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Archived: Agnes House

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All reports

Inspection report

Date of Inspection: 1 December 2011
Date of Publication: 23 December 2011
Inspection Report published 23 December 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

Improvements made to the monitoring of service provision will give people more assurance that their views are being taken into account and that they will benefit from the service provided.

User experience

We did not speak to people about the quality monitoring of service provision.

We spoke with the manager who told us that senior managers were carrying out audits of the location more regularly and with greater diligence.

Other evidence

When we inspected the location in June 2011 we found that although there was evidence of good practice regarding the quality monitoring of service provision senior manager audits were not of a good standard. We made an improvement action for this to be addressed.

When we inspected the location in December 2011 we had a look at recent senior management audit reports and found that these had improved. We saw that audits were undertaken more frequently and that they were far more robust. The reports confirmed what had been looked, which people and staff had been spoken with and recommendations were highlighted where action was needed.