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Cellular Pathology Services Limited

All reports

Inspection report

Date of Inspection: 23 January 2014
Date of Publication: 5 March 2014
Inspection Report published 05 March 2014 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 23 January 2014, observed how people were being cared for and talked with staff.

Our judgement

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

Reasons for our judgement

We found evidence of an annual questionnaire sent to all people who used the service to ask their views on the quality of service. The latest questionnaire viewed showed that people were happy with the service provided and that service was generally "above expectation". Any negative comments were reviewed and action taken to resolve these concerns was taken through using the service’s complaints procedure.

There were systems in place to address any adverse issues that arose from time to time. This included identifying the issue and the root cause, taking remedial action and identifying any corrective and preventative action that may be needed to improve quality of service.

Feedback from people regarding quality of service was reviewed and if appropriate incorporated into the services 'Quality Policy'.

Annual quality management reviews and audits were undertaken as well as an annual audit by the Clinical Pathology Accreditation (CPA) to ensure quality is controlled and maintained. Since the last inspection by the Care Quality Commission, approval of the service had been granted by the CPA.

We saw records of Health and Safety risk assessments had been carried out on a quarterly basis and appropriate action taken place to address any matters of concern.