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Archived: Farnham Dialysis Unit

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All reports

Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 8 February 2014
Inspection Report published 08 February 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 8 January 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 and talked with staff.

Our judgement

The provider protected people against the risks associated with medicines because the provider ensured appropriate arrangements were in place to record medicines administered to people who used the service.

Reasons for our judgement

Medicines were handled appropriately at this service.

The registered manager told us, “We do a limited amount of medicines which is specifically for dialysis use. All our patients are self-medicating”. The one person with whom we spoke told us, “I have no medications at the moment”.

We saw from the three people’s care records we reviewed that each person had an individual dialysis prescription developed according to their needs. The prescription contained information relating to known allergies, medical history and access to line or fistula. The prescription also contained the pump speed and the minimum blood flow necessary to keep the person well. We saw the anticoagulant (a special medicine used to make the blood thinner) used and how much anticoagulant to be used for each session had been recorded. The registered manager told us, “A new prescription is written monthly following blood tests result. Each prescription is signed and dated. This allows for a clear and easy audit of medicines used for any person who used the service”.

This meant that appropriate arrangements were in place in relation to the safe management of medicine.

We saw in the three care notes we reviewed that a record of routine active medicines (medicines that the person took at home) and terminated medicines had been reviewed by the person’s consultants. We were told by a senior member of staff, “This ensures the staff had current and up-to-date information regarding the person’s medicines.

The registered manager told us, “Records were kept of all medicines that entered, administered and left the service”. These records were made available for inspection. “The service also has a dedicated registered nurse who is responsible for the ordering, storage, and disposal of medicines”. A senior member of staff told us all registered nurses who administered medicines had recently undertaken training to enable them to give medicines safely. Medicine training records were made available for review.

This meant that people received their medicines from staff who had been trained to handle medicines safely, securely and appropriately.