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Archived: Cricklade House Residential Home

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Inspection report

Date of Inspection: 7 December 2012
Date of Publication: 1 January 2013
Inspection Report published 1 January 2013 PDF

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

Not met 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 have gathered about Cricklade House Residential Home, looked at the personal care or treatment records of people who use the service, reviewed information sent to us by other organisations and carried out a visit on 7 December 2012. We observed how people were being cared for, checked how people were cared for at each stage of their treatment and care, talked with people who represent the interests of people who use services and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with stakeholders.

Our judgement

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not always maintained.

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Reasons for our judgement

Records were kept securely and could be located promptly when needed. The provider maintained records of the maintenance of the building and confirmation that the servicing and testing of equipment promoted a safe environment.

Records of personal care and support plans were maintained for people using the service. Daily records were consistently and accurately maintained of the health and wellbeing of each person. On individual care planning and associated records we found that records of current support and care plans were not up to date. Three of the four care plans were not current and updated as required. People who use the service experienced good care but the poor recording could impact on their health, and welfare and there was a risk of this happening.