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Inspection report

Date of Inspection: 20 March 2013
Date of Publication: 9 April 2013
Inspection Report published 9 April 2013 PDF | 89.05 KB

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 20 March 2013, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

We saw the medicines management policy. It outlined how the hospice was committed to ensuring the safe handling of medicines to protect people and staff. It was set within a legislative and professional practice framework and stated that the head of care was responsible for ensuring that all clinical staff were trained and competent in all aspects of administering medicines.

People attending the hospice for a day service managed their own medicines usually but in some circumstances it was necessary for staff to assist them. The hospice had secure storage for medicines for when people brought dangerous medicines into the service.

The policy outlined the procedure for administering medicines, recording and disposal of medicines. In addition there was specific reference to arrangements for controlled (dangerous) medicines, for when people had adverse reactions and for when errors in administration occurred.

‘Hospice at Home’ staff would only support and encourage people to ensure they took their prescribed medicines. The two staff we spoke with from the service confirmed this.

There were assessments that identified whether there were any risks to people administering their own medicines. It considered areas of competence listed as understanding the regime for taking medicines along with safety and recording of medicines.

People were asked to notify the hospice of any changes to their medicines so that their records could be kept up to date.