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Inspection report

Date of Inspection: 20 August 2014
Date of Publication: 20 September 2014
Inspection Report published 20 September 2014 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 20 August 2014, 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 staff, received feedback from people using comment cards and reviewed information given to us by the provider.

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

Medicines were prescribed and given to people appropriately.

Medicines were stored in a locked room, in suitable locked cupboards, and in a medicines trolley. We saw that the trolley was attached to the wall when not in use. The cupboards and trolley were clean and neatly maintained. There were systems in place to check the stock and the dates each month, and included appropriate stock rotation. Most medicines were dispensed using a monitored dosage system, whereby each dose was separately identified for each person.

We saw that controlled drugs were kept in a locked metal cupboard which met legal requirements. A controlled drugs register was accurately maintained, and showed two signatures for all drugs given or returned to the pharmacy.

The room contained a drugs fridge which was kept locked, and which contained only items which needed to be stored at lower temperatures. We saw that the drugs fridge and room temperatures were checked and recorded daily.

We viewed medicine administration records (MAR charts) and found they were correctly completed, using the right codes on the chart to show if any medicines had been refused or not given. A space on the back of the chart was used to identify reasons why medicines had not been given, or if “as necessary” (PRN) medicines had been given. Handwritten entries had been entered and signed by one staff member, but had not been countersigned by a second staff member to confirm the accuracy of transcribing from the label to the MAR chart.

The management discussed people’s medicines with them as part of the admission processes. Some people wished to continue to self-administer their medicines. In this case, a self-administration assessment was carried out to ensure that the person was fully able to understand their medicines; had the dexterity to open the packets or bottles; and knew the times and doses of their medicines. Each person had a lockable facility in their bedrooms, and these provided suitable storage for people who self-administered their medicines.

We saw that oxygen cylinders were stored in the medicines room, and oxygen was in use in someone’s bedroom. The provider may find it useful to note that there was no hazard warning sign on the doors to show that oxygen was stored or in use in these rooms. The assistant manager was taking action to address this when we finished the inspection.

We saw that staff were appropriately trained to administer medicines before they were allowed to do so.