You are here

Hallaton Manor Limited Requires improvement

All reports

Inspection report

Date of Inspection: 10 July 2012
Date of Publication: 8 August 2012
Inspection Report published 8 August 2012 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

Our judgement

The provider was compliant with this regulation.

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

User experience

We spoke to two people who use the service about the support with medicines they received from the staff. One person said “They bring it to me whenever it’s due. It’s straight forward. They never miss it and I get it pronto”.

Another person said “I get it regularly. I don’t need to ask for it”. Another person’s relative said “Mum seems happy with the care staff administering medicines. I have seen the lunch time medication and it seems fine to me”.

Other evidence

We looked at the storage of medicines and a selection of people’s medication records and care plans.

The previous inspection in March 2012 revealed concerns that people accommodated for personal care were not protected against the risks associated with the unsafe use and management of medicines.

During this inspection we observed one staff member giving medicines to people. This was done correctly in a kindly and friendly manner. We saw that medicines were safely administered. We saw they consistently counted the stock balance of medicines and signed the medicine chart afterwards. However, we saw staff needed to improve their techniques when administering inhalers with a spacer.

We observed that the folder with medicine charts had photographs to identify people in the home. When we looked at a sample of medicine charts we found people allergic to a class of antibiotics, or other information was clearly written on the medicine charts to alert all staff. This meant medicines were handled and given to people appropriately.

We found that not all medicine information leaflets were filed away with the medicine chart or a folder for staff to refer to. Staff were sometimes unable to tell us what a particular medicine which they had administered to a person was used for.

Some people were prescribed medicines to be taken only ‘when required’. People were asked if they wanted their “when required” medicines and administration was correctly recorded on medicine charts. Staff could describe how they administered these medicines to people and to those who could not communicate. Although details were found in peoples care plans, the provider may like to note that there were no individual protocols with the medication administration records to ensure that these medicines are used consistently.

We saw one person in the service had medicines given covertly and documentation was available ensuring agreement was in place with a multidisciplinary team and the person’s best interests were protected.

Daily recordings were made of the fridge temperatures which were within the correct range. However, the provider may find it useful to note that recordings of the room temperature were not made, to ensure room temperatures were stable to store medicines appropriately.

We saw a detailed audit system was in place to check that people had been given their medicines, and staff had signed the medicine charts.

Following a compliance action made at the previous inspection, staff had responded appropriately and had commenced entering a daily stock balance of medicines after administration. However, not all the staff administering medicines were doing this.

We saw that staff audited the quantity of all medicines in stock administered to people in the service. However nutritional supplements were not included in these audits.

Although the medicines were kept securely, the provider may find it useful to note that we observed that staff found difficulty in storing all people’s medicines in the drug trolley and cupboards available. The storage system was not sufficient to store appropriately all people’s medicines and controlled drugs which may potentially be received into the home.

We were shown random audit documents and informed of competency assessments undertaken by staff administering medicines. We were informed that the manager will continue to do these audits, and fully document their competency to ensure medicines were safely administered.