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Archived: Dimensions 44 Castle Road

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Inspection report

Date of Inspection: 9 September 2013
Date of Publication: 9 October 2013
Inspection Report published 09 October 2013 PDF | 80.82 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 9 September 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

The registered manager was able to show us systems that the provider had in place to monitor the quality of the service provided.

The registered manager told us about compliance audits undertaken on behalf of the organisation to monitor and assess the quality of the service provided. These audits were made available to members of staff for them to read. The most recent audit was carried out during June 2013. A further audit was scheduled to take place during October 2013. We saw that the audit carried out in June concluded that the score obtained was consistent with the previous score. We saw a comment written by the auditor which stated: “A great score – well done”. This meant that staff were made aware of the organisations standards and of any necessary improvements. In addition to the quality audits the organisation carried out financial audits. The registered manager told us that no concerns were raised as part of the most recent audit.

We were informed that satisfaction surveys were periodically sent out to families or other representatives of people who used the service. Comments from these surveys were sent back to the organisation. The registered manager was not aware of any concerns from the most recent survey. This meant that relatives of people who used the service were given the opportunity to comment upon the service provided.

Audits were carried out on a regular basis to ensure that people had received their prescribed medication. We saw that these showed no cause for concern. This meant that people were receiving their medication.

We were told by staff we spoke with that staff meetings took place every two to three months. This meant that staff were given the opportunity to comment on the service provided.