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Hallaton Manor Limited Requires improvement

All reports

Inspection report

Date of Inspection: 29 May 2014
Date of Publication: 10 July 2014
Inspection Report published 10 July 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 29 May 2014, talked with people who use the service and talked with staff.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

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

Appropriate arrangements were in place in relation to the obtaining, recording, administration, security and disposal of medicine. We looked at storage areas and medicine administration records. We saw that medicines were stored securely and appropriately.

Controlled medicines were stored separately and records were maintained in a separate register. We saw that two staff were required to administer and sign for controlled medicines. We checked the record and stock level for two controlled medicines and found them to be accurate and correct. The provider may like to note that staff did not routinely check the stock of all controlled medicines against the register. Some medicines were prescribed on an as required basis. Staff should carry out checks routinely to ensure the security of these medicines.

Medication administration records were accurate and up to date. We saw that staff wore a red tabard while administering medicine. The tabard instructed people not to disturb the staff member while they were administering medicine. This promoted safety because it allowed the staff member to concentrate without disturbance.

At the time of our visit the provider was in the process of changing pharmacy supplier. The provider was changing to a monitored dosage system. This meant that medicines were dispensed from pre-loaded blister packs. This made the administration process safer and allowed staff to easily visually check that medicine had been administered and at the right time.

We looked at systems in place for ordering and receiving medicine into the home. Two members of staff checked all medicines received and recorded the amount on the administration record. Medicines no longer required were returned to the pharmacist. Two staff members signed the record for all returned medicine.

At the time of our visit one person who used the service was managing their own medicines. This had been risk assessed and staff checked daily to ensure they had taken the right medicine and at the right time. This helped to maintain people's independence.

We were told that people had their prescribed medicine reviewed at least annually by the prescribing GP. Only staff who had received training were given the responsibility for managing people’s medicines. We were told that staff had their competency assessed once they had completed their training. There were no formal records for competency assessments. We spoke with the registered manager who informed us that formal competency assessments would be recorded for each staff member responsible for managing medicines.