You are here

Archived: ExtraCare Charitable Trust Ryfields Village

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 6 March 2014
Date of Publication: 2 April 2014
Inspection Report published 02 April 2014 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 6 March 2014, observed how people were being cared for and talked with people who use the service. We talked with staff and talked with commissioners of services.

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 reviewed this outcome following actions the provider had taken to improve record keeping within the service.

Each person provided with support by the service had access to their care records which were stored in their own flats/accommodation. We looked at a number of records regarding the on-going management of the service to ensure records were safety managed. The records we looked at were well maintained and in accordance with current legislation and good practice.

The care records we looked at had been signed by staff during each visit to the people they supported. The manager had revised the records to ensure staff recorded their full signature to help people and their families better identify the staff recording in their care records. This meant that both the managers and people being supported were clear in knowing who had provided support each day.

The service also had a list of staff signatures which helped them to easily identify all staff records. Managers were able to audit these records to ensure safety and good practices to people. The information recorded showed clearly how staff provided the care and support during each visit e.g. including any response to the call bell by a person offered supported.

The manager advised they were looking at improving the current records and auditing of door checks to people's individual flats. This was something currently being discussed and explored to help improve records for the current checks carried out.