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Archived: Elysian House Good

All reports

Inspection report

Date of Inspection: 19 October 2012
Date of Publication: 13 November 2012
Inspection Report published 13 November 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 reviewed all the information we have gathered about Elysian House, looked at the personal care or treatment records of people who use the service, carried out a visit on 19 October 2012 and observed how people were being cared for. We talked with people who use the service, talked with staff and received feedback from people using comment cards.

Our judgement

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

Reasons for our judgement

People who used the service were asked for their views about their care and support and these were acted on. We saw a suggestions box for people’s views near the front reception. Minutes of weekly meetings of people who used the service and staff showed how feedback was used to improve the service. People were asked to complete a satisfaction questionnaire prior to leaving the service. We saw a large number of completed questionnaires and an analysis of the results. The results showed that 89% of people said they would use the service again. A senior manager told us the results would be discussed and shared in a forthcoming meeting with people who used the service.

There was evidence that learning from incidents and investigations took place and appropriate changes were made. For example, a member of staff told us about an incident and explained how the situation was managed and investigated. We saw evidence of feedback from incident investigations within the staff monthly meeting and clinical governance meeting minutes. We reviewed a recent risk report, which detailed trends from risk assessments and incident reports and identified changes that were needed. The provider carried out regular unannounced inspections of the service. Action points were identified and a record kept of when these were completed. In this way the provider identified and managed risks to people and helped maintain their health, welfare and safety.