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Archived: Alderbrook Care

We are carrying out a review of quality at Alderbrook Care. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 1, 5 November 2013
Date of Publication: 18 December 2013
Inspection Report published 18 December 2013 PDF | 69.71 KB

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 1 November 2013 and 5 November 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 carers and / or family members, talked with staff and reviewed information given to us by the provider.

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 were accurate and fit for purpose. We saw that most care records were accurate and up to date. However, the provider might like to note one handover sheet we looked at did not contain clear information about an incident that had taken place where the person involved required close monitoring.

People’s files were held securely in a locked cupboard in the manager’s office and only designated staff had access to the keys.

Staff records and other records relevant to the management of the services were accurate and fit for purpose. We saw records of gas, fire and portable appliance testing (PAT). There were records that showed the hoist was tested regularly and serviced every six months.

The manager told us information about people who used the service was destroyed after a period of time once they had stopped using the service. There was a records destruction policy which detailed how and when confidential information would be disposed of.