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Riccall House Care Home Good

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Inspection report

Date of Inspection: 18 November 2013
Date of Publication: 17 December 2013
Inspection Report published 17 December 2013 PDF | 77.45 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 18 November 2013, 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

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 spoke with people who lived here but their feedback did not relate to this outcome.

Appropriate arrangements were in place in relation to obtaining, recording, administering and returning medicines. We saw the provider had systems in place to ensure that medications, including controlled drugs received into the home were accurately recorded, stock levels managed and safely stored. Medicines were safely kept throughout the visit and they were administered to people in an organised, dignified and safe way. We looked at the medicines records and stock for two people's controlled drugs and found these to be correct. We also checked the records and stock for a range of other medicines for a further two people. Records were complete and medicines could be accounted for. Our checks found the stock levels corresponded with the medication administration records (MARs). We also saw that short term medicines such as antibiotics and 'when required' medicines were administered, as prescribed. This meant medicines were given to people appropriately and safely.

People's care records contained information about the medication they had prescribed. They showed people's medication was regularly reviewed with healthcare professionals and staff monitored the impact of medication on individuals. There were systems in place for auditing the management of medication. This helped to ensure the management of medication was kept under review, which helped to ensure that medicines were managed safely.

Records showed staff involved in the administration of medication had been trained and supported appropriately. We also saw the medication policy which included all aspects of safe administration. Staff had this policy readily available to them when administering medications. Staff we spoke with confirmed they had received training and had their competency tested at various times. This helped to ensure people’s safety as they were seen to be given the right medicine, in the right way and at the right time.