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Inspection report

Date of Inspection: 27 January 2014
Date of Publication: 18 February 2014
Inspection Report published 18 February 2014 PDF | 73.22 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 27 January 2014, talked with people who use the service and talked with staff.

Our judgement

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 used the service were asked for their views and feedback about the service and their comments were acted on. The provider took account of complaints and comments to improve the service. A comments/feedback card and comments box were available in the reception. A complaints book was kept and showed details of how concerns had been addressed. Accidents and adverse incidents were logged, investigated and acted upon. Regular audits of medicines had been undertaken and the service had a robust system in place to identify when medicines were about to expire. The service had carried out audits of records to ensure that medical histories were up to date and treatment plans were available. The service had in place detailed policies and procedures in place, which had been reviewed regularly, so that staff had clear direction on the regulations in the Health and Social Care Act 2008 to keep people safe. Equipment maintenance logs were kept which recorded when equipment had been checked and serviced as appropriate. The provider had detailed risk assessments in place including fire safety, infection control, first aid, and control of substances hazardous to health (COSHH), in order to minimise the risk of injury to people using the service and staff.

The provider may wish to note that any cleaning materials used and stored on the premises should have safety data sheets available for staff to follow in case of an emergency.