Keychange Charity Fair Havens

Good

February 2018

 

Inspection Report

‘The service used a computer based care planning and monitoring system to record care notes regarding people’s health and wellbeing. Staff used mobile phones provided by the service to update people’s records. This included details about; when drinks and food had been offered and taken, personal care received, people’s daily routines, behaviour or incidents and medicines. The registered manager monitored these records and was alerted if any planned activities such as medicines administration had not been recorded by staff as having taken place. This enabled the registered manager to monitor the care being provided on a real time basis and quickly respond to concerns and changes in people’s needs.’

‘The service used an electronic care planning and monitoring system in order to record care notes, incidents and track trends and changes in people’s health and wellbeing. Staff had the most up to date guidance about people’s needs available including important information about people’s healthcare and medicines.’

‘People’s care plans and risk assessments were also recorded on this electronic system. This enabled the
registered manager to update records quickly to respond to changes in people’s needs. This also meant that staff would have access to people’s most up to date records. People’s care was personalised and people’s care plans included information about their life histories and preferences around routines.’

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