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Inspection report

Date of Inspection: 6 January 2013
Date of Publication: 29 January 2013
Inspection Report published 29 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 6 January 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

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 used the service, their representatives and staff were asked for their views about their care and treatment and they were acted on.

We saw the results from satisfaction questionnaires which were completed by people who used the service, their representatives and visiting professionals. The registered manager told us that if negative comments were received actions were taken to address them.

During our visit we saw two people, who were representatives of the provider, undertaking quality assurance surveys with the people who used the service. This was noted to be good practice because the activity was accessible to people who had difficulties with reading, the interviews were done in private and by people other than the staff who worked in the service. This meant that people were provided with an equal opportunity to express their views about the service they were provided with.

We saw records which showed that staff were provided with one to one supervision meetings which them provided them with the opportunity to discuss the ways that they were working and to receive feedback on their work practice. We also saw the minutes from staff meetings where staff discussed the support provided to people who used the service.

We saw records of provider visit reports which showed that the provider monitored and assessed the service provided.

We saw records which identified that the provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others. These records included checks on fire safety, electrical appliances, gas safety and water temperatures.