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Prestige Nursing Norwich Good

All reports

Inspection report

Date of Inspection: 22 January 2014
Date of Publication: 22 February 2014
Inspection Report published 22 February 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 22 January 2014, talked with people who use the service and talked with carers and / or family members.

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 found that the service was keeping records for people using the service which were fit for purpose. A copy of all care records for each person was kept at the person’s home, but a copy was also retained in the main office. We found that care records for people included appropriate information for staff such as what the person needed assistance with, information about them such as their GP and next of kin and information about their medical history. These records were reviewed regularly to ensure that they accurately reflected the current needs of the person. These records were kept securely in locked filing cabinets in the main office.

We found that the service kept appropriate and fit for purpose records for staff. These included records of their original application, training, employment history, identification, eligibility to work and their criminal records bureau (CRB) checks. Records were also kept of staff competency with care tasks and supervision and appraisal records. These staff records were kept securely in the main office.