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Archived: Brooklyn House

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Inspection report

Date of Inspection: 2 August 2013
Date of Publication: 23 August 2013
Inspection Report published 23 August 2013 PDF | 77.67 KB

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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 2 August 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 and talked with staff.

Our judgement

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

Reasons for our judgement

We did not speak with people directly about record keeping.

During our inspection we saw that records were well organised and stored securely. Any information we required could be located promptly when needed.

The management team explained their processes for monitoring people’s care records and we saw evidence that they were up-to-date and were subject to regular review.

We saw that people’s personal information, including medical records, was regularly updated and factual. Staff records and other information relevant to the management of the service were accurate and fit for purpose.