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Protocol for Quality Issues

  1. A High level og quality will be maintained through both internal and external checking assessments and other special measures.
  2. Internal Monitoring of quality will include:
    1. Development of comprehensive policies covering all important areas. This will be read by and accessible to all members of staff.
    2. Regular audits of clinical issues.
    3. Regular audits of non-clinical issues.
    4. Regular compilation of audit reports based on the above.
    5. A forward plan of such audit.
  3. External monitoring of quality carried out by:
    1. Mandatory annual inspection by the designated Inspection Unit.
    2. If necessary, the increasing use of external quality assurance consultants.
  4. Other measures will centre around staff training, staff appraisal and satisfaction and a functional complaints procedure:
    1. A training co-ordinator, with overall responsibility for the in-house training programme will be in place,
    2. Such training will be subject of regular audit,
    3. Individual staff training needs will also be identified through the supervision process.
    4. Staff appraisal will be carried out through the aforementioned supervision process, customer satisfaction questionnaires will also be circulated at regular intervals,
    5. where residents are unable to have any reason to use the normal complaints procedure, advocacy will be established

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