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Archived: HomeCare (Mellor) Good

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Inspection report

Date of Inspection: 9 May 2013
Date of Publication: 14 June 2013
Inspection Report published 14 June 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 9 May 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 given to us by the provider.

Our judgement

Accurate and detailed records helped ensure that people were protected from the risks of unsafe or inappropriate care and treatment.

Reasons for our judgement

Throughout the inspection we viewed a variety of paperwork and documents.

We noted improvement in risk assessment and care plan recording and found that records contained adequate information to assist staff in providing safe and effective care.

We were able to confirm that the agency had facilities to store and dispose of confidential information appropriately.

The agency had a confidentiality policy, which all staff were made aware of at the start of their employment. We also noted that the agency had a policy and procedures in line with the Data Protection Act.

As part of their induction, all staff received training in areas of record keeping, such as care planning and risk assessment.