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Inspection report

Date of Inspection: 10 May 2011
Date of Publication: 9 June 2011
Inspection Report published 9 June 2011 PDF

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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 management of medications at the home is safe and protects people from risk of harm. Training in medication management is provided.

User experience

Staff undertake to manage medications for everybody at the home. We did not receive any other comments about medication. People were happy with their care.

Other evidence

A Cornwall Care medication policy is in place and in use, and this has been reviewed.

Records show that the home is guided by the GP on medication. People’s records document reviews of medication and also requests for visits following any change in a persons’ condition. Relevant guidance and reference material is available within the home on medication. We were told that if people lack capacity, decisions concerning medication are made in their best interest and will involve other professionals, family and advocates as required.

We observed nurses administering medicines appropriately, ensuring the medicine trolleys were secured when they needed to leave the immediate area.

Training records show that staff are given training prior to administering medication without supervision. There is a current and accurate record of staff signatures.

Medicines are stored securely in locked cupboards and access to the medicine keys is restricted to nurses trained to administer the medicines. There is a designated medicines fridge. Variable doses are accurately recorded, and there were no gaps seen in the Medicine Administration Records (MAR). Photos are included in the MAR to aid identification.

Controlled medication used within the home is covered in the homes policy, and additional support is gained from the dispensing pharmacy. Monthly and daily audits are carried out on medication, and this identifies any issues with all areas of administration, ordering, storing, and also the disposal of medicines.