What CQC Say

We are proud to work with so many incredible care providers that provide an exceptional level of care and support, day in and day out.

“We saw that the provider was in the process of introducing and embedding a new system to maintain records throughout the day on smart phones. The system also enabled care staff to contact other members of the staff team to make them aware of events and alerts, and complete a log of all actions and activities. The technology could also be used to ensure staff had access to the most up to date information about a person. It was envisaged that this system would both improve the quality of care records and improve communication but also create staff more time to care for people. Staff we spoke with understood the value of regular clear recording of events, and how it contributed to the consistent high quality of care people received.“

Ulysses House, Precious Homes, OUTSTANDING, August 2018 –

—*—

“Technology used in providing the service was easy for staff to use, and promoted timely and responsive care. The service had implemented a web-based, computerised system for care records, and was continuing to work with the software provider to develop this. This covered daily care records and any charts that were being kept for people, such as charts that showed when someone was assisted to reposition or for monitoring of their fluid intake. Staff told us the system was straightforward to use and helped them to keep accurate, up to date records. There were prompts to remind them when people needed particular aspects of care, such as assistance to reposition.”

Burwood Nursing Home, OUTSTANDING, August 2018 –

—*—

“Care plans were detailed and provided guidance for staff in relation to how people needed to be supported and cared for. Care plans were kept electronically and the system flagged up reminders to staff when care plans needed reviewing. Staff had hand-held devices which linked to people’s care plans and enabled them to complete regular updates about people’s care needs. The registered manager told us about the software and said, “It’s addictive, so you know all the time what’s going on”. Care plans we looked at included information in relation to equality and diversity, medical history, capacity, communication, mobility, sleep pattern, falls, physical needs, emotional support and pain management. The registered manager spent time with people to review their care plans.”

The Shelley, OUTSTANDING in all FIVE areas, July 2018 –

—*—

“The new e-care plan documentation linked to risk assessments and also used a flagging system to alert staff to critical elements of care. For example, when a member of staff looked at the electronic care record for personal care, they could immediately see what had been written regarding what personal care they require, at what time and if for example, they wish to have their hair washed. The tick list on the system showed what care the resident had received. Once a care plan was electronic, warnings would be posted if a review had not been completed. These flags were seen by all managers.”

Lady Sarah Cohen House, Jewish Care, GOOD, June 2018 –

—*—

“Visitors were asked to sign in when they arrived at the home and we saw that confidential information was stored securely using an electronic system. Staff used this system to record information about people’s care and treatment and had individual secure logon’s to ensure that this data was protected.”

Forest Hill House Nursing Home, Royal Bay, GOOD, June 2018 –

—*—

“A live record of people’s daily living health and social activities were recorded through an electronic care plan device. These were also discussed through daily handover and reflective practice meetings where the care staff team discussed any significant events that had been noted for people on the day any subsequent actions or monitoring that needed to take place to ensure the person received the appropriate care and support”

Rubens House, Jewish Care, GOOD, May 2018 –

—*—

“The staff used electronic records which they could access through a handheld device. Staff said this gave them ready access to people’s changing needs and allowed them to monitor people more easily than paper records. The system also had a built-in prompt so that staff would know when to support someone. Staff entered records on the devices when they supported people and these showed people were assisted as set out in the care plans.”

Pentlands Nursing Home, South Coast Nursing Homes, GOOD, April 2018 –

—*—

The registered manager told us that the electronic system had improved care planning as it was easier for staff to access and keep up to date. For example, where people required monitoring for fluid intake, the system automatically added quantities when staff entered information on the system and made alerts if people were not having enough to drink. The system also allowed easy monitoring by managers to make sure that staff were repositioning people when this was an assessed need. The care plans we viewed were up to date, personalised to each person and easy to follow”

Richmondwood Residential Care Home, GOOD, January 2018 –

—*—

“Where there were concerns about someone drinking enough, staff kept a record of their fluid intake on the recently introduced electronic care records system. There was a target daily fluid intake for each person.”

Seabourne House, Luxury Care, OUTSTANDING, December 2017 –

—*—

Since our last inspection the provider had introduced an electronic care planning system. They had also provided staff with hand held tablets to ensure that staff were able to refer to people’s plans of care in all areas of the home and could report changes in people’s care and support needs in a timely manner to senior staff.

The Old Vicarage, Royal Bay, GOOD, November 2017 –

—*—

“Information was recorded on an electronic system and we saw these were processed and evaluated centrally. This meant the manager monitored and assessed accidents within the service to ensure people were kept safe and any health and safety risks were identified and actioned as needed.”

Lamel Beeches, Joseph Rowntree Foundation, GOOD, April 2017 –

—*—

The amounts of food and fluids were recorded on the hand held electronic recording system. The amounts were automatically totalled and reviewed at the end of each day. If people had not drank enough and needed to increase their fluid intake this was shared at staff handovers and on the electronic recording system … People’s written care plans, records and electronic records were accurate and reflected their day to day lives and the care and support provided to them. These records were securely stored and each member of staff had their own secure log in for the electronic handheld devices.

Regency Manor, Luxury Care, OUTSTANDING, February 2017 –

—*—

“Staff recorded detailed information of the care and support they had provided through an electronic hand held device. Daily records were thorough. On one person’s daily records for a day in January 2016, showed staff had recorded twenty five entries of care and support given. This included records of when and how the person had received personal care, medicines administration, continence care and visits by health professionals. Staff also recorded how the person was feeling in mood and if they had slept well. We saw similar records and interventions throughout all of the records we looked at.”

The provider had systems in place to ensure the continuity of data access and management in the event of an IT failure. The assistant manager told us they had IT support twenty four hours a day, seven days a week from the company that supplied their electronic recording system. They showed us emails that had been exchanged on a Sunday evening when they wanted some support, which meant they didn’t have to wait to continue with their work. Data was stored on a Cloud based system, which enabled staff to have access from anywhere, using any laptop if required. This meant that if the laptops failed in any way, data could still be accessed to enable staff to continue to support people appropriately. Access rights to different levels of data were given to staff dependent on their roles and authority, ensuring confidentiality and security of people’s personal information.”

Brook Lane Rest Home, OUTSTANDING, April 2016 –

—*—