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Keychange Charity Rose Lawn Care Home Outstanding

All reports

Inspection report

Date of Inspection: 23, 27 May 2014
Date of Publication: 21 June 2014
Inspection Report published 21 June 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 23 May 2014 and 27 May 2014, 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, talked with staff and reviewed information given to us by the provider.

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

At our last inspections we made a judgement that people were not fully protected against the risks associated with medicines because the home did not have appropriate arrangements in place to manage medicines.

Following the inspection the provider sent an action plan to us detailing the improvements made for the appropriate safe disposal and storage of medicines at the home. At this inspection we found that improvements had been made.

We looked at the way the home stored controlled drugs which require additional security in administration and storage. We found the home had suitable storage to store controlled drugs appropriately in accordance with the legislative requirements.

We met with the designated member of staff who was responsible for medicines at the home. We looked at the new controlled drugs register and found that it balanced against the stock held at the home.

We observed two staff administering a pain relieving medicine. We saw the medicine was given at the time it had been prescribed. The staff correctly checked and signed the controlled drug register and the person’s medication administration record (MAR). This showed people were protected because there were robust processes and procedures in place for controlled medicines.

We found that medication was being stored safely in locked cupboards and two medication trolleys were safely secured to the wall in the medication room. The medication cupboards and trolleys were clean and organised which reduced risks of mistakes.

We saw the medication systems in use meant people had their regularly prescribed medicines at the time they needed them and in a safe way. We saw a list detailed clearly which staff were trained and competent to administer medication. Six staff had been trained to administer insulin by the local district nurses to support some people living at the home.

We saw staff had access to a folder containing medicine information about the potential side effects of the medication being administered at the home. This meant staff had the information they needed to identify any adverse side effects more quickly.

Medicines were safely administered. We observed staff administering medication, and found they had a good understanding about what each medication was used for. Staff did not appear rushed and discussed their medication with the person. Staff supported the person to take their tablets, then offered them a drink and waited patiently whilst the person swallowed their medicine. One person told us, “I have my sleeping tablet brought to me, they (staff) stay while I have a drink”.

The home had an audit on 27 February 2014 undertaken by an external pharmacist that supplies medication to the home. We saw that the pharmacist had made a few recommendations. One of these actions recommended the home monitored the room temperature where the medication was stored. We saw that there was a thermometer on the wall in the medication room and a daily recording sheet. This meant the home followed recommended guidance from pharmaceutical professionals.

We saw the medication fridge was locked and staff had recorded daily the minimum and maximum internal temperature of the fridge. We found the readings were consistently the same and the thermometer sensor was outside of the fridge. The provider may find it useful to note that staff had not identified the thermometer was not working correctly. This could put people at risk of receiving ineffective medication if not stored at the recommended correct temperature.

Appropriate arrangements were in place in relation to the recording of medicine. A medication administration record (MAR) was completed which showed the time and date when medicine had been taken and initials of the staff member who had administered the medication. We checked nine people's MAR charts and found they were clearly written and up to date. We saw printed on the MAR chart that some prescribed medication advised the staff to use as required. T