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Inspection report

Date of Inspection: 26 August 2014
Date of Publication: 24 September 2014
Inspection Report published 24 September 2014 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 26 August 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

The provider had systems in place to regularly assess and monitor the quality of service that people received.

Reasons for our judgement

Most of the people who used the service were temporary residents for respite care. At the end of their stay staff gave relatives a questionnaire and asked them to complete them. We were shown completed questionnaires that had been returned to the service since the beginning of April 2014. The questionnaires asked for comments about the premises, food, care, staff and activities. All 12 questionnaires completed were positive and complimentary about the service people had received. We asked a senior care worker what they did if they received negative comments. They told us they would contact the relative to obtain more information and take appropriate actions to improvement the standards. This indicated the opinions of relatives were able to influence the standards of the service.

We found the manager had carried out regular spot checks and other audits. These concerned, fire safety, food hygiene, health and safety, medicines and accidents. The records told us that actions plans had been developed to ensure people received safe care. The action plans included the name of the staff member who was responsible for ensuring the improvements were made. This demonstrated that the standards of the services that people received were being regularly reviewed and where possible improved for the benefit of the people living in the home.

There were reports available to evidence that equipment such as the shaft lift and the central heating had been serviced regularly by an appropriate company. This meant people were protected from unnecessary accidents.

We saw that regular checks were regularly carried out such as portable appliance testing (PAT), water temperature testing and treatments, fire safety inspections, gas safety and the electrical wiring of the home. These measures served to protect people from unnecessary injuries. Staff had received annual training in fire safety and regular fire drills to check they would respond appropriately in an emergency situation. This demonstrated that staff were competent in ensuring people's safety.

Accidents and incidents had been recorded. We saw that staff had taken appropriate action when necessary, to promote people’s health and safety.

The home had a complaints procedure in place. It was written in simple English to assist people to understand it. A copy of the procedure was attached to the back of each bedroom door for ease of access. The procedure had been made available to people so they knew their right to raise concerns if they were not happy with the services they received.