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Inspection report

Date of Inspection: 17 January 2013
Date of Publication: 13 February 2013
Inspection Report published 13 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 17 January 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and received feedback from people using comment cards.

Our judgement

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

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. Every person who attended the service was provided with a feedback form to complete about their experience. This was enclosed with the letter about their consultation. We saw thirteen feedback forms that had been received over the past six months. All provided positive feedback about the service.

People who use the service were also able to feedback via the website. We reviewed the comments available online, which all provided positive feedback.

People were made aware of how to complain. No formal complaints had been received about the service. The registered clinical manager told us that if a person had a concern, she had always spoken to them to address their concerns.

The registered clinical manager showed us service contracts that covered security and all their equipment. There were fire checks undertaken and an evacuation procedure was available in the incident of fire. There was a health and safety policy and a security policy available. We observed that case notes were kept securely on site in a locked room.