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Inspection report

Date of Inspection: 12 April 2012
Date of Publication: 12 June 2012
Inspection Report published 12 June 2012 PDF | 32.85 KB

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 reviewed all the information we hold about this provider, carried out a visit on 12/04/2012, talked to staff and talked to people who use services.

Our judgement

The provider was meeting this standard. People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

User experience

Most medicines were stored in locked cupboards and trolleys that only authorised staff

had access to.The medication administration records (MARs) were not kept locked away when not in use and were left in the dining room where they could be accessed by anyone,

including people living in the service or visitors.

On the day of our visit, one nurse was responsible for administering the medicines to all

the people living in the service, whether they were receiving personal care or nursing

care. This meant that it took a long time to administer all the medicines and we saw that

some people did not get their morning medicines until after 11:30am. We were told that

sometimes it could be later, especially if the nurse was frequently disturbed or if there

was a serious incident or emergency to deal with. One person told us, "I think I get what (medicines) I'm supposed to, but I don't know what I take now I don't look after them myself". Another person said, "Sometimes I have to wait for my painkillers, but it's not their fault, they try their best".

Other evidence

In view of the major concerns identified in this outcome area at our previous visit on 21st November 2011, the Care Quality Commission served a Warning Notice in relation to the management of medicines within the service. Following this, we received an action plan from the Manager. The purpose of our visit was to check whether or not these actions had been carried out and whether our concerns had been successfully addressed.

We looked at a sample of Medication Administration Records (MARs), stock and other records for people living in the service. We also talked to the manager and the nurse on duty in relation to the management of medication.

Appropriate arrangements were now in place in relation to the recording of medicine. We saw that medicines records were generally clear and complete. The manager had recently introduced some new paperwork to help account for medicines and record when and why medicines had not been given. This was working well and medicines could be accounted for easily.

Medicines were administered safely and were given to people appropriately. Appropriate arrangements were in place in relation to obtaining and disposing of medicines. There were adequate supplies of all medicines prescribed for people living in the service and unwanted medicines were disposed of in line with current guidance.

We looked at records of audits (checks) that showed how the manager checked that medication was administered, recorded and handled correctly. The manager had recently introduced a new system of auditing and this was proving to be effective. There was evidence that action had been taken to address discrepancies and concerns that had been identified in order to improve the way that medicines were handled within the home.

Where appropriate staff had recently had refresher training in medicines management and had completed competency assessments in order to ensure they had the skills necessary to handle and record medicines safely. However the provider may find it helpful to train senior care staff to administer medication to people receiving only personal care. This would reduce the workload on the nurse on duty and extend the skills of other staff.