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Archived: Gemini Exclusive Care

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All reports

Inspection report

Date of Inspection: 8 August 2013
Date of Publication: 17 August 2013
Inspection Report published 17 August 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 8 August 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

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

We looked at the records of seven people who used the service. Records were kept in an electronic and paper format. We saw that paper records were kept securely in a locked cabinet and that electronic documents were password protected and accessed by the manager. When records were no longer required we saw that facilities were available for them to be shredded. Other records were archived into a locked room awaiting destruction at the appropriate time. This meant that records were kept securely, could be located promptly and securely destroyed when appropriate to do so.

The care records we looked at contained thorough information about support needs. We saw that records had been updated with good information about peoples care needs and the support that was given. These documents had been kept in people’s homes and brought back to the office on a regular basis. We looked at one person’s records at their home and saw that they were accurate and described the care and support that had been given that day. One person we spoke with confirmed what had been written about the support they had received that morning was correct. This meant that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.