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Inspection report

Date of Inspection: 9 March 2013
Date of Publication: 18 April 2013
Inspection Report published 18 April 2013 PDF | 92.72 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 9 March 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 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

We spoke with the registered manager and staff about how medicines were managed in the home.

We checked the storage arrangements for medicines. We found medicines were stored securely and in accordance with the manufacturer’s instructions. We saw that there was a medicines refrigerator in use and that minimum and maximum temperatures were recorded. This meant staff knew the medicines were safe to use and be given to people.

We checked the arrangements for controlled drugs. We found controlled drugs were recorded and stored correctly. We audited two controlled drugs held by the home and found the balance of medication in the register matching the medications stored in the home.

We saw topical medication was stored in people’s bedrooms. The provider may like to note that the creams were not consistently dated upon opening so staff were not aware of the expiry date, which may have been a risk to people who used the service if used when they were out of date.

We looked at people’s medication administration records (MAR) and found it was clearly recorded when medicines were given to people. MAR's provide a recognised recording process in respect of the administration, storage and recording of medication and are commonly used in residential and respite services. We found that if people did not take their medication the reason for this was clearly recorded. However the provider may wish to note that one person consistently refused their eye drops with the reason given as nausea and vomiting. We discussed this with the registered manager who could not provide an explanation of why nausea and vomiting meant that the person could not have their eye drops administered, or that consultation with the GP had occurred.

We observed the administration of medication during our inspection and found it was administered safely to people.

The MAR sheets provided a record of the medicines received into the home for people. The provider may like to note that changes to people’s prescribed medication had been handwritten on the MAR by one member of staff. This practice runs the risk of errors or discrepancies being made as there is no second person to check the information.

The provider may like to note that when variable doses of medicines were prescribed, for example one or two tablets, we saw it had not consistently been recorded how many were given. This did not make it possible to assess the effectiveness of the medicine.

We looked at the policies and procedures in place regarding medication and found these provided detailed guidance for staff on how to obtain, store and administer medications safely.

Staff we spoke with told us they had been provided with medication training prior to administering medicines in the home. We were told training was provided by both Boots who were the supplying pharmacist, and via e learning. The training was reflected on the training matrix.