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Inspection report

Date of Inspection: 9 June 2014
Date of Publication: 5 July 2014
Inspection Report published 05 July 2014 PDF | 81.32 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 9 June 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

We saw that the home had policies and procedures in place which provided staff with information about managing medicines.

All of the the people we spoke with told us that the staff gave them their tablets. One person told us, “I get two tablets in the morning, I always get them.”

All the staff who administered medicines had undertaken training to ensure that medicines were handled and administered safely.

We saw that medicines were kept stored safely at all times. This meant that only people who were authorised to access medicines were able to access them.

Systems were in place to ensure all medicines received into the home and administered were recorded. We saw that people's medicine administration records (MAR) were signed and completed when medicine was administered. There were no gaps on the MARs we checked. This meant people received their medicines as prescribed.

We saw there were robust systems in place to ensure that any controlled medicines were administered safely. There was separate storage for the medicines and a controlled drug log was available. We saw the log had been completed as required, giving a running total of the medicines and two staff signatures to witness medicines had been administered.

We saw that one person was prescribed a tablet for pain relief that could be taken 'as and when necessary.' The manager told us other people were also prescribed this tablet. There were no written guidelines in place to indicate to staff when this medicine should be administered. The provider may wish to note that there should be written guidance for staff to ensure they were consistent and that people were only administered these medicines when they were required.

Most medicine was dispensed from a Monitored Dosage System (MDS). There were some medicines that were administered directly from boxes and packets. We audited a sample of these and the balances held were correct. This showed people received their medicines.