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Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 11 December 2013
Inspection Report published 11 December 2013 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 25 November 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, 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

We looked at three care plans that contained assessments around medication and provided detailed information around the medication required by each person. The medication care plans provided information around the person's needs, any allergies, a list of their medication and any changes in their care needs. In the care plans we looked at, people had consented for the care staff to administer their medicine. This meant people were consulted and involved in the decision about their medicine.

We saw that people had detailed records relating to their medicines which included; how they were stored, how they were ordered and audited, the support the individual needed to ensure they received their medicines correctly and the details of what each medicine was for and any side effects.

We saw there was a process in place for missed medicine that the staff followed. For one person this was reported to the manager and this was dealt with appropriately. The manager told us that they carried out an audit of the medication administration (MAR) records at least monthly. We found that when medicine had not been given, the reason for the omission was clear. During the inspection we observed staff completing an audit of medication for all people using the service. One member of staff told us "we complete a full medication audit at the beginning of each shift to ensure the correct numbers of medication are in stock and to highlight any problems early".

We looked at completed records for eight people that were signed by staff and there were no gaps or errors. The medication information was typed which ensured that it was clear and easy for staff to follow. There were copies of prescriptions kept separately which included the date of issue, review date and information in relation to the prescription.

The manager told us that all staff received training on medication and upon completion spent time with senior staff shadowing them in order to observe the correct procedures. The manager told us they spent time with staff before they started supporting people and discussed different types of medication, how they should be stored, allergies and adverse effects.

There was a medication policy in place that was reviewed in 2008 although the manager stated that all policies had been reviewed in 2013. The policy provided information around regulations, administration, recording and stated guidelines that staff had to adhere to around storage, dosage and tampering with medication. However, the provider may wish to note that during the inspection we were unable to see evidence of policies and procedures being regularly reviewed. There was a form at the back of the policy file to record when the policies had been reviewed and the last recorded review date was in 2008.

We looked at the training records for staff and saw that they had received training in the management of medicines and also undertook an observation of their competency in handling medicines. Staff spoke to confirmed that they had received training.