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Inspection report

Date of Inspection: 9 July 2013
Date of Publication: 15 August 2013
Inspection Report published 15 August 2013 PDF | 75.15 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 9 July 2013, 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

We looked at how the service managed its medication systems. We found the home kept medication in a locked cabinet. The medication administration records (MAR) we viewed were signed to indicate medication had been given and at the correct times.

The MAR for people who lived at Ashdown Close was kept in a separate file. Each MAR had the person’s photograph on it. This helped ensure they received the medication prescribed for them. There was also an information sheet regarding each medication the person took and any side effects they might display.

A record of staff signatures was present in the medication file to show who had administered medication to people at particular times.

Medication for each person was dispensed in individual 'blister' packs or liquids from bottles from the pharmacy. This was a clear system for the staff administering the tablets.

The home had systems for the ordering and receipt of new and repeat medication, as well as a procedure for the safe disposal of unused medication. The care staff audited (checked) the medication every week. We saw the records indicating this had been completed and was up to date. The provider may find it useful to note that staff informed us both tablet and liquid was checked but we found only a stock record of tablets was recorded.

We saw training records which showed all staff had attended medication training. This meant staff knew how to administer and complete medication records correctly. The Registered Manager informed us they needed to attend training as the last training course had expired twelve months ago. They said they would book onto the next available course.

We saw a copy of the home's medication policy, which had been updated in 2012. This included protocols for giving prescribed medication covertly (without the persons knowledge) and ‘pro re nata' (PRN) which means that medication is taken as it is needed.

We spoke with the manager and staff about how people’s medication was administered. We found there were historical practices for one person in how they took their medication, relating to a best interest practice, which needed clarification. The Registered Manager assured us this would be sorted out. We asked them to inform us when this was done.