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Bartholamew Lodge Nursing Home Limited Good

All reports

Inspection report

Date of Inspection: 8 October 2013
Date of Publication: 5 November 2013
Inspection Report published 05 November 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 8 October 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, talked with staff and reviewed information sent to us by other authorities.

Our judgement

People were protected against the risks associated with medication because the provider had appropriate arrangements in place to manage medication.

Reasons for our judgement

We found that systems were in place to promote medication safety. For example, we found that ordering systems were in place to ensure that medication was available for people to take as it had been prescribed by their doctor. We also found that a contract was in place for medication that had not been used to be safely destroyed. We saw that the temperatures of the fridge and room where medication was stored had been monitored and maintained. We also found that medication was locked away in a safe place. This meant that processes were in place to promote medication safety and to prevent risks to the people who lived there.

People we spoke with who did not manage their own medication told us that they were happy that staff managed their medication. One person said, “I would rather the staff look after my medication”. Where people were not able to, their relatives had signed a document to consent to staff giving them their prescribed medication.

We partially observed the nurse giving people their medication. We saw that they explained that they needed to take their tablets. They then stayed with the person to ensure that they took their tablets. We observed that people accepted their medication. We heard the nurse asking people if they had any pain and if they needed any pain killers. We looked at medication records to see if they had been completed correctly and found that they had. We found that staff had signed all medication records to confirm that they had given the person their medication. This meant that appropriate systems were in place to ensure that people were given their medication in a way that they preferred and as it had been prescribed by their doctor.

The registered provider may wish to note that we saw at least four medication records that had been handwritten by staff. These had not been checked and signed by another staff member to make sure that the transcribing from the medication bottle/box label to the medication record was correct. Two staff confirming the medication records were correct would reduce the risk of any medication errors.