You are here

All reports

Inspection report

Date of Inspection: 17 December 2012
Date of Publication: 15 January 2013
Inspection Report published 15 January 2013 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 carried out a visit on 17 December 2012, observed how people were being cared for, talked with people who use the service 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 and records were kept securely and could be located promptly when needed.

Reasons for our judgement

During our inspection we looked at care plans which were found to be accurate and up to date with the relevant information recorded about the care and treatment of the service user.

We looked at staff recruitment files. We found that the provider had taken the correct steps to recruit staff to work in the care home. The relevant documents and checks on staff were held, the records were up to date for example the CRB (police clearance checks) had been carried out in the last three years.

We saw that clerical records were held securely. The care files and staff files were held in a locked filing cabinet. We were also shown where the maintenance records for the building were kept, these were also secure.

The day to day care records which staff used were held on computer. All care staff had access to this and it was password protected. However the provider may wish to note that passwords for this system should be changed regularly.