You are here

All reports

Inspection report

Date of Inspection: 7 September 2012
Date of Publication: 23 August 2011
Inspection Report published 23 August 2011 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

People are able to have a say about how the home should be managed and good quality and monitoring systems ensure they receive a service specific to their needs.

User experience

We did not discuss this outcome group with people who use the service.

We observed that quality and monitoring systems were in place to ensure outcomes for people are good.

Other evidence

The home has good quality and monitoring programmes in place which involves carrying out regular audits of their performance to ensure people receive an effective and reliable service.

We saw that care plans were reviewed with people’s involvement on a monthly basis to ensure the care they receive meets their needs. Two people we spoke with confirmed their involvement in their care planning.

Staff supervision is carried out once a month. Two staff spoken with also confirmed access to regular supervision. Staff supervision is a process where staff’s work practices are monitored and where their training needs are identified. This should ensure that all staff members are appropriately supported to undertake their role properly.

The home operates a key worker system where each staff member is allocated the responsibility of a number of people who use the service. This should ensure that people’s specific needs are met.

Quality assurance questionnaires are distributed to people who use the service, relatives and healthcare professionals. Feedback from these surveys enables the home to improve quality standards.

Regular meetings with people who use the service enable them to have a say in how the home is managed. We looked at three sets of minutes of meetings, these showed discussions about menus, social activities, how they can share their concerns, amongst other items.

People have access to the home’s complaint procedure in a format they can understand enabling them to share their concerns and promote their rights.

The home has also commissioned the service of an external quality assurance consultant to ensure systems and practices promote safe, effective and good outcomes for people who access the service.