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Archived: Domus Healthcare Oldham Limited

This service was previously registered at a different address - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 10, 15 September 2014
Date of Publication: 22 October 2014
Inspection Report published 22 October 2014 PDF | 83.87 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 10 September 2014 and 15 September 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

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

Reasons for our judgement

The registered manager told us the service provider had effective quality monitoring (QM) and quality assurance (QA) systems in place. These included a range of indicators being audited on a regular basis by the registered manager and other staff in the office. These audits were then checked by somebody within the organisation but not attached to this office. A sample of people who used the service was also contacted by an independent person. An action plan was developed from these audits. Progress on the action plan was checked in the registered manager’s one to one sessions with the group operations manager. This process was confirmed by the group operations manager who was at the office during our inspection visit.

We saw examples of some of the audits. These included health and safety, care files and staff files. The returned log books were also audited to help ensure the identified care was being provided.

The registered manager told us that spot checks on staff were periodically undertaken while they were visiting people who used the service. We saw evidence of the spot checks recorded in staff files.

Staff who we asked confirmed that they were subject to spot checks. Most people who used the service, who we asked, also confirmed that they were periodically contacted to establish their satisfaction with the service. One person could not recall being contacted but another said they had “regular contact from [coordinator] to make sure things are OK”.