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Archived: Linden Lodge

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Inspection report

Date of Inspection: 17 May 2011
Date of Publication: 6 July 2011
Inspection Report published 6 July 2011 PDF

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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

Our judgement

Care records were stored securely. Some records were not always up to date to ensure that they contained appropriate information relevant to people’s care and treatment.

An improvement action has been made to maintain compliance in respect of this outcome area.

User experience

On this occasion we did not speak to people who used the service about this outcome area.

Other evidence

A sample of records relating to people who use the service were viewed.

As previously mentioned in the report the standard of record keeping varied. Care plans and risk assessments needed updating.

Files contained a large amount of documentation which was not all current and the manager confirmed that the team were going to streamline the folders.

The home was aware of their responsibilities in terms of data protection and access to information and the company had policies in relation to this.