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Archived: Bellerose

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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 2 August 2013
Inspection Report published 02 August 2013 PDF | 69.81 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 July 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 staff, reviewed information given to us by the provider and were accompanied by a pharmacist.

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

Concerns relating to safe medicines management were identified during an inspection on 30 April 2013 and the home submitted an action plan to improve in this area.

During this follow-up inspection, we saw that medicines were recorded appropriately. When we looked at the medication administration records (MAR) for the nine people who live in the home we saw that there were no omissions. We audited supplies of medicines for 6 people and found that they could be reconciled with the records. This meant that people were receiving their medicines as prescribed.

The home had a daily MAR checklist to check that the MAR were completed accurately and there were daily stock counts of medicines supplied in their original containers. We saw that unwanted medicines were recorded and disposed of appropriately.

Medicines were stored securely in people’s rooms or in a locked cupboard in the office. The home kept some medicines which required special storage and these were stored appropriately to meet the legislation. Records of balances for the medicines were accurate but there was confusion in the recording of supplies of different strengths of the medicine. This was addressed at the time of the inspection and the provider confirmed that all staff would be trained on good practice in recording these medicines.

Several people were able to self-medicate and we saw that risk assessments had been updated and were current. The home had a new pharmacist supplier and they provided weekly dosette boxes to aid self-administration. The new pharmacist supplier had provided medicines training to all the staff in May 2013 and staff had been assessed for competency.

The home was now compliant with this standard. There were appropriate arrangements in place to ensure that medicines were handled safely.