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Archived: Allied Healthcare Peterborough

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Inspection report

Date of Inspection: 24 October 2013
Date of Publication: 21 November 2013
Inspection Report published 21 November 2013 PDF | 80.6 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 24 October 2013, talked with people who use the service and talked with carers and / or family members. We 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 obtaining medicine. Appropriate arrangements were in place in relation to the recording of medicine.

Staff we spoke with told us that where a person was living with dementia that the medicines were kept locked in a secure location to prevent unsafe access. Medicines were kept safely.

We reviewed the provider's records for staff training in the safe administration of medicines. We found that staff were trained in the safe administration of medicines. Staff we spoke with told us what action they would take if someone had been accidentally given the wrong medication or that they suspected this. Medicines were safely administered.

We looked at seven people's care and medicines administration records (MAR). We found that there were gaps in three of these records where staff had not correctly identified why a person had not signed that they had administered all of a person's medication. Staff recorded in people's daily care records that they had administered people's medicines, although the MAR sheets we reviewed did not indicate that this was the case.

We saw that there was use of MAR codes which did not tally with those required by the provider's medicines administration policy. We asked staff what these codes meant. They told us that they thought that this was where a person had not been given or had refused their medication but were not able to positively tell us. The provider may wish to note that people's MAR records should be completed accurately and at each occasion a person's medicines are administered. Any additional codes used by staff should be clearly identified on people's MAR sheets. The provider informed us that they were aware of these issues and had already introduced action to ensure that staff's completion of people's MAR sheets was accurate. This was in the form of an escalating process where staff were offered further training and also where disciplinary action could be taken in extreme cases.

The provider delivered care and support for people living both within and outside the Peterborough area and used MAR forms according to the care commissioning body. The provider may wish to note that for some forms where blister pack medication was provided that staff could only sign in one place. In some circumstances we saw that this was for more than seven different medicines. This did not allow any provision to record where a person refused one or more of their medicines. The provider told us that this was being looked into as part of their amalgamation of the two care providers at this location.