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Archived: The Koppers Residential Home

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Inspection report

Date of Inspection: 20 January 2011 and 20 January 2012
Date of Publication: 22 February 2011
Inspection Report published 22 February 2011 PDF

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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

Our judgement

Medications at The Koppers have been safely stored and administered by staff who have been well trained and are competent.

User experience

We observed the midday medicines being administered. The home used a monitored dosage system of administration supplied by a well known pharmacy chain. Medicines for daily use were stored in a secure medicine trolley that was stored in a locked cupboard when not in use. Excess stocks, and any controlled drugs were stored securely in the drugs cupboard.

We saw the member of staff checking each record carefully before removing each tablet from the blister packs. The medicines were taken to the person and the member of staff explained to the person that they were giving them their medicines. She waited while each person swallowed the medicine then returned to sign the records. The member of staff was attentive, patient and careful. She also sought advice from the provider where necessary.

We asked a person who lived in the home about how their medicines were administered and they confirmed they were confident that they always received the correct medications at the correct time.

Other evidence

We looked at the records of medicines received into the home, administered, and those returned to the pharmacy or handed to other providers when the person left the home. We were satisfied that all records had been completed satisfactorily. There were good systems in place to account for medicines that were not supplied in the monitored dosage system - for example, liquid medicines, or creams and lotions.

The controlled drugs book had been completed satisfactorily. We discussed good recording practices when a person who uses controlled drugs moves to another service.

We saw evidence of creams administered by staff. These had been well recorded. While the information given to care staff about how to administer each cream was sufficient, there was a lack of detailed information about how, where and when the creams should be applied and how the skin condition should be monitored.

Before our visit to the home the providers gave us a wide range of information and evidence to show how they complied with this outcome area. This included policies and procedures on the safe administration of medicines, and close liaison with GP's and the pharmacy to make sure prescriptions are correct and medicines are reviewed regularly. Their policies and procedures have been reviewed annually.

Only care staff who have received training on the safe administration of medicines have been allowed to administer medicines. These staff have been though a period of shadowing experienced staff, and then they have been assessed by a manager to ensure they are competent before they have been allowed to administer medication without supervision.