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Archived: Strathmore House

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Inspection report

Date of Inspection: 2 July 2013
Date of Publication: 11 July 2013
Inspection Report published 11 July 2013 PDF | 84.57 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 2 July 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, talked with staff and talked with commissioners of services.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive. The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

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 would be acted on. There was evidence that learning from incidents took place and appropriate changes would be implemented, if required.

In April 2012, a survey was carried out to ask members of staff, people who used the service and their relatives, for their views about the standard and quality of the service provided at Strathmore House. The collated and analysed results of these surveys demonstrated that the service was viewed to have performed well.

Relatives and people who used the service were provided with other opportunities to share their views about the standard and quality of the service provided at Strathmore House. The registered manager told us that a residents’ and relatives’ meeting was arranged for March 2013 but no person had attended. However, to improve the uptake of attendance to these meetings, there were arrangements made for such meetings to take place on a Saturday morning. Advertising information about these forthcoming events was publicly available in the main foyer of the home.

Reports of recorded accidents and incidents were seen for 2013. From our review of these reports and speaking with the registered manager we found that an analysis was carried out of these events, to determine any emerging trends. The evidence suggested that individual remedial action was carried out. This included, for instance, a review of a person’s medication that had increased the incidents of falls that they had experienced.

The manager advised us that representatives of the registered owner visited the services, at least once per month. Any areas noted to improve the service were reported back to the manager to take action.

The majority of records that we reviewed were accurate and up-to-date. This meant that people who used the service were protected from unsafe and inappropriate care. From speaking with senior members of staff we noted that action was being taken to up-date people’s care records. We were advised that this was by means of individual supervision of members of staff, who were responsible for maintaining up-to-date care records.

The registered manager advised us that records of the people’s weights and food and drink intake were checked and actions were taken in response to these, if necessary. This included consultation with the dietician and increasing the person’s nutritional and drink intake.

Audits were carried out for the safety and accessibility of the premises and food safety systems operated within the kitchen area. Records of these June 2013 audits were seen with recommendations for improvements. The registered manager told us that results of these audits were reported to the provider. This was so that they would consider and approve the recommended actions to be taken for improvements.