You are here

Georgina House Requires improvement

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 4 April 2012
Date of Publication: 25 April 2012
Inspection Report published 25 April 2012 PDF | 49.95 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 reviewed all the information we hold about this provider, carried out a visit on 04/04/2012, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

The provider was compliant in this regulation.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others.

User experience

We spoke with people using the services but their feedback did not relate to this standard.

Other evidence

Our inspection of 05 October 2011, found that the some of the providers quality monitoring systems were insufficient, and had failed to identify certain areas of non compliance. This was specifically related to care documentation. The provider wrote and told us that a new quality monitoring tool had been introduced in October 2011. This included a compliance monitoring tool and compliance assessments that were completed monthly by the provider’s compliance team and unannounced senior manager visits to the locations.

When we visited the service on 04 April 2011, we saw copies of audit reports that had been completed since our last review. These audits involved a review of care documentation, and identified where further improvements were needed. The care documentation that we looked at corroborated that the identified issues had been addressed.

The manager confirmed that weekly and monthly audits were carried out in relation to all aspects of health and safety in the home. Some of the audits were carried out by the area manager, and others were done by the home manager or other designated staff who worked in the home. These included, fire safety checks, water temperature checks, Portable Appliance Testing, medication and care records. We reviewed some of the audit records that were available and they confirmed these were being carried out regularly, and where anomalies were identified these were addressed immediately.

The manager told us that satisfaction questionnaires for 2012 were due to be sent out to people who use the service, their representatives and staff. This was work in progress at the time of our visit.