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Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 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 10 December 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 and 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

There were clear policies and procedures in place for medicines handling and storage. There were appropriate arrangements in place in relation to the recording of medicine received into the home and kept on people’s behalf and its administration. We looked at a sample of medicines and compared them with records. This showed that medication was being given properly and at the times prescribed by the doctor.

No one in the home had chosen to be responsible for their own medication and when we asked people about this we were told, “I don’t want to keep my tablets, the girls give them to me every morning and every night”.

The monthly supply of medicines had been delivered to the home on the day of our visit. The two care managers had been given delegated responsibility for the management of all the medicines received from the pharmacy. During our visit they explained the system in use and their responsibility in ensuring the medicines were administered in the proper manner. All staff who gave medicines had completed training at level two to ensure they were competent.

We checked the storage and recording of medicines liable to misuse, called controlled drugs, and this was being managed well. There were clear records of administration checked by two members of staff. This included the management, destruction and return if not used, of medication provided for end of life care.

Regular audits and checks of medication records were completed by the appropriate staff and also the care managers. The records we looked at were up to date and correctly completed.

We saw from the records kept and asking people, that concerns relating to people's health were raised with health care professionals as necessary and changes to medication were clearly recorded. We were told by one person that “Whenever I need the doctor they are called. They visit the home each week anyway”.