You are here

Archived: The Paceys

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 9 June 2011
Date of Publication: 1 July 2011
Inspection Report published 1 July 2011 PDF | 108.79 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 reviewed all the information we hold about this provider, carried out a visit on 09/06/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People who use the service have their medicines at the times they need them and in a safe way.

User experience

We have not spoken directly to people who use services in assessing this outcome.

Other evidence

At our last visit to the service in July 2009 we noted there had been a number of errors with medication administration. We were told by the manager that new systems had been put in place which included extra checks, increased staff training and disciplinary proceedings to reduce the risk of errors occurring.

Since that time, our service history shows there has been a decrease in the number of errors made. The errors reported to us were all incidents where medication had been omitted.

We did not ask the provider to assess themselves in this outcome area. However they provided us with information on how they are meeting this outcome area in another part of their assessment. They said in the PCA, ‘Guests are encouraged to manage their own medication where this is safe to do so, with support from staff where needed and thorough risk assessments. To facilitate this and to give guests more control over their medication, the service has installed medication cabinets in every room so guest can choose to take control of their own medication.’

During our visit, we looked at the way in which medication is managed at the home. We saw there are good systems in place to make sure medication is safe. Staff could clearly describe the procedures in place to make sure medication is booked in and administered safely. They gave examples of what they do with any problems with medication, such as running out of supplies. Any errors or incidents with medication are recorded on incident forms and an investigation is completed. We saw that any errors are still much reduced to what they have been in the past.

The management team said they audit medication regularly as part of their spot checks at the service.