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Archived: St Marks House

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Inspection report

Date of Inspection: 12 April 2012
Date of Publication: 28 May 2012
Inspection Report published 28 May 2012 PDF | 55.41 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 12/04/2012, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

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

User experience

The registered manager of the home sends out regular surveys to people who live at the home so that they can gain their opinions on the service provided. We saw the completed surveys for 2012. The registered manager told us that she had not evaluated the surveys yet, but once that had been completed, the findings would be displayed on the notice board. This piece of work was being done at the time of our visit.

We saw that surveys had been given to visitors to the home, both professional and family and friends, to gain feedback about the quality of service delivered. Only a few had been returned, but these all contained positive responses.

We saw that the complaints procedure was on the notice board. People we spoke to told us they knew how to make a complaint. One person told us that the complaints procedure had not been properly explained to them, but was able to describe the correct process for making a complaint. The home had not received any complaints since March 2010.

We saw that staff recorded accidents within the home and any pattern of accidents was identified.

We saw that records for fire risk assessments and fire drills were up to date. Staff had been given regular fire training.

The registered manager told us that they have a system in place of redecorating every four years. Bathrooms and toilets are refurbished every two years. We observed that the home was comfortable and in a good state of repair.

Other evidence

We have no other evidence