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Archived: Strathmore House

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 8 August 2012
Date of Publication: 20 November 2012
Inspection Report - DN published 20 November 2012 PDF | 61.46 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 reviewed all the information we hold about this provider, carried out a visit on 08/08/2012, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

The provider was meeting this standard. People were protected from the risks of unsafe or inappropriate care and treatment because records were completed well. People’s right to have their confidentiality respected and maintained was protected because records were stored securely.

User experience

We spoke with people during our inspection at Strathmore House on 08 August 2012 but their feedback did not relate to this standard.

Other evidence

Are accurate records of appropriate information kept?

The care records that we looked at showed that appropriate nutritional assessments were carried out and that care plans were in place. Records relating to monitoring people’s weight and their food and fluid intake, where appropriate, were maintained. The records included information about people’s individual choices and preferences.

We looked at the records relating to one person who received their nutrition via a peg feed. The records showed that the correct rate of fluid had been given and there was evidence that the dietician was regularly contacted with regard to the nutritional needs of the person. However, the provider may find it useful to note that the fluid balance charts for this person had not accurately reflected the correct balance as the peg feed was not included within this.

Are records stored securely?

People’s confidential records were stored securely but could be located promptly when required.