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Archived: Harpers Villas Care Centre

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Inspection report

Date of Inspection: 31 October 2012
Date of Publication: 28 November 2012
Inspection Report published 28 November 2012 PDF | 99.02 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 31 October 2012, 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 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

As part of our inspection we spoke with the deputy manager about the medication systems and practices at this home. We were shown the room where medication was stored. We looked at the medication and records for the two people whose care files we looked at. We checked medication records (MAR) and counted medication available. The records that we looked relating to a nutritional supplement prescribed for one person did not demonstrate that staff were administering this on each occasion. We saw that two bottles of opened nutritional supplements were being stored in the medication trolley. These were removed and put into the fridge to be stored until needed. The provider may find it useful to note that storage instructions for all medications were not being followed to ensure that medication was stored in line with manufacturers instructions. Staff had not completed records to demonstrate that nutritional supplements had been given. This meant that people may not have had their medicines at the times they needed them and in a safe way.

We saw that medication was stored safely. Records to demonstrate that the temperature of the medication fridge and medication room was checked on a daily basis were up to date. We discussed the action taken since our last inspection to ensure that these temperatures were within the required limits for the safe storage of medication. The home had taken appropriate action to address this issue.

We were told that nobody self-administered their medication at this home. Mental capacity assessments were undertaken and where necessary next of kin consent was given for the home to administer medication. This helped to ensure those people who were assessed as not having the mental capacity to make important decisions continued to receive the medication required to maintain their health and wellbeing. We discussed the action that staff took if someone continually refused to take their medication. We were told that if necessary covert administration of medication took place with the consent of family and the person’s doctor. Covert administration of medication involved disguising medication in food or drink and was necessary when people refused medication but were judged not to have the capacity to understand the consequences of their refusal.

We saw that photocopies of original prescriptions were kept and were used to double check that the correct medication had been received into the home.

We looked at the storage and records for any controlled drugs in the home. These records were correct. We saw that controlled drugs were checked by two staff members at the end of each shift to ensure that the amount of medication held balanced with records.

The deputy manager told us that she audited all medication available on a weekly and monthly basis to ensure that records balanced with stocks of medications available. Occasional errors were reported to the manager and discussions held with the staff member in question during their supervision. We were told that staff would be re-trained in medication administration as required. We saw records to demonstrate that the primary care trust had recently visited this home and conducted an audit of medication systems and practices and no issues for action were identified.

We observed the lunchtime medication round. We saw that the medication trolley was bought into the lounge and people were given their medication and records signed. We saw that the medication trolley was left open and unattended whilst the staff member handed medication to people in the lounge. The member of staff was in the same room as the medication trolley but this was left unattended. People who wandered around the lounge would have access to medication whilst the staff member was busy administering medication to other people. The provider may find it useful to note that as the medication trolley was left open and unattended, people who had access to the medication