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Archived: Partridge Care Centre Requires improvement

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All reports

Inspection report

Date of Inspection: 8 August 2012
Date of Publication: 21 September 2012
Inspection Report published 21 September 2012 PDF | 76.02 KB

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 reviewed all the information we hold about this provider, carried out a visit on 08/08/2012, observed how people were being cared for, talked to staff and talked to people who use services.

Our judgement

The provider was not meeting this standard. Records were not kept securely.

User experience

We did not speak to people who used the service about record keeping at Partridge Care Centre.

Other evidence

In our report in April 2012, we found that there were minor concerns with this outcome. This was because there was inconsistent information on people's files relating to dietary needs, preferences or length of time between observations.

In our inspection on 7 and 8 August 2012, we found that people's records were consistent throughout and that there was no contradictory information on the files regarding people's care. We cross referenced documents, such as key information at the front of the files with people's care plans to ensure that the records accurately reflected people's needs.

We found that the care records provided an accurate record in respect of each person who used the service. We saw that care plans were updated following a change in circumstances.

On two occasions during our inspection we found that the doors to offices where people's care plans were stored were not locked. On another occasion, we found that people's daily records had been left unsupervised in a communal lounge. After we had perused these documents, a member of staff entered the lounge and put these documents in a locked cupboard. The provider did not ensure that records were kept securely.