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Burgh House Residential Care Home Limited Good

All reports

Inspection report

Date of Inspection: 10 June 2013
Date of Publication: 6 July 2013
Inspection Report published 06 July 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 10 June 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

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

People’s personal records including medical records, staff records and other records relevant to the management of the services were accurate and fit for purpose.

During our inspection we spoke with five people who used the service but their feedback did not relate to this standard.

We looked at a range of records which included care records, maintenance and servicing of equipment records, staff recruitment records and training records. These were all readily available, comprehensives and well maintained.

The care records we looked at included care plans, risk assessments and daily records. There was evidence that they were regularly reviewed and therefore gave staff an accurate picture of the needs of people using the service.

Maintenance and equipment servicing records showed that routine maintenance was carried out as required and that all relevant equipment was maintained and serviced in line with manufacturers recommendations.

Staff records were clear and showed that appropriate processes had been followed in the recruitment of staff to ensure that they were of a suitable calibre to undertake the job they were doing. Training records showed that a range of training had been provided and was planned to ensure that staff had up to date knowledge and training to enable them to support people who used the service.