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Archived: Coastal Home Care (Hove) Ltd.

The provider of this service changed - see old profile

This service is now registered at a different address - see new profile

All reports

Inspection report

Date of Inspection: 23 April 2014
Date of Publication: 24 May 2014
Inspection Report published 24 May 2014 PDF

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Meeting this standard

We checked that people who use this service

  • Will have their medicines at the times they need them, and in a safe way.
  • Wherever possible will have information about the medicine being prescribed made available to them or others acting on their behalf.

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 23 April 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People were fully protected against the risks associated with medicines because the provider did have appropriate arrangements in place for recording medicine.

Reasons for our judgement

We found that appropriate arrangements were in place for the recording of medicines. We reviewed the Medication Administration Record (MAR) charts for people who used the service. The MAR is a day by day chart where care staff administering medications can sign when medication has been given. We were informed by the manager that the service had reviewed their MAR chart and was moving to a version based on the template provided by the local authority. All MAR charts were written with the medication clearly documented, along with the quantity and time of administration. This meant that MAR charts had been accurately maintained.

We saw that MAR charts were completed on a regular cycle. We reviewed MAR charts for the people we visited at home and in archived records in the Coastal Home Care office. We found that they were consistently completed by care staff. The manager told us, “We are aware we need to maintain the already good standards of recording we have set ourselves and this is something we will continue working on.” Staff we spoke with confirmed that medication recording was discussed, information made available and further training was available. This demonstrated that the provider was aware for the potential of errors to occur and recognised the importance of ongoing work required to maintain standards.

We noted that Coastal Home Care reviewed MAR charts as part of the audit process. This included auditing records in people’s homes as part of the spot check system of visits. A care co-ordinator told us, “We monitor MAR charts and identifying if there are any developmental needs.” The service also operated a computer based records system which documented all medication queries, phone calls or concerns. This meant that the provider had quality assurance frameworks in place to monitor medication administration and recording.

We spoke with people who used the service and their representatives. They confirmed they were content with the support received with taking medication. One person told us, “The carers are very helpful, I have no complaints.”

Staff we spoke to confirmed they had received medication training. One member of staff told us, “We regularly receive medication training. If I have any questions regarding medication I just phone the office.” Staff records we looked at confirmed that all staff had received medication training. This meant that staff were suitably qualified to support people in the administration of medication.