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Archived: Yorkshire Rose Home Care - 6 Carr Furlong

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Inspection report

Date of Inspection: 26 September 2012
Date of Publication: 30 October 2012
Inspection Report published 30 October 2012 PDF | 64.95 KB

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 reviewed all the information we hold about this provider, carried out a visit on 26/09/2012, looked at records of people who use services, talked to staff, reviewed information from stakeholders and talked to people who use services.

Our judgement

The provider was not meeting this standard. We judged this had a minor impact on people using the service and action was needed for this essential standard.

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

User experience

When we spoke with one person who used the service they told us. “The staff get my tablets out of the blister pack and put them in a jar ready for me to take. They ask me to take them while they are here.”

Other evidence

We added this outcome area to our inspection after identifying some concerns about how people’s medicines were managed, because appropriate arrangements were not in place for the recording of medicines. This was because the staff member told us they were administering medication from a blister pack and did not record the type of medication they had given to the person. The provider/manager stated this should be done. The provider/manager could not provide a record to confirm what was done.

We looked at people’s case files. They contained insufficient information to support that people’s medication was being safely administered. This was because the action recorded to minimise the risk in administering medication, that is, ‘staff to be trained’, had not been carried out. The information in people’s care plans was not sufficiently specific to identify the action to meet people’s medication needs. This was because the care plan stated ‘prompt’ medication, when in fact, medication was being administered, which presents a higher level of risk.