You are here

All reports

Inspection report

Date of Inspection: 22 October 2012
Date of Publication: 16 November 2012
Inspection Report published 16 November 2012 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

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive. The provider was meeting this standard

User experience

People who use the service and their representatives were not able to comment on this outcome.

Other evidence

There was evidence that learning from incidents / investigations took place and appropriate changes were implemented. 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 care 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.