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Inspection report

Date of Inspection: 24 June 2014
Date of Publication: 19 July 2014
Inspection Report published 19 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 24 June 2014, observed how people were being cared for and talked with people who use the service. We 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

There was a medicines policy in place and also a policy for the use of “homely remedies”, providing staff with clear guidance on the safe ordering, storage, administration and disposal of medicines.

We saw all the medicines were stored in a locked cupboard in the office and controlled drugs were stored appropriately. Most of the drugs were supplied in blister packs for each person with some exceptions for drugs with specialist requirements and medicines that were only given as needed. We examined the medicines administration record (MAR) for four people and saw that they had been consistently completed. There was a photograph of each person at the front of their medicine administration record to facilitate correct identification of the person and reduce the risk of errors occurring. We carried out checks on the stock balances of the only controlled drug in use and this tallied with the controlled drug record. This meant that systems were in place for the safe storage and administration of medicines.

The people we talked with told us their medicines had been explained to them and they understood why they were needed. This meant people had been given information about the medicines prescribed for them. People also told us that their medicines were administered regularly by staff at the same time each day.

We saw records of formal staff training in medicines management and records of their competency assessments for all staff. On-going monitoring and assessments were carried out for all staff by the manager. This meant staff had the knowledge and skills to undertake medicines administration safely.

We saw that medicines audits were carried out every two months by the provider and checks of medicines administration records were carried out fortnightly within the quality monitoring checks undertaken by the manager. The community pharmacist carried out independent medicines audits annually. We saw the results of these audits and compliance with the standards was good. This meant that systems were in place to ensure the safe management of medicines.