May 2013
Date of Publication: 4 July 2013
Inspection Report published 04 July 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 28 May 2013, checked how people were cared for at each stage of their treatment and care and spoke with one or more advocates for people who use services. We talked with people who use the service, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

People who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. One person who uses the service told us, "It's good living here I am listened to".

We saw that there was a record of Identified risks and issues with action plans in place where needed. Information about people's experiences had been gathered in such a way to allow for monitoring of risks and the quality of care delivery. There was evidence of pre assessments before people began to use the service and records of updated dependency assessments. Care plans were regularly updated and audits were conducted to identify any trends in levels of risk to the people who use the service. This meant that the manager had an effective system in place to identify any areas for improvement in order to reduce risk.

The manager met with the staff regularly to discuss issues raised. People who used the service and their representatives were asked for their views about their care and treatment and these were acted on. Complaints were logged and incidents were reported and both had been reviewed to identify trends. Lessons arising from these had been used to make changes to the service. This demonstrated that the quality of the service was monitored and concerns addressed appropriately. Decisions about care and treatment were made by appropriate staff at the appropriate level.