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Charter Care (West Midlands) Limited (B69) Requires improvement Also known as Charter Care Sandwell

All reports

Inspection report

Date of Inspection: 10 April 2014
Date of Publication: 29 April 2014
Inspection Report published 29 April 2014 PDF

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Not met 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 10 April 2014, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with carers and / or family members, talked with staff and took advice from our specialist advisors.

Our judgement

People were not fully protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.

Reasons for our judgement

We looked at the care records of two people that required administration/ support with taking their medication. We saw that in both cases their medication needs had been identified in their needs assessment, included in their care plan and specific risk assessment were available which took into account any risks associated with this aspect of the person’s care. We saw that whilst people signed their general risk assessments, care plans were not signed by them indicating their consent to be supported with taking their medication.

The two people that we visited in their homes both received support from care workers with taking their medication. They both confirmed that the care workers always ensured that they took their medication and that medicines were never missed. This indicated that people received their medication. Care workers spoken with said that they had received medication administration training. However, we saw no evidence that staff competence to administer medication safely was being monitored. This meant that whilst training was provided, the provider had no systems in place to check that staff remained competent to administer/ support people with their medication safely.

The records that we looked at showed that a medication administration record (MAR) was being used to record when staff had supported people with taking their medication. We observed that the MAR sheets did not specify the medication prescribed, but simply stated “blister pack”, so you could not tell what medicines were being taken. Although a list of medicines were recorded on people’s risk assessments, the method currently used for recording medication was not safe. One person’s medication record that we saw when we visited them consisted of three different records. We were told that one record was for medicines taken from a blister pack, another record was for creams and ointments which were to be used as and when necessary (PRN) and the other record was for other oral PRN medication. We saw and the manager told us that there were no PRN protocols in place to support staff so they knew when to give these medicines. In addition when we asked to see other medication records in the office, they were not available as the deputy manager said they had not been collected for auditing. This meant that medication recording was confusing and a clear system was not in place to check that people had received their medication as prescribed.