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Archived: Allied Healthcare - Newbury

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Inspection report

Date of Inspection: 8 July 2014
Date of Publication: 8 August 2014
Inspection Report published 08 August 2014 PDF | 86.98 KB

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 8 July 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 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

Appropriate arrangements were in place in relation to the recording of medicine. The provider had a policy which addressed the various aspects of supporting people with medication. This included definitions of the various levels of possible support and how to respond should anyone refuse their medication.

Where it was agreed as part of the care plan, staff supported people with their medication. We saw that details of prescribed medications were recorded within the care files for people who were supported with this. A medication risk assessment had also been completed in each case. The agency was not responsible for obtaining or disposal of medication so they only maintained records for its administration. The agency used separate medication administration record (MAR) sheets to record the administration of regular and ‘as required’ medication. We saw completed examples of these on people’s files. We saw that there were some gaps in recording for the application of prescribed creams. This had already been identified by the manager and the issue was on the agenda for a staff meeting the week after the inspection.

We looked at the records of medication training and competency checks for the staff. We saw that all staff had received medication training. The medication competency of staff had been assessed by the in-house lead nurse and signed off by the manager.

Those people we spoke with, who were supported with medication were happy that the staff managed this well for them. The staff we spoke with confirmed they had attended training on managing medication. They confirmed that their competency to do this had been assessed. Staff described appropriately how they would respond should anyone refuse to take their medication This included recording the refusal in the notes and notifying the office of it so they could seek GP advice if necessary. These events would also be logged under the recently introduced ‘Early Warning Screening’ log system in order to monitor the issue. These things meant that staff had the training and systems to manage medication safely and effectively.