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Archived: Nelson Mandela House

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Inspection report

Date of Inspection: 7 August 2014
Date of Publication: 4 September 2014
Inspection Report published 04 September 2014 PDF | 84.17 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 7 August 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members 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

Prescribed medicines were securely stored in a lockable cabinets in a designated lockable cupboard. There were suitable storage arrangements for controlled drugs. Medicine that required refrigeration was kept in a lockable refrigerator. We saw records of temperature checks of the fridge and medicine cupboard. However, there were a few gaps in the recording of the temperatures. We discussed this with the manager who told us they would speak to staff to ensure that accurate records were maintained. People who administered their own medicine kept it in their rooms in a lockable cupboard. This meant that people received medicines that were stored correctly.

We saw that medicines were supplied by either a named pharmacy in a monitored dose system or by hospitals when people were discharged or people bought them in from home. We saw that medicines were clearly labelled. This meant that medicines were in a named format to ensure people were only given medication they had been prescribed.

There were appropriate arrangements for recording medicines. A senior member of staff told us the process for recording all medicines received into the home, so there would be an accurate record of stock. We sampled people’s medicine records and noted that each one contained a photograph of the person. This meant that staff could easily identify the person who required the prescribed medicine. The medicine recording sheets showed that staff had recorded all doses appropriately. We were told that if a person had refused medicine this would be recorded and monitored.

Medicines were administered appropriately. We were told that only staff who had received training could administer medicine. This was confirmed by staff we spoke with. Medicine that was to be issued on an occasional basis was administered safely and guidance provided for the quantity to be administered and the frequency. The registered manager told us that staff recorded the reason the medicine was administered. This meant that people could be sure that the correct quantity of medicine was given at the right frequency. However, the provider may find it useful to note that information should be available of in what circumstances the medicine needed to be offered. This is to ensure that the person receives the medicine at the right time.

There were arrangements in place to make sure that good practice in relation to medicines was maintained. We were told that any spoilt medication would be identified and kept securely before being returned to the pharmacy for safe disposal. We saw policies and procedures in relation to medicine. The registered manager told us that weekly medicine audits took place and this included stocks checks. This was confirmed by records we saw. The registered manager told us that any issues identified were communicated to staff. This meant that people were protected from the risks associated with poor practice in relation to medicines.