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Archived: The Shieling

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All reports

Inspection report

Date of Inspection: 6 October and 6 December 2011
Date of Publication: 4 January 2012

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

Peole have their personal records held securely and benefit from records which are accurate, fit for purpose and remain confidential to them. Overall, we found that The Shieling was meeting this essential standard.

User experience

One person told us they knew about the records the home had and was happy for us to view them.

Other evidence

During our visits, we looked at a number of records, including peoples’ care plans, risk assessments, records of care delivered and incident reports. Most of the information we saw was person centred and detailed. There is ongoing work to make sure all the documentation is useful and accurate. Staff said they were ‘enjoying’ this new approach in completing care records, the guidance being given to them and support from the new management team. They said records were easier to follow and understand.

We are notified of events in the home. Recent concerns about one of the people using the service had been referred to the safeguarding authority.

Paper records are kept in a secure accessible way, this means staff can access them quickly. Only authorised staff are able to access computer records, with individual login details/passwords.