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The Hydro Domiciliary Care Agency

All reports

Inspection report

Date of Inspection: 16 April 2013
Date of Publication: 11 June 2013
Inspection Report published 11 June 2013 PDF

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 looked at the personal care or treatment records of people who use the service, carried out a visit on 16 April 2013, checked how people were cared for at each stage of their treatment and care and talked with carers and / or family members. We talked with staff, reviewed information given to us by the provider and talked with other authorities.

Our judgement

Staff records were accurate and all records were kept securely. However, people’s personal records were not always accurate or up to date. This meant that people using the service were not always protected from the risks of unsafe or inappropriate care.

Reasons for our judgement

Records of the care and treatment of people using the service were not always accurate or up to date. We found that people’s care plans and risk assessments did not always have sufficient information and were not always reviewed as planned.

Staff records were accurate and fit for purpose. We looked at the records for two members of staff and found that all the required information and documents were in place. This included evidence that staff had relevant experience and skills for the job and records of the relevant checks carried out by the provider.

Records were kept securely and could be located promptly when needed. We saw that records with personal and confidential information were stored in lockable cupboards or filing cabinets. Records were easily accessible to staff. We saw the provider’s policies about storing, archiving and disposing of records. The policies were up to date and had detailed guidance for staff.