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Inspection report

Date of Inspection: 14 May 2013
Date of Publication: 9 August 2013
Inspection Report published 09 August 2013 PDF | 89.14 KB

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

Not met 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 14 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 staff, reviewed information given to us by the provider and reviewed information sent to us by commissioners of services.

Our judgement

People were not fully protected against the risks associated with medicines because the provider had inappropriate storage arrangements in place for people's medicines.

Reasons for our judgement

Medicines were given to people appropriately. People using the service were taking a range of prescribed medications for mental and physical health conditions. People’s medications and the support they required from staff were stated in their care and medication records. Health checks and results, including those for diabetes and regular blood tests, were recorded. Published guidance on the medications was kept with people’s medication plans.

The people using the service who we spoke with told us about their medications, including those prescribed for their mental health. They had a good awareness of what the medications were, and why they had been prescribed. We saw evidence of psychiatric medication reviews, annually at minimum or as required. Three people we spoke with told us that their medications had been reviewed since our last visit in January 2013. Two people told us their medicines had been reduced or changed and that they felt more alert and less sleepy during the day as a consequence. We saw evidence in their care records that their medicines had been changed by their doctors.

Appropriate arrangements were in place in relation to obtaining, recording and handling medicine. The home had a medication policy, procedure and guidance in place. However, the medicines reference book provided for staff was not in-date. There were written prompts and notices in place to remind staff to follow the procedures and staff understood and followed the guidance. At the time of our visit, all care staff were undertaking medications refresher training. The manager confirmed to us that after the training was completed medicines arrangements would be audited and reviewed, and the policies describing the arrangements would be updated.

The home had a policy for supporting people to self-administer their medication, with appropriate supervision, if appropriate. The self-medication policy stated that people should have access to safe storage for their medicines in their own rooms. Only one person was self-medicating at the time of our inspection, and they had access to a lockable bedside cabinet.

At our previous inspection on 16 and 17 January 2013 we had concerns with the way in which some medications were stored in a lockable but flimsy kitchen cabinet in a staff area and that insulin was kept in a general, communal domestic food fridge in the kitchen. At this inspection, we saw that a small lockable fridge was in place to provide safe storage for insulin. However, the medication cupboards were found unlocked, and the locks on the cupboards were flimsy and difficult for staff to use, which meant that appropriate medicines storage arrangements were not in place to ensure that people were protected against the risks associated with medicines.