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Archived: Allied Healthcare - Cambridge

This service was previously registered at a different address - see old profile

All reports

Inspection report

Date of Inspection: 10 April 2014
Date of Publication: 7 May 2014

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 10 April 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

During our inspection of 24 September 2013 we found that people were not protected against the risks associated with medicines because appropriate arrangements in place to manage medicines were not followed. We judged that this had a moderate impact on people who use the service, and told the provider to take action. The provider wrote and told us that it would be compliant with this standard by the 31 January 2014.

At this inspection of 10 April 2014, we found that the provider had made changes and introduced improvements to these areas of non-compliance. This included additional audits and checks to ensure that staff were completing people's medication administration records (MAR) accurately. We also saw that the provider had introduced, or was in the process of introducing MAR forms from the local authority for all of the five care plans we looked at. This ensured that a consistent record was kept for each persons prescribed medication.

We saw that for each person who was supported with their medicines administration and that the route for this administration had been recorded. For example, orally, anally or by other methods such as external application of steroid and topical creams.

We looked at five people's MAR charts. We saw that these were without error or omission. Codes used by staff to record the refusal or non administration of a person's medication followed the provider's guidance. However, the provider may wish to note that where family members administered the person's medication at a specific time and under certain conditions such those for alendronic acid, that this should be clearly recorded on the MAR chart for that person. Appropriate arrangements were in place in relation to the recording of medicine.

The records we looked at also demonstrated to us that people’s repeat prescriptions were ordered in advance by the agency to ensure that there was always and adequate supply of their prescribed medication. The provider told us that checks were completed to ensure that the correct medication had been supplied from the pharmacy supplier. We saw that these audits and checks had been completed in the records we looked at. Appropriate arrangements were in place in relation to obtaining medicine.

Staff's medicine administration training records we looked at showed us that staff were only authorised to safely administer people's medication after they had been assessed as being competent to do so. Additional assurance for this was provided by the agency’s management team through spot checks of staff when they were administering people's medication. People could be confident that their medicines were safely administered.