‘Since our last inspection the service had introduced an electronic care documentation system, which we found to be very thorough, detailed and person-centred. There was an electronic care record for each person living at the home. The record contained information about the person and their family, their likes and dislikes, personal details and a full assessment of the person’s needs. Care plans covered a wide range of areas, including communication, personal care, nutrition and hydration, skin integrity, sleeping, medication and emotional support. These were updated regularly and also audited by the management team to ensure they reflected the person’s current needs. The system identified when certain tasks were due, for example, when a person needed to be weighed. This ensured vital monitoring was not missed.’

‘The system required information to be inputted by each carer through their own personal hand held device. Each care task or interaction undertaken was inputted onto the system by the care assistant carrying out the particular task and the time logged onto the system. The care logs were very detail, with comprehensive information about every care interaction. The management team had full access to the electronic records, which enabled them to regularly review all aspects of each person’s care.’