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Burnside Court Requires improvement

All reports

Inspection report

Date of Inspection: 25 February 2013
Date of Publication: 22 March 2013
Inspection Report published 22 March 2013 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 25 February 2013, observed how people were being cared for 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 looked at the organisations Medication policy which had been reviewed in 2012. The policy was very easy to follow and covered key areas such as storage, obtaining and dispensing, refusal of medication, controlled drugs, covert medication, medication errors, returning drugs and self administration. The policy noted that only staff members who are trained can handle medication and gave detailed guidance on giving medication, recording and what to do if someone refused to have their medication.

We spoke to three care staff who told us that tablets are in blister packs. They emphasised the need to carefully check the tablets in the packs against the medical administration record sheet that had printed details of the medication and included information such as strength, dose, times to be given and other directions. They told us that they wear gloves and pop the tablets into pots and take these to the person with their preferred drink. One carer said that “some times the person can take the tablets from our hand and other times we need to give them the tablets”. If the person refused medication this would be noted on the medicine administration record and daily notes and also reported to the manager. The policy stated “never force a person to take medication”. We were told that when the person has had their medication the pots are taken for washing and the medication administration record is signed. Staff told us that they had received training in handling medications and this was updated on an annual basis. They explained that the higher level training is updated every three years. During our visit we saw a care worker giving a person their tablets. Before giving the tablets they told the person that “the GP had prescribed the tablets and reminded the person that they had their tablets every day”. This showed that the organisation has procedures for giving medication and these are followed by staff.

In the medication section of one care plan file we viewed it was stated that the person “did not wish to self medicate”. It was also noted that the person would “forget to take their medication due to short term memory loss”. In another file it was identified that the person had to have their tablets “crushed or in liquid form due to difficulty in swallowing”. This had been agreed by the person’s GP. Care workers we spoke with told us that if medication needed to be given covertly this decision required involvement of the person’s GP, family and an MDT meeting. This showed that staff were aware of individual needs when giving medication and procedures to follow when special requirements had to be met.

Medication was stored in locked cupboards and in locked medicine cabinets or a trolley these were tidy and well ordered. Medication administration records included a picture of the person, included all required information and were up to date and signed as required. The controlled drug register was up to date and signed as required by two people and the balance of drugs tallied with the number of tablets in stock. The medicines policy noted that medicines are ordered on week two of an eight week cycle and medication to be returned to the Pharmacy is sent back at the same time. On the day of our inspection medication had just been returned to the pharmacy and all records were up to date. There was an up to date list of staff that had received medication training complete with their usual signature. This showed that polices are followed appropriately.