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Inspection report

Date of Inspection: 11, 13 April 2011
Date of Publication: 17 June 2011
Inspection Report published 17 June 2011 PDF

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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

Whilst records are held securely, information about people and the service are inaccurate and not up to date.

User experience

Unspecified

Other evidence

Individual records are kept in respect of each person receiving care. The records about care, treatment and support need to be improved, outcome 4 as too do records in relation to staff recruitment, training and development, outcomes 12 and 14, medication, outcome 9 and nutrition, outcome 5. This was discussed with the managers. It was acknowledged that improvements were needs and as part of the service review they had identified areas which needed to be addressed. Records are stored securely, ensuring that confidentiality is maintained.