You are here

Archived: Milton House

All reports

Inspection report

Date of Inspection: 20 August 2012
Date of Publication: 12 September 2012
Inspection Report published 12 September 2012 PDF | 48.85 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 reviewed all the information we hold about this provider, carried out a visit on 20/08/2012, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

The provider was meeting this standard.

People were protected from the risks of unsafe or inappropriate care and treatment.

User experience

During our visit to the service on 20 August 2012 we spoke to people using the services but their feedback did not relate to this standard other than to confirm that people knew about their records and were involved in formulating care plans.

Other evidence

Throughout our visit all of the records that we looked in relation to people using the service and staff were correctly stored and could be located promptly when needed.

Records had been neatly written and in sufficient detail to ensure that there was a consistent approach to care and support. Staff told us that records were completed immediately any changes were identified and where possible the people using the service were involved. This showed that people’s personal records, including medical records, were accurate and fit for purpose.

We noted that the records written daily by staff included good detail and were descriptive of the way each person had spent their time.