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Inspection report

Date of Inspection: 12 December 2012
Date of Publication: 25 January 2013
Inspection Report published 25 January 2013 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 12 December 2012, 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

The provider had safe systems in place to ensure that all medicines, including controlled drugs, were stored securely.

Arrangements were in place for recording the administration of medicines. We reviewed the medication administration records (MAR) for five people. We found no gaps on the MAR which showed that each time a medicine was administered it had been signed to demonstrate this.

We checked the quantities of five medicines that people were prescribed. We found that only two of these medicines had the correct number of tablets in stock. This meant that the provider was unable to identify if three of the medicines had been given to people using the service appropriately.

We also checked the quantities of two controlled drugs stored at the home. These were both found to be correct.

Some people required ‘as required’ (PRN) medication. There were no PRN protocols in place to identify when people required PRN medication. When we spoke with staff they were able to tell us about people's PRN needs. This showed us that despite PRN protocols not being in place, staff did know the needs of the people who used the service.

Staff we spoke with told us how they disposed of medications which were no longer required. This was undertaken in a safe and secure manner and in accordance with current guidelines.