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Inspection report

Date of Inspection: 4 February 2013
Date of Publication: 26 February 2013
Inspection Report published 26 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, carried out a visit on 4 February 2013 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 told us that cleaning schedules for the clinic were checked on a weekly basis and that they also conducted monthly clinic audits including health and safety and cleanliness and infection control. We saw completed records to demonstrate this.

We saw evidence that an annual survey was conducted of people using the services of the clinic to determine people’s views on the quality of the service provided. Results were then collated. We saw the most recent analysis was for the period year ending November 2012. This reflected satisfaction with the service provided.

Risk assessments were present with evidence of regular review. Risk assessments were in place in relation to equipment, patient safety and the property. This demonstrated that the provider had taken steps to identify, assess and manage risks relating to the health, safety and welfare of the people who used the service.

A complaints procedure and record was in place. We could see that one complaint had been received during 2012 and was under investigation at the time of our visit to the service. We, the Care Quality Commission had received no complaints relating to the service at the time of this review.

We saw that contracts were in place for the servicing and maintenance of equipment by appropriate companies.