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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 21 December 2013
Inspection Report published 21 December 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 10 December 2013, talked with people who use the service and talked with staff.

Our judgement

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

Reasons for our judgement

People who used the service, their representatives and staff were asked for their views about their care and treatment and they were acted upon. Care plan audits were conducted with the person by the manager on a quarterly basis. People could attend family meetings and ‘quality circles’ where they were able to provide their view on the service provision.

The service was audited and records kept. Any issues were identified and action plans in place. This meant that the service was being robustly monitored.

Safeguarding incidents would be audited quarterly to analyse issues and identify if any changes to the service needed to be made. However, we saw that there had not been any safeguarding issues this year.

Discussions held with people who used the service identified that overall people were happy with the service they received. People had had the opportunity to speak with the Chief Executive during a visit to the scheme which they welcomed.