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Inspection report

Date of Inspection: 28 August 2012
Date of Publication: 20 September 2012
Inspection Report published 20 September 2012 PDF | 80.19 KB

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 28 August 2012, 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 and talked with staff.

Review of user involvement questionnaires

Our judgement

The provider was meeting this standard. The provider had an effective system for assessing and monitoring the quality of the service that people recieve.

Reasons for our judgement

During the inspection we reviewed complaints received by Sherdley Court. These were low in number but were recorded and actioned promptly. Incidents and accidents were appropriately reported, investigated and recorded. There was evidence that learning from incidents was cascaded at staff meetings.

We saw evidence of monthly provider visit audits and the action plans from the visits.

We saw evidence of the use of user questionnaires that were given to people who used the service at the end of every year. In November 2011 twenty four were given out and twenty one returned, the information received was discussed in user meetings, which were held monthly. The points raised were used to improve the service for the people.

People we spoke to felt they were involved in the decisions made as they were asked for their views.