You are here

All reports

Inspection report

Date of Inspection: 25 February 2013
Date of Publication: 14 May 2013
Inspection Report published 14 May 2013 PDF | 89.54 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 25 February 2013, observed how people were being cared for and talked with people who use the service. We 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 using the service and others.

Reasons for our judgement

The provider had effective systems in place to ensure the service was safe for people being treated and for staff working in the service. The premises were fit for purpose and there were clear audits relating to the cleanliness of the premises, sterilisation of instruments, maintenance of the building and equipment. Infection control procedures and audits identified where the practice needed to improve and staff signed to show what part of the processes they had completed. The manager oversees staff practice to ensure they were working in an appropriate and safe way. We saw an example of records which showed that equipment was regularly serviced and maintained and there were risk assessments for the building and cleaning materials. Staff regularly held fire evacuation procedures and were trained to deal with medical emergencies.

Records were kept of adverse events, accidents, incidents or events affecting people’s safety. This meant that there was evidence that learning from incidents / investigations took place and appropriate changes were implemented.

There were systems in place to gain people’s views on how the service was delivered and to enable people to suggest improvements. The practice had clear systems in place for people if they wished to complain or compliment the service provided. This meant the provider took account of complaints and comments to improve the service.