9 April 2014
During an inspection looking at part of the service
We asked the provider to submit a plan detailing the action they would take to ensure compliance with this standard and the date by which they would be compliant. The provider wrote to us and told us in their plan they would be compliant with this standard by 31st January 2014.
We completed this announced inspection on 9 April 2014. At this inspection we spoke with the manager who showed us the processes and systems they had put in place to address the shortfalls we had previously found.
We saw that the provider had effectively implemented systems for reviewing and monitoring the quality of service provided to people.
We also found the provider assessed and managed risks to the health, safety and welfare of people who used the service and others.