You are here

Archived: Cricklade House Residential Home

All reports

Inspection report

Date of Inspection: 18 April 2013
Date of Publication: 18 May 2013
Inspection Report published 18 May 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 April 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, talked with staff and reviewed information we asked the provider to send to us. We talked with other authorities.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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 found that record keeping had improved in the home since the last inspection in December 2012. The manager had introduced robust arrangements to record the information required for each person living in the home. The personal records we saw contained clear guidance to staff on how to meet individual needs, manage areas of risk, and respond to any changes that arose.

The records developed for planning reflected how the service promoted equality, diversity and human rights within the service. For example a record was held that a person was restricted due to decreasing mobility, staff had taken action to ensure the person's human rights were respected by spending more time with them in their bedroom to prevent them feeling isolated in the home. People's personal records including medical records, were clear and concise and informed the reader. The majority of records were well organised and could be located promptly when needed. Care records were stored securely in an office which was not accessible to non staff members.

Records were seen to confirm that a safe environment was promoted. We saw a copy of an up to date fire risk assessment in place for the premises, records were seen that confirmed the servicing and maintenance of the premises and of essential equipment.