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Archived: Care Management Group - 44 Albion Road Good

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Inspection report

Date of Inspection: 1 June 2012
Date of Publication: 11 July 2012
Inspection Report published 11 July 2012 PDF

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

Our judgement

The provider was meeting this standard.

The provider has appropriate arrangements in place to manage medicines ensuring people receive their prescribed medication in a safe way and at times they need them.

User experience

We assessed people’s experiences of the services medication handling arrangements by speaking to staff and reviewing medication records keep by this home. We found that the provider had appropriate arrangements in place for obtaining, recording, handling, the safe keeping, and dispensing of medicines they held on behalf of the people using the service. This meant that people using the service receive their medicines at the times they need them, and in a safe way.

Other evidence

We found other evidence that indicated the care home has appropriate arrangements in place for the safe obtaining, recording, administering, storing and disposing of medicines prescribed the people who use the service.

We reviewed last months Medication Administration Record sheets for 3 people and saw they had each been appropriately maintained and kept up to date by support staff authorised to handle medication on behalf of the people using the service. We found no recording errors on any of the services medication documents we looked at during our visit.

Staff we met were able to confirm that ‘as required’ psychotropic medication could be used to manage behaviours that might challenge the service. These staff told us they had been suitably trained in the safe handling of medication in a residential care setting and were clear that this type of ‘as required’ behavioural modification medication should only ever be used as a last resort when all other deescalation techniques had failed. The registered manager eventually found copies of the guidance staff should follow regarding the use of ‘as required’ behavioural modification medication, which made it clear who was responsible for authorising its use, and when and how it should be administered.

The registered manager told us it was mandatory for all support staff authorised to administer medication on behalf of the people using the service to receive appropriate training in the safe handling of medication. We saw the services electronic staff training record which indicated that sufficient numbers of the teams staff routinely up date their existing medication handling knowledge and skills.

The provider may find it useful to note that several members of staff told us they felt that some of the people using the service could become even more independent if they had the opportunity to take at least some responsibility for managing their own medication. The provider should look at ways it might actively encourage and support those individuals who would be willing and capable of looking after their own medication safely.