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Archived: South Lodge

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Inspection report

Date of Inspection: 17 February 2012
Date of Publication: 14 March 2012
Inspection Report published 14 March 2012 PDF | 50.08 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, carried out a visit on 17/02/2012 and observed how people were being cared for.

Our judgement

The provider is compliant with this outcome. Systems are in place for assessing and monitoring the quality of service provision.

User experience

We did not request information from anyone using the service about this outcome during our visit on 17 February 2012.

Other evidence

The provider had developed an evidence-based, year on year improvement system which had been tailored to meet the needs of the people using the service. The system included findings from audits and periodic surveys, which were used to monitor the quality of service provision, and to give people using the service the opportunity to contribute to the running of the service.

A continuous improvement plan for South Lodge had been developed as a result which incorporated findings from internal audits undertaken in relation to individual support needs, system improvements, the environment and safety. The manager had recently reviewed the plan for the service, and there was evidence that action had been taken to address areas identified as requiring improvements in the weeks prior to our visit.

The views of people using the service were being sought informally on an ongoing basis, and formally through satisfaction surveys. The results from surveys completed by people using the service in 2011 showed that they were satisfied with the support they were receiving.

Surveys had not been sent out to families and other stakeholders at the time of our visit. However, some recent review meeting minutes for one person living in the home recorded that their family was happy with the support being provided to them.