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Inspection report

Date of Inspection: 9 June 2014
Date of Publication: 5 July 2014
Inspection Report published 05 July 2014 PDF | 81.32 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 9 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

The provider asked people who lived at the home, their relatives and visitors for their views about the quality of service provided at the home in a variety of ways.

The provider sent satisfaction surveys to the people living in the home, their relatives and representatives annually. The surveys covered a variety of areas including, the quality of the care and the environment. We sampled some of the most recent surveys and all were complimentary about the service offered. There were meetings for families and friends held at the home. We saw that various topics were discussed at these and people’s ideas and views were listened to and acted on. For example, ideas for activities and changes to the menu were put in place.

There were monthly meetings with the people living in the home. We were given examples of suggestions that had been made by people that had been acted on. For example, people wanted a tuck shop and this was in operation. One person had suggested a charity the home should support and this had been accepted and was on-going. This showed people’s views were listened to and acted on.

Arrangements were in place to monitor and assess the quality of the service provided. We saw records of monthly audits which included audits of incidents, care plans and equipment in the home. We saw the annual pharmacy audits for medication which showed that medication had been given as directed and there were no concerns.

The manager told us they were very much ‘hands on’ in the home and was able to see what was happening and chat to people to ensure they were satisfied with their service. This ensured the service was overseen and continually improved for people.

Systems were in place to address every day maintenance issues at the home. This ensured the environment was safe for the people living there.

We saw that systems were in place to ensure other equipment was tested and serviced at the required frequency. This ensured that the equipment was well maintained and safe for use.