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Inspection report

Date of Inspection: 2 October 2012
Date of Publication: 19 October 2012
Inspection Report published 19 October 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 to regularly assess and monitor the quality of service that people received.

User experience

We saw that monthly recorded residents meetings took place.

One person told us that they attended the meetings and they found them useful.

Other evidence

We saw that systems were in place to monitor the quality of the service.

Monthly separate staff and residents meetings were held. We looked at some notes from recent meetings and saw that the discussions included items such as health and safety and infection control. Residents meetings had been well attended and each person was given the opportunity to contribute.

We saw that a representative had visited the home monthly on behalf of the provider and written a report on their findings. The visits included discussions with people who lived at the home and staff. The organisation also produced a comprehensive annual quality review report. Internal house audits were undertaken on medication recording, care plans and training.

People had access to a complaints procedure that was available in text and pictures. We saw that any concerns or complaints raised by people were recorded with the actions taken to address them.

Weekly newsletters were produced for people who lived at the home and their relatives. They showed what activities and events had taken place or were planned, general information and people’s achievements in a colourful and attractive way.