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The Gables Nursing Home Good

All reports

Inspection report

Date of Inspection: 29 November 2012
Date of Publication: 10 January 2013
Inspection Report published 10 January 2013 PDF

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Not met 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, reviewed information sent to us by other organisations, carried out a visit on 29 November 2012 and observed how people were being cared for. We talked with people who use the service, talked with carers and / or family members, talked with staff and talked with stakeholders.

Our judgement

People were not protected against the risks associated with medicines because arrangements to manage medicines safely were not fully implemented and consistently adhered to.

Reasons for our judgement

One of the reasons that we looked at this outcome was we were made aware of concerns about the way medication was managed in the home. The NHS medication manager visited the home October 2012 and found that several issues needed to be addressed. For example they found: Short courses of medication were not given as directed and not signed for once administered. Medication policy had not been updated and the temperature of the fridge was not recorded daily. The medication manager was due to visit the service again in due course. We observed staff giving medication at lunchtime and found that staff were giving people their medication, and waiting for people to take it, to ensure their health benefited from taking their medication.

We looked at some people’s medicine administration record (MAR) which documented when people had been given their medicines. We found that some medicines were not always accurately recorded. For example, we saw that one person’s record stated that they had refused medication on more than one occasion. We found that when the person had refused the medicine in the morning there was no evidence that staff had re-offered the medication at a later time. If people continue to miss their prescribed medication this might have a detrimental effect on their health. There was also no evidence that the service had informed the person’s doctor of these repeated refusals, so that the doctor could determine whether anything more needed to be done.

Medicines administered to people who used the service were not always recorded correctly and it was not clear if some people were receiving their medication as required.