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Archived: Castle Park

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Inspection report

Date of Inspection: 19, 20 May 2013
Date of Publication: 21 June 2013
Inspection Report published 21 June 2013 PDF | 111.9 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 19 May 2013 and 20 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We talked with commissioners of services.

On the first day of the inspection we were accompanied by a representative from the Integrated Commissioning Unit at Derby City Council.

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

During our last inspection we found that there were discrepancies in peoples care records. We also found that care records were not stored securely. In an action plan sent to the CQC in December 2012 the provider told us that they would ensure that care records would be stored in a locked cabinet and that the home manager would review all risk assessments to ensure accuracy.

During this inspection we saw that the provider had put in place audit systems to ensure that peoples care records were accurate.

The provider may wish to note that we found that care records were not always stored securely. The cabinet containing care records and staff training files was not locked and the door to the office was propped open on three occasions during our inspection. This meant that the provider had failed to ensure that peoples care records were stored securely, and had failed to meet the outcomes specified in their action plan.