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Goyt Valley House Care Home Requires improvement

All reports

Inspection report

Date of Inspection: 24 January 2014
Date of Publication: 13 February 2014
Inspection Report published 13 February 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 24 January 2014, observed how people were being cared for and talked with people who use the service. We 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 found that robust procedures were in place for the management of medication. There were procedures in place for obtaining, storage, safe administration and disposal of medication. Medication was obtained through a local pharmacy primarily using blister pack systems. We saw records that showed medication had been checked on receipt and people’s medication administration records signed.

Medications were kept safely. We saw that medication was stored in lockable cabinets in a locked temperature controlled room. We found medication that needed to be kept in a temperature controlled environment was kept in a lockable fridge in the office. We saw that appropriate storage facilities were in place for controlled drugs. This ensured that people were protected against risks associated with unsafe use of medication.

Appropriate arrangements were in place in relation to the recording of medication. We looked at four medication administration records (MAR) and saw that accurate records were maintained. These records contained the initials of staff to confirm when medication had been administered. Spoilt medication was placed in a plastic bag identified accordingly and stored securely. The medication would then be returned to the pharmacy for safe disposal. This ensured that the medication was disposed of safely.

We found that people had individual medication profiles. The profiles included a photograph of the person so that staff knew they were giving the right medication to the right person. The profile also detailed the person’s medical history and allergies. This helped to ensure people were protected from risks associated with medication.

We saw copies of risk assessments about people’s health needs that were personalised to meet their needs. For example where a person was identified as having diabetes there were details of signs to look out for and action to take if people presented with certain symptoms. People’s preferences were recorded. For example some people preferred to be given their tablets on a spoon. This meant that staff had access to information they required to monitor and act to keep people safe.

Medication prescribed to be taken when required (PRN) were stored in its original packaging which contained directions for administration. We saw that medication administration records had been completed when PRN medication had been administered. This meant that people were protected from inappropriate administration of medication.