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Archived: Unique Personnel (UK) Limited

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All reports

Inspection report

Date of Inspection: 20 February 2014
Date of Publication: 13 May 2014
Inspection Report published 13 May 2014 PDF

People's personal records, including medical records, should be accurate and kept safe and confidential (outcome 21)

Not met 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 20 February 2014, sent a questionnaire to people who use the service and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People were not protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were not always maintained.

Reasons for our judgement

The deputy manager was able to locate most of the records during the course of our inspection, when requested. However we asked for one specific person’s record and were told while it was archived as it got water damaged. They were also unable to provide us with a risk assessment on one file and why there was no care plan for one person in 2012 and no risk assessment for another person in their file. We noted that a number of people had not had their yearly review in line with the agency policy and procedures on care planning.

We looked at a number of accident/incident forms that were sent to us following our inspection. We noted that some incidents involved people who had been physically aggressive towards the care staff. Although the incidents had been recorded, there were no records about how to minimise the risk in future. Some of the incident forms had very little information on them and lacked details of what actually happened. Some forms were not legibly written.