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Ashview Requires improvement

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Inspection report

Date of Inspection: 9 May 2013
Date of Publication: 13 June 2013
Inspection Report published 13 June 2013 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 9 May 2013, observed how people were being cared for and talked with people who use the service. We talked with staff 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

We found that medicines were stored securely for the protection of people who use the service. The temperature of the areas used to store medicines was monitored and recorded each day and within recommended guidelines. However we found at the time of our inspection that the temperature of the area where surplus medication supplies were stored were not being monitored. The manager contacted us following our inspection and confirmed that corrective action had been put in place.

The manager told us that at the time of our visit on 09 May 2013 there were eight people living at Ashview House. Systems were in place to record when medicines were received into the service, when they were given to people and when they were disposed of.

We looked at the records for each person using the service on the day of our inspection. These records were generally in good order, provided an account of medicines used and demonstrated that people received the majority of their medicines as prescribed. However we found for two people that one of their prescribed medications was being administered as PRN 'as and when required' and this was not in line with the prescriber's instructions. The manager contacted us following our inspection and confirmed that corrective action had been put in place and people's GP had been contacted to request amendments to the prescriber's instructions. We also found that where people's medication was administered later than detailed on the medication administration record the specific time was not recorded. The manager contacted us following our inspection and confirmed that corrective action had been put in place and guidance for staff had been introduced. One person spoken with confirmed that they received their prescribed medication each day and it was received in a timely manner.

The staff training records showed that all staff who administer medication had up to date training. The manager confirmed at the time of our inspection that there were no arrangements in place for staff to be assessed as to their continued competence to administer medication. The manager contacted us following our inspection and told us that systems were now in place to ensure that this would be undertaken for the future.