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Archived: Care Management Group - 44 Albion Road Good

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Inspection report

Date of Inspection: 1 June 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 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 was meeting this standard.

The provider had an effective system in place to regularly assess and monitor the quality of service that people receive and manage risks to the health, safety of people using the service and others.

User experience

We assessed people’s experiences of how the provider assures the safety and quality of the care and support they receive at this home by speaking to the registered manager and other staff on duty at the time of our visit, and by reviewing the provider’s quality monitoring records. We found that the provider had appropriate arrangements in place to identify and manage risks to people who use, work in or visit the service. This meant that people using the service benefit from safe quality care and support, due to effective decision making and the management of risks to their health, welfare and safety.

Other evidence

The registered manager told us the people using the service are always encouraged to express their view and have the opportunity to attend weekly meetings to plan the forth coming week’s menu, as well as monthly residents meetings with their fellow peers. In addition to these meetings staff we spoke with confirmed people using the service also have one-to-one meetings with their designated key-workers at least once a month.

We spoke with the registered manager about stakeholder satisfaction surveys and were told they were always carried out annually and involved the people using the service and people that act on their behalf. For example, relatives and care managers. We requested to see a copy of this homes most recent annual stakeholder satisfaction survey and the registered manager advised us that this year’s survey was still in the process of being carried out.

The registered manager told us it was custom and practice for the services regional manager to visit this home at regular intervals and to carry out quality assurance audits regarding the services practices once a quarter. Staff we met told us the findings of these internal audits are always discussed at this homes monthly staff meetings to see if any lessons can be learnt, especially with regards the occurrence of significant incidents, safeguarding issues and/or complaints. We are also aware that this provider operates its own Safeguarding Board, which meets at regular intervals, to discuss the number, nature and outcome of any safeguarding incidents involving people who use this and any other Care Management Group service.

We reviewed the findings of a medication audit carried out by a pharmacist in September 2011, which indicated this external professional was satisfied with the way this home managed medication on behalf of the people who use the service.

The registered manager told us the electronic training record was a useful tool for identifying and monitoring the training needs of her staff team, which ensured she could effectively plan her staff teams’ professional development. We reviewed this information technology system and saw how it automatically flagged up a date by which each member of staff would need to refresh their existing qualifications in certain core areas of practice.