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Archived: 16 Brimley

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Inspection report

Date of Inspection: 8 April 2013
Date of Publication: 3 May 2013
Inspection Report published 3 May 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 8 April 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 a system to assess and monitor the quality of service that people received.

Reasons for our judgement

When we visited in May and July 2012 we found that the provider did not have an effective system in place to identify, assess and manage risks to the health, safety and welfare of the three people who used the service.

On this visit we found that there had been some progress. The provider / manager had reviewed some of the policies and procedures however further work needed to be done to ensure that the service provided adhered to those policies.

The provider had used a service user questionnaire to record the views of the three individuals and last distributed these in March 2012. There were already plans to distribute the forms again but the provider / manager had been advised by the local authority that independent support had to be arranged for the three people to help them complete the forms. This would ensure they were able to express their views freely.

We looked at the care files for the three people who were supported. Each of the care plans had been reviewed and updated since the last inspection. This meant that people received the care and support that met their needs.

No complaints or concerns about the services provided had been raised with us either by people who used the service or health and social care professionals involved in the individuals care. There had been one accident/ incident that the provider / manager had told us about via the notification process.