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Heathfield (Horsham) Limited Good

All reports

Inspection report

Date of Inspection: 21 September 2012
Date of Publication: 18 October 2012
Inspection Report published 18 October 2012 PDF

People's personal records, including medical records, should be accurate and kept safe and confidential (outcome 21)

Meeting this standard

We checked that people who use this service

  • Their personal records including medical records are accurate, fit for purpose, held securely and remain confidential.
  • Other records required to be kept to protect their safety and well being are maintained and held securely where required.

How this check was done

Our judgement

People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

The provider was meeting this standard.

User experience

We spoke with people who lived at the service but their comments did not relate to this outcome area.

Other evidence

When we last inspected the service a compliance action was set as people were not protected from the risks of unsafe or inappropriate care and treatment due to inaccurate and incomplete records.

The provider sent us a report dated 23 November 2011 that informed us of steps that would be taken to achieve compliance. These included ensuring people's records were accurate.

At this inspection we found that steps had been taken as per the providers report.

People’s personal daily records including medical records were accurate and fit for purpose. The new ‘falls’ monitoring record that had been introduced and we saw that this was in use and up to date.

The provider may find it useful to not that the evaluation record was not being completed. The manager acknowledged this in a report sent to the commission following the visit and stated that this will be updated monthly.

Staff records and other records relevant to the management of the services were accurate and fit for purpose. We sampled four staff records, equipment servicing records and found all to be in good order.

Records were kept securely.