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Inspection report


Date of Publication: 12 October 2012
Follow Up Report published 12 October 2012 PDF

Overview

During a check to make sure that the improvements required had been made

During our inspection of Heron's Lea on 3 May 2012, we found that medication was administered using a method that was no longer considered safe or good practice as medicines were not administered directly to to people from the labelled containers supplied by the pharmacist. We brought this to the attention of the registered manager, consulted the CQC Pharmacy Inspector, and made a compliance action as this constituted a breach of regulation 13. The registered manager sent an action plan on 19 June 2012 telling us that a second trolley had been purchased in order that medication could be administered on the two floors of the building and that medications would now all be given from the container in which they were supplied by the pharmacist. On 10 September we received a report from the registered manager confirming that the new system was working well with the trolleys being taken to people in their rooms, the medication administered directly to them, and the Medication Administration Record signed immediately.