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Archived: Victoria Lodge Residential Care Home

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Inspection report

Date of Inspection: 3 April 2013
Date of Publication: 30 January 2014

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 3 April 2013, observed how people were being cared for and talked with staff. We were accompanied by a pharmacist.

Our judgement

The provider did have the appropriate arrangements in place to ensure that people were protected against the risks associated with the unsafe management of medicines.

Reasons for our judgement

During this inspection we used a number of different methods to help us understand the experiences of people using this service. We talked to staff and looked at storage and record keeping of medication in the home.

Appropriate arrangements were in place in relation to the recording of all medicines. We saw evidence of people's current medicines and saw from four medication administration records (MAR) that medicines were recorded appropriately both for the current medication cycle and the previous month's medication cycle. We saw accurate recording of administration of the anticoagulant warfarin and there was evidence of regular blood tests to monitor its action. We looked at the stock of this medicine and could see that the correct dose was being administered.

We saw that one person was prescribed a medicine to manage their behaviour and the home was keeping a behaviour chart to monitor their behaviour during the day. This person was also prescribed medicines to be given as required to support their mood and the provider may like to clarify in what circumstances these medicines should be given.

We carried out random audits of two other stocks of medicines to check the accuracy of the records and also the monitored dosage system and could reconcile all supplies.

Appropriate arrangements were in place in relation to obtaining all medicines. There was no evidence of medicines being out of stock and when a person was discharged from hospital the discharge letter was kept with the medication administration record and could be reconciled with the current medicines being given.

Appropriate arrangements were not always in place with respect to the safe storage of medicines. The medicines trolley was locked and controlled drugs were stored and recorded in line with the regulations. The home used a domestic fridge to store medicines requiring cold storage and although the medicines were stored separately from food stuffs the container was not a lockable container to prevent unlawful access. The manager told us that they would purchase a lockable cash box at once.

We saw that the home received support from the community nurse and they maintained separate records for administration of insulin and blood glucose monitoring in the home. There was information from the community pharmacist who provided the anticoagulant monitoring service to aid staff in identifying side effects of anticoagulants, and the provider had policies and procedures in place regarding safe management of medication. Staff had last received medication training in November 2012.