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Inspection report

Date of Inspection: 18, 23 May 2011
Date of Publication: 21 June 2011
Inspection Report published 21 June 2011 PDF | 131.14 KB

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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

We reviewed all the information we hold about this provider, carried out a visit on 18/05/2011, 23/05/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

Our judgement is that the service is compliant with this outcome. Personal records of people living in the home and other records required to protect their safety and wellbeing are kept confidential, up to date and stored securely.

User experience

We were not able to get peoples’ views directly from them about this outcome. However their experiences were captured through records and other information.

Other evidence

During the visit we looked at the records kept in the home. They were organised, kept up to date and stored securely.

Records regarding people’s care and support were updated when needed. We found all records relating to people living and working in the home were kept confidential.

Records about care and support were clear, factual and accurate and the way in which they were written did not compromise people’s dignity or breach confidentiality.

Some of the records were stored and maintained on the computer with clear guidance about what could be accessed and by whom.