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Archived: Woodrow Cottage

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Inspection report

Date of Inspection: 3 January 2013
Date of Publication: 20 February 2013
Inspection Report published 20 February 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, reviewed information sent to us by other organisations, carried out a visit on 3 January 2013 and observed how people were being cared for. We talked with people who use the service 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

We saw that regular audits of the quality and safety of the service were recorded. These included checks carried out by the manager and others performed through the organisation's quality assurance teams, who visit the service monthly and quarterly. We saw the minutes of the monthly Health & Safety meetings and details of the actions completed. The most recent quarterly audit had been carried out by the organisation’s Quality Delivery Team to review medication administration, the records confirmed that the actions identified for improvement had been completed.

There were risk assessments for each person using the service and for matters relating to the home environment. Procedures were in place for reporting accidents and incidents and there was a system to monitor and respond to any concerns or complaints about the service. The manager also kept records of ongoing assessment of the service's compliance with the essential standards of the Health and Social Care act 2008. These were detailed and frequently reviewed to show how the service was continuously developing and updating strategies for meeting people's changing needs.

We observed that staff worked in ways that maximised people's choice, control and inclusion. Weekly service user meetings provided an opportunity with the use of picture cards to express feelings about the service and staff. We saw a complaints picture board in the main hallway this provided them with another way of telling staff if they were unhappy with any aspect of the service or their care. Additionally we saw the service’s complaints procedure on display in the entrance hall with appropriate contact details. The manager told us that reviewing complaints is part of the services ongoing quality audit, we saw the complaints record, actions taken were recorded so that any learning outcomes were followed through in order to make changes or improvements.

The annual survey for obtaining views of the service for 2012 was in the process of being completed, several feedback forms had been received, we saw a comment from one relative; “Thank you all so much for your continued and constant care and support”.