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Inspection report

Date of Inspection: 3 April 2014
Date of Publication: 3 May 2014
Inspection Report published 03 May 2014 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 carried out a visit on 3 April 2014, talked with staff and reviewed information given to us by the provider.

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

The registered person had provided a filing cabinet. We saw that the documents needed for the running of the service were stored there so they were easily retrievable and available for inspection. We saw the staff’s professional registration documents and training certificates, policies and guidance for staff and cleaning records and maintenance records for the machines were stored there.

At our previous visit we saw that archived patient records were piled in heaps in a store room. We saw this time that they were in lidded boxes. Staff told us they had sorted them into alphabetical order so that they could retrieve a patient’s record quickly should it be required.