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The Old Rectory Requires improvement

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 19 October 2012
Date of Publication: 4 December 2012
Inspection Report published 4 December 2012 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 19 October 2012, observed how people were being cared for and talked with people who use the service. We talked with staff.

QRP and notifications

Our judgement

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

Reasons for our judgement

We saw the provider had a quality monitoring system which involved people who used the service. We saw minutes from the quarterly ‘Your voice’ meetings which demonstrated feedback from people was acted upon. One person wanted to go train spotting and this was now on their timetable. We saw the meeting in February 2012 discussed the Accident and Keeping Safe policy with people and people were involved in the Health and Safety meeting.

We saw the manager was responsible to complete a specialist services core action plan which required the manager to audit different areas of the service including care plans, levels of staffing, training and mental capacity assessment. These records were reviewed monthly with the regional manager and audited annually. The next annual audit was due in October 2012.

The provider’s electronic system provided records of who had completed training, the recording and outcomes of incidents and accidents and notifications. The provider might like to note CQC had not received one notification.

The provider had completed an annual Health and Safety audit in October 2012. The manager was awaiting the action plan.

We saw there were no complaints. We were told people could access an easy read copy of the complaints process.