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Inspection report

Date of Inspection: 4 December 2013
Date of Publication: 3 January 2014
Inspection Report published 03 January 2014 PDF | 76.87 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 4 December 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 and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

People who used the service were asked for their views about their care and treatment and they were acted on. We saw satisfaction questionnaires completed by people who used the service. All of these questionnaires showed that people were happy with the service they were provided with. A staff member told us that if people raised concerns in these questionnaires they would be acted on to improve their experiences of the service provided.

We saw the provider's complaints procedure which explained how people could raise concerns about the service if they needed to and how they would be managed. How people could make a complaint was included in the service's information leaflet and on their website. The dentist and a staff member told us that no formal complaints had been received in the last 12 months.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others. We saw risk assessments which identified how risks were minimised. This included risks associated with the environment and infection control.

We saw that electrical appliances were checked to ensure that they were safe for use.

We saw that audits were completed to monitor and assess the service provided. These audits included people's records, consent to treatment and oral cancer risk factors.