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Archived: Cartmel Old Grammar

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF

The service should tell CQC about important events that might affect the health, welfare and safety of people who receive care (outcome 20)

Not met this standard

We checked that people who use this service

  • Can be confident that important events that affect their welfare, health and safety are reported to the Care Quality Commission so that,where needed, action can be taken.

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 3 December 2013, 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 people who use the service, talked with carers and / or family members, talked with staff and talked with commissioners of services.

Our judgement

The provider was not meeting this standard. Important events that affected the health, welfare and safety of people were not reported to the Care Quality Commission so that, where needed, action could be taken.

Reasons for our judgement

We spoke with people who used this service but their feedback did not relate to this outcome. Providers of services registered with the Care Quality Commission are required by law to notify us of important events which affect the health or welfare of people who use services. We use this information as part of our ongoing monitoring of services and to check that the provider has taken appropriate action in response to important events.

At our inspection we found there had been three incidents which should have been reported to us but which we were not notified about. This meant we were not able to check that the provider had taken appropriate action in response to the incidents. Following our inspection the manager sent the required notifications to us.

The provider should note that failure to make the required notifications in the future may lead to us taking further action under our enforcement procedures. This could include issuing a warning notice or a fixed penalty notice.