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Archived: Dimak Healthcare

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Inspection report

Date of Inspection: 5, 18 October 2011
Date of Publication: 15 December 2011
Inspection Report published 15 December 2011 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)

Not met 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

Our judgement

The quality monitoring process is not robust enough to identify and manage risks relating to the health, safety and welfare of people using the service.

User experience

People told us that the manager occasionally telephoned and asked whether they were happy with the service and they said they felt able to raise any concerns they had with him. People told us that they saw the manager quite regularly and said they would be able to raise any concerns with him.

Other evidence

Following our last inspection we had concerns that the provider did not have any systems in place for monitoring and improving the quality of the service.

The formal system for auditing the service that was discussed with us during our last inspection had not been implemented. However, we found the manager had made improvements to minimise risks to people's health and welfare that we identified during our last inspection. For example, relating to recruitment procedures.

There was no formal method to seek the views of people using the service. However, the manager visited people on a regular basis either to deliver care or to supervise other staff. During these visits the manager sought people's opinions about the service.

Records showed that standards of care had been discussed at the most recent staff meeting. We also saw that concerns about staff practice were monitored.

We found individual risk assessments on people's care files to ensure that risks relating to their health, welfare and safety were identified and managed.

There were records to show that concerns and complaints were investigated and where possible resolved. The manager followed up to check that any planned actions were carried out.

There were still no audits of care or medication records and the manager had failed to identify risks to people's health and safety caused by poor medicines management.