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Archived: Individual Care Services - 14 Marble Alley

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All reports

Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 4 January 2014
Inspection Report published 04 January 2014 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 10 December 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 sent to us by commissioners of services.

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

Most of the people we spoke with told us they, or their relatives, managed their own medicines. They did not need staff to manage their medicines for them. One person told us, “X (staff) does my medicines.”

We found that the manager had adopted the local authority’s medicines policy, procedures and documents. This meant that when staff supported people with medicines, the support was given in accordance with agreed guidelines.

The manager told us that all staff received medicines administration training. In the staff files we looked at, we saw that medicines training was delivered to staff during their induction period. A support worker told us, “I have had the training and when my refresher training is due, I get a reminder.”

We were not able to look at any recent medicines administration records (MAR) because people kept them in their homes. We saw copies of the MAR sheets that staff used. The MAR included guidance for staff, including the checks they should make before and after administering medicines. Staff were given standard codes to indicate whether a medicine was administered, declined or not-available, for example. This meant that there were appropriate arrangements in place for recording when medicines were administered.

Three support workers told us they had had the training, but did not currently administer medicines for anyone. A support worker told us that if people needed support with medicines, then, “The sheets are always ready and available.”

Support workers told us, “We keep MAR sheets and the manager checks them regularly” and “The MAR sheets are checked monthly by the office. If we have any problems or difficulties we will already have told the manager” and “I notify the manager if there are any problems.”

One support worker told us, “If a person declines to take their medicine, I contact their GP for advice.” This meant that staff understood their responsibilities to administer medicines safely and effectively.