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Archived: Westleigh

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Inspection report

Date of Inspection: 25 July 2013
Date of Publication: 24 August 2013
Inspection Report published 24 August 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 25 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff, reviewed information given to us by the provider and reviewed information sent to us by other authorities.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

People were protected from the risks of unsafe or inappropriate care and support.

Reasons for our judgement

Following our previous inspection of the service we saw that people’s personal records were not always detailed or fit for purpose. During this inspection we saw that improvements had been made to content of the records maintained.

We looked at the care planning documents of four people living at the service. The documents had been reviewed and updated since we last visited and contained appropriate written information to demonstrate people’s care and support needs.

Records of meetings; monitoring visits and day to day occurrences were documented. For example, we saw that the minutes to staff meetings were available for all staff to access.

We saw that records containing the personal information of individuals were stored in locked cabinets. This helped to protect peoples privacy.