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Archived: Kivernell Care Limited

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Inspection report

Date of Inspection: 18 February 2014
Date of Publication: 18 March 2014
Inspection Report published 18 March 2014 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 18 February 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

We found that internal audits had been conducted by the registered manager to review the quality of care being provided. These included audits and reviews of care plans, medication and risk assessments. We reviewed seven care records and saw that these checks were conducted regularly, were up to date. Records showed that they were regularly reviewed and checked for any changes in the health or care needs of people who used the service. This meant that the manager had a good overview of what was happening in the level care and would be able to identify and deal with any changes in people's care needs should they become apparent.

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 found that all the people who used the service had been asked for their views about the service they received. Kivernell Care Ltd used the services of a company to collate and report feedback to them. We reviewed 29 customer survey questionnaires completed in 2013. The majority were positive and recorded that people were happy with the service provided. Examples of comments made in the customer survey included: ‘Good quality carers from Kivernell Care’ and ‘Kivernell care have a very good set of carers’. Any negative comments received were acted upon; one person told us that they requested that only the same carers attended a relative. The manager had made arrangements and this had happened.

We saw that there were regular team meetings. We reviewed the most recent meeting records which showed that discussions had taken place. An example seen was with regards to record keeping and the importance of good clear record keeping and regular checking of the service folder in people’s homes.

We saw a robust quality assurance policy that had been reviewed and updated in January 2014. This policy outlined all the audits that needed to take place and examples included incident and accident reporting, satisfaction surveys, working place risk assessments and training reports. We were able to confirm that this quality assurance policy had been adhered to, the last quality audit taking place in January 2014. This meant that the provider had an effective system to regularly assess and monitor the quality of service people received.