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Archived: Pocklington Place

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Inspection report

Date of Inspection: 17 October 2012
Date of Publication: 21 November 2012
Inspection Report published 21 November 2012 PDF | 80.75 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 17 October 2012, checked how people were cared for at each stage of their treatment and care 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

During our visit we spoke with five people who received the personal care service provided at Pocklington Place to ask them about their experiences. None of the people we spoke with raised any concerns in relation to the management of their medication.

Appropriate arrangements were in place in relation to obtaining medicine. People kept their medicine within their own flat and where required the service would undertake monthly checks and re-order prescriptions for them. Consent had been obtained from people using the service as to whether they wanted to manage their own medicines or required some support. The level of support people required with their medication was recorded in the care plans.

Medicines were safely administered. Staff spoken with confirmed that they had received medication training. They told us that if they had any concerns with people taking their medication they would let their line manager know so that appropriate action could be taken.

We looked at the medication administration records (MAR) for three people who received support. We saw that there were some gaps on the MAR charts. We spoke to the manager, who confirmed that staff would only sign the MAR chart if they had actually administered the medicine. Staff had recorded ‘prompts’ in the daily contact sheets. We saw that one person self administered during the day but received support in the mornings and night. The self administration was not recorded on the MAR chart. The provider may find it useful to note that as different staff visited on a daily basis this method of recording did not easily support the identification of medication issues, such as missed medication.

We saw that medication audits had been undertaken on a sample of MAR charts and other documentation to ensure medication had been given. We also saw from a recent staff meeting that staff had been reminded of their responsibility to ensure they signed MAR charts when administering medication.