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Bearwardcote Hall Residential Home Good

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Inspection report

Date of Inspection: 19 May 2014
Date of Publication: 13 June 2014
Inspection Report published 13 June 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 19 May 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 carers and / or family members, 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

Some people using the service were able to manage their own medicines. We saw suitable storage was made available to ensure medicines remained safe. We saw information was available in care records to demonstrate medication management had been discussed with the person concerned. The person using the service told us, “I have regular meetings with the staff to make sure everything about my medication is up to date.” We saw the person did not have the medication administration records (MAR). The provider may wish to amend their system to enable the person to have the MARs for completion.

We observed medication being administered at lunch time. This was completed in a calm, organised and relaxed manner. We saw some tablets were halved by hand without gloves because the person could not swallow them whole. This was done in the person’s best interest, but did not follow safe practice measures or good hygiene.

We saw medicines for people using the service were kept safely in a locked room and locked cabinet. There was a record of medicines delivered to the home and disposed of. Arrangements were in place in relation to the auditing of medicine and a carryover figure was recorded. The quantities of medicines listed on people’s MAR matched the numbers of medicines stored at the home. This meant the auditing system was effective. This meant the provider could be confident the amount of medication recorded was available in the home.

We saw a daily log was in place to ensure room and fridge temperatures were recorded and we saw the temperature was suitable for the medicines stored. We saw medications stored in the fridge were suitably labelled when opened. This meant medication was stored as required within the correct temperature range.

Some people needed medicines to be administered in a specific way. Information relating to when and how this medicine should be administered was recorded. The staff we spoke with were aware of how this should be administered. This meant people using the service could be confident there was clear information why and how to provide this medication.

The medication administration records (MAR) were completed after each person had taken their medication as required. This meant the provider reduced the possibility of mistakes. We checked the MAR charts for three people and found they were all correct demonstrating medicine was administered as prescribed.