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Archived: Low Fauld

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Inspection report

Date of Inspection: 5 August 2013
Date of Publication: 20 September 2013
Inspection Report published 20 September 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 5 August 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 in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

The provider demonstrated to us they had a quality assurance system in place. We saw the policy and procedure for this and a senior manager from the organisation carried out monthly visits to audit the quality of care, staff training and supervision and the home environment. When we visited the organisation's quality assurance manager was in the home carrying out a monthly audit of people's care plans. The results of these findings were examined and we saw that issues identified had been acted on. These records were examined and found to be robust and thorough in checking that the systems in place to ensure quality and safety had been adhered to and were being met.

There was evidence that learning from investigations and surveys took place and appropriate changes were implemented. This included asking people who used the service, their representatives and staff for their views. A formal survey was sent out and for those people who had family to represent them. These people were asked about the care their relative was receiving at each review meeting. We saw an example whereby activities had been changed as a result of comments from people in the home.

We saw that Low Fauld had an up to date risk assessment file where hazard risk assessments had been undertaken. These looked at all potential risks within the home environment and with each individual with control measures to reduce any risk. These were communicated to the staff through one to one supervisions, staff meetings, a staff message book and by staff signing each new risk assessment and policy to indicate they had read and understood them. The records to assess risks were examined and found to be well kept and orderly with the level of risk clearly identified by a colour coded system, for example red to identify high risk.

This system was further strengthened by staff having designated key areas of responsibility. For example one staff member told us about their role in recording, monitoring and analysing the use of restraint in the home. These key staff received training and regular updates and ensured that all staff were updated and briefed in these areas.