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Archived: Omnia Support (Birmingham)

This service was previously registered at a different address - see old profile

All reports

Inspection report

Date of Inspection: 29 July 2013
Date of Publication: 16 August 2013
Inspection Report published 16 August 2013 PDF | 76.15 KB

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 29 July 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information sent to us by commissioners of services.

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

People’s personal records were accurate and fit for purpose. Records were kept securely and could be located promptly when needed.

We looked at the records for all three of the people who used the service at the time of our visit. We found care plans that had been reviewed regularly and risk assessments that were up to date with people’s preferences noted. We saw that one person’s needs had changed significantly since the provider first assessed it/started providing a service to them and the care plan had been changed to reflect the person's current needs. Staff we spoke with demonstrated good knowledge of the people they cared for. This meant that records supported staff to provide safe and appropriate care to people.

Staff records and other records relevant to the management of the services were accurate and fit for purpose. We sampled two staff files and spoke with four staff. We found that documents were available that showed relevant checks had been carried out prior to staff starting work/employment in their role. We saw records that documented evidence of appropriate training and learning that had taken place. This meant that people could be confident that care was being delivered by appropriately skilled staff.