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Inspection report

Date of Inspection: 8 November 2011
Date of Publication: 4 January 2012
Inspection Report published 4 January 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

Quality assurance and monitoring is not yet fully developed in order to monitor and improve outcomes for people who use the service.

User experience

People living within Whitstone house were limited in being able to communicate their views in relation to this outcome but people living in Walnut house were able to confirm that they have regular service user meetings with one person stating that they "Like meetings with their friends and the staff."

Other evidence

The last service user meetings in Walnut house were held in June and August 2011 and

records were seen to evidence that these meetings had taken place. Service user meetings in Whitstone house are currently not held.

The manager explained the current systems for quality monitoring includes a monthly visit from the area manager covering a variety of areas including health and safety, care planning, staff training and the environment. However the system for monitoring and reviewing individual risk assessments and policies and procedures require improving as records seen during this visit were incomplete or out of date. Several policies including the safeguarding policy and the equal opportunities policy do not make any reference to current legislation.The staff handbook seen was dated 2008. The control of substances that may be hazardous data sheets were dated 2007.

Staff were not aware of any questionnaires being sent out to staff, carers and outside

professionals. Staff stated that, "The majority of service users would be unable to

complete a questionnaire." However it is important that people using the service are

consulted and involved in the care that they receive. There was currently no

documentation available to confirm that surveys are given to people using the service

and that this information is collated and acted upon.

Staff spoken with stated that they receive formal supervisions and attend regular staff