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Archived: Take 4 Personnel Limited

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Inspection report

Date of Inspection: 29 August and 4, 24 September 2013
Date of Publication: 7 November 2013
Inspection Report published 07 November 2013 PDF

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 29 August 2013, 4 September 2013 and 24 September 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.

Reasons for our judgement

A medication policy and procedure was readily available. The provider may find it useful to note that this made reference to the National Minimum Standards and Care Homes Regulations; and not the Essential Standards of Quality and Safety and Health and Social Care Act 2008. The office manager was also advised to obtain a copy of 'The Handling of Medicines in Social Care'. This provides up to date guidance for services who are involved in handling medicines.

Support plans recorded information relating to a person's ability to look after and take some or all of their medicines or if support staff were responsible for assisting, prompting or administering their medication. The medication records for two people were viewed. The provider may find it useful to note that the medication records were not always completed in line with the actual support required. For example, the medication records for one person recorded that staff were to prompt them with taking their medication twice daily. On review of the person's medication records we found that these were not accurately completed and suggested on occasions that staff had only visited on one occasion. For completeness we also looked at the person's daily call sheets and found that these provided evidence that staff had visited twice daily and the person had received their prescribed medication.

The staff training records for six members of staff were viewed. Records showed that three out of six members of staff had not got evidence of having undertaken medication training. This means that staff may not have the skills to administer medication safely to people who used the service. We were advised by the care co-ordinator that two of these staff supported people who used the service with their medication. The record of 'spot checks' undertaken for one staff member showed that appropriate arrangements were not followed in relation to the recording of medicines. However we found no evidence to show how this was being dealt with by the management team of the service so as to ensure that people were protected.