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Archived: Allied Healthcare Peterborough

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Inspection report

Date of Inspection: 5 November 2012
Date of Publication: 29 November 2012
Inspection Report published 29 November 2012 PDF | 79.19 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 5 November 2012, observed how people were being cared for and talked with carers and / or family members. We talked with staff.

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

Staff records and other records relevant to the management of the services were accurate and fit for purpose and these were kept securely and could be located promptly when needed.

The records we viewed during our inspection visit on the 05 November 2012 included, but were not limited to, care plan reviews, records of staff training, audits of staff supervisions and appraisals and customer complaints.

The provider kept a central record for complaints which was monitored electronically to remind staff when action was required. We also found that care records were updated on a regular basis depending upon the complexity of the person's care. Where a person lacked capacity, we saw records where agreement to care and consent to care had been agreed by relatives or representatives and this had been documented.

The records showed us that some people were also provided with care from other organisations. These records detailed exactly what care was provided by each organisation and when and how this was achieved.