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Archived: Cedar House Care Home

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All reports

Inspection report

Date of Inspection: 10 April 2012
Date of Publication: 4 May 2012
Inspection Report published 4 May 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

The provider was meeting this regulation. People’s personal records, staff records and other records relevant to the management of the service were accurate and fit for purpose.

User experience

We spoke with people who use the service but their feedback did not relate to this outcome.

Other evidence

Our inspection of 23 August 2011 found management of risk and monitoring of care were not effective and the incident and accident records needed monitoring and better organisation. The provider wrote to us and told us they had introduced systems to ensure accurate recording, monitoring and review of care records, management of risk and improved communication system with staff. The introduction of a system whereby staff were required to read and sign new policies and procedures. All incident and accident records would be stored securely and monitored.

We found people’s care files: care plans, risk assessment and other related records were kept up to date and accurate. Staff received communication through handover meeting and use of the communication diary which they signed to confirm they read the latest update. We found incident and accident records were kept in individual files. A log of all incidents and accidents were monitored by the acting manager for trends and potential areas of improvement to the service. These were also checked by the provider as part of their formal monthly visits. All the records relating to people who use the service, staff and the management of the service were kept up to date and stored securely

Staff we spoke with were aware of their responsibilities to maintain confidentiality and ensured care records were accurate and kept up to date.