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Wythall Residential Home Requires improvement

All reports

Inspection report

Date of Inspection: 7 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 PDF | 77.72 KB

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 7 November 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and 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

Prior to our inspection, the provider told us that a medication check had identified shortfalls in relation to the recording of medicines administered. The provider had taken appropriate actions in response to this, in order to ensure that people received their medicines in a safe manner. Further training and competency assessments had been undertaken on staff responsible for the administration of medication. At the time of our inspection on November 7 2013, these actions had been completed. Recent medication audits undertaken by the provider had shown that the recording of medication administration had improved. This meant that people received their medicines in a safe and timely manner.

Robust arrangements were in place for the ordering of people’s medicines. This meant that medicines were available when people needed them. There were close links with the home, the general practitioner and the pharmacy and we found that arrangements were in place to obtain new medicines following prescription by health professionals.

We checked the medicine records for the people whose care we tracked. We found that overall these were well maintained. However the provider may find it useful to note that the actual quantities of ‘variable dose’ medicines was not always recorded. This meant that it would not be possible to establish how much of the medicine the person had received.

We saw that specific instructions were available for staff to follow regarding when to administer most 'as required' medicines. This meant that people would receive these in a safe manner at the times that they needed them. We observed that staff asked people whether they were in pain and whether they required medication for this.

We observed a medication round. We saw that staff took the time to answer any questions that people had in relation to their medicines and ensured that medication had been taken.