You are here

All reports

Inspection report

Date of Inspection: 30 December 2010
Date of Publication: 9 February 2011
Inspection Report published 9 February 2011 PDF

Contents menu

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 internal systems for assessing and monitoring the quality of the service were not sufficiently structured to ensure that information from all sources is captured, collated and used to improve the experiences of people using the service.

User experience

One person confirmed that tenant’s meetings are held once a month to talk about living in the home. Another person stated "They ask me how I am getting on and if I am happy".

Other evidence

The manager told us that minutes are taken from the tenant’s meetings. The provider told us "Each individual has their own monitoring system which gives the information needed to enable us to support them in any other treatments needed, which gives us overall information of their health needs to act with other professionals”. The provider also confirmed that monthly tenants’ meetings take place and that staff observations are carried out within the home. The provider described the audits that take place and stated that the home maintains a matrix report of incidents, errors and near misses, which is sent by email to the manager and the line manager within the company. The provider further confirmed that there is a complaints and comment books available to everyone and a ‘user-friendly’ complaints leaflet, which the people using the service had helped to develop. The provider did not provide any further information about assessing and monitoring the quality of service provision.

We spoke to the manager about quality assurance systems at the service. Whilst audits occur at the service, it become unclear how these systems worked together to improve outcomes for the people using the service. Outcomes from the last survey of the tenants, relatives and professionals were not made available to us during our visit.