You are here

All reports

Inspection report

Date of Inspection: 16 March 2013
Date of Publication: 12 April 2013
Inspection Report published 12 April 2013 PDF | 88.47 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 16 March 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 or service that people receive.

Reasons for our judgement

Information about people's experiences had been gathered in a way that was meaningful to them and the information obtained was being used to progress the service further. Records seen by us included care, personal profiles a daily care routine, risk assessments and care plan reviews.

Daily diary records showed us that the care and welfare of both sisters had been recorded and showed how they had been supported during the day. The manager read these dairies each day to check the assistance and care given. The manager had signed these diaries each day to verify this.

As part of the quality assurance process there were a number of health and safety checks carried out. These included a fire risk assessment, checks on fire alarms, emergency lighting and fire extinguishers and portable appliance testing to ensure that electrical appliances were safe. We saw from records that the manager also carried out audits of people's care plans, food safety and any health and safety issues relating to people living in the home. These checks enabled the manager to identify any areas for improvement and put measures in place to improve the quality of the service.

Staff told us that meetings were held on a regular basis to keep staff updated. The staff meeting minutes evidenced that meetings were occurring regularly, appropriate issues were discussed and staff were provided with an opportunity to give feedback on how the service could be improved.

There were a number of policies in place for the effective running of the service and to also direct and guide staff practice. These included an equal opportunities policy, the protection of vulnerable adults policy and a health and safety management policy. We saw that the manager reviewed these policies and had updated them when required.

The manager had a business continuity plan in place which outlined the actions to be taken to protect the sisters in the event of any emergency in the home. The plan recorded what actions would be taken in the event of essential services failure, fire or flood.

The manager told us that there were no conduct concerns of staff employed and that there were no complaints about the service. No complaints or concerns were raised to us during our visit.