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Clifford House Residential Care Home Good

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Inspection report

Date of Inspection: 24 September 2014
Date of Publication: 23 October 2014
Inspection Report published 23 October 2014 PDF

Overview

Inspection carried out on 24 September 2014

During an inspection looking at part of the service

During an inspection in June 2014 we found the provider had not met the required standard with respect to the maintenance of an accurate record of the care and treatment each person living at Clifford received. This was because we found some care records had not been stored securely. We also found that some care plans contained conflicting or out of date information and that records of the care people received on a daily basis had not always been completed. The provider sent us an action plan telling us what action they would take to ensure they met the required standard. The purpose of this inspection was to check whether the provider had made the necessary improvements. We therefore looked at the records maintained by the service to answer the question is the service safe?

On the day of the inspection there were 20 people living at the home.

This is a summary of what we found �

Is the service safe?

The provider had taken action to help ensure that people who use the service were safe by the maintenance of an accurate record of the care and treatment they received. People�s care records were kept securely, but readily available to staff when required.

Overall, care plans and other records were accurate and fit for purpose. Charts used to monitor aspects of people�s personal care tasks had mostly been fully completed. Arrangements were now in place to document weekly blood sugar checks and people�s fluid intake where these were required. We did note that the forms used for recording this information could be improved to help ensure that staff had sufficient guidance to enable them to effectively respond to fluctuations in blood sugar readings.

The application of topical medicines was being recorded on a topical medicines administration record (TMAR). Topical medicines are creams or lotions which are applied to the body to treat skin conditions. We did see a small number of examples where the application of a person�s creams had still only been recorded in their daily records. Therefore the use of a TMAR needs to be embedded in practice and sustained to ensure that these are an accurate record of the topical medicines people receive.