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Inspection report

Date of Inspection: 3 October 2012
Date of Publication: 31 October 2012
Inspection Report published 31 October 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 3 October 2012, 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 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

A senior carer described how medicines were managed and showed us the records they kept and the inside of the medicines’ trolley. We saw that everyone who lived at the home had medicines prescribed by their doctor and a local pharmacy delivered medicines directly to the home. We saw that one member of staff took receipt of the deliveries and another member of staff checked that the expected medicines were delivered in the right amounts. This meant that appropriate arrangements were in relation to obtaining medicine.

All medicines prescribed for people were listed on a named sheet with a photo of the person. We saw that staff recorded the amount of medicines given and the time of day they were given. Staff recorded if a medicine had not been given, for example, if a person was asleep, and the medicine was given at a later than normal time. Senior staff had pre-marked the sheets to make sure that medicine that needed be given every second or third day would not be given on the wrong days. This means that medicines were safely administered.

We saw that care staff kept a record of when and where creams were applied by using a picture of a body. The picture showed staff exactly where to apply the cream on the body. In the summary plans we saw that staff recorded the time and date when they applied creams and that this matched the person’s prescription.

In the staff’s medicines’ folder we saw a list of common drugs and their intended purpose, to inform staff, and a medicines’ profile for each person, with guidance about how and when to offer non-prescribed pain relief to people. The guidance told staff they should respond if people asked, and for those people who were not able to communicate verbally, staff should check the carers’ reports and, “Look for facial expression, which shows pain.” Staff we spoke with said, “It’s about knowing people.” This meant that medicines were prescribed and given to people appropriately.

We saw that medicines were kept in a locked cabinet in a locked cupboard. Care staff we spoke with told us that only senior care staff had access to the keys. One senior carer showed us that the controlled drugs were kept in a separate, locked cabinet that was bolted to the wall of the cupboard. Controlled drugs were listed in a separate book and signed in and out by two staff. Senior staff told us that other seniors did regular checks on the medicines’ trolley to make sure that all the medicines needed were available and given to people as per their prescription. This meant that medicines were kept safely.