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Inspection report

Date of Inspection: 14 December 2012
Date of Publication: 19 January 2013
Inspection Report published 19 January 2013 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

We carried out a visit on 14 December 2012, observed how people were being cared for, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. The provider had a quality assurance system in place which included a regular audit of the service by a director of the company.

We looked at the monthly reports completed by the director which were a summary of visits to the home, meetings with people and staff and observations of practice. Actions were identified and we saw evidence that these had been acted upon.

People who used the service did not take part in home meetings. The manager told us that this did not work and people were reluctant to discuss things in a group. They told us the current individual meetings worked well with four of the seven people living in the home.This was confirmed by people we spoke with. We also saw the records maintained for these one to one meetings.

One person said, "I have a meeting to discuss me and what I would like to do. I also meet with X (director of company) who visits to speak to us."

The provider may find it useful to note that for the three people who are unable to vocalise their views, the current system does not record anything other than their inability to contribute using this format. The deputy manager told us that they are looking a more meaningful ways of gathering views through observations and non verbal responses to activities for these individuals.

We saw evidence of surveys being carried out. The manager told us that these were returned to the head office and collated. The results and surveys were available in the home. All recorded positive scores regarding the care and support received.

One relative responded in the survey stating, "Everyone goes that one step further to make sure things are pleasant and relaxed."

Another relative stated, "We are very pleased with the redecoration of X (family member) room and the improvements to the garden."