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Archived: Claremont Lodge Care Home Good

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Inspection report

Date of Inspection: 16 October 2013
Date of Publication: 9 November 2013

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 16 October 2013, 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.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

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 obtaining and disposing of medicine. We noted that adequate supplies of medication had been maintained so that people could receive them when needed. These were delivered by a local pharmacist on a 28 day cycle via a monitored dosage system. We found evidence that unused medication was disposed of by an external provider on a regular basis. This was documented in the provider's returns book. There were clear and concise policies accessible to staff in relation to these issues.

Appropriate arrangements were also in place in relation to the recording of medicine. We examined the Medication Administration Records (MAR) for ten people living at the home. We noted that staff recorded the administration of medication in line with the provider's policy. There were no gaps in the records. We examined the controlled drugs book and found no discrepancies. The recording of drug administration was also subject to regular internal audit.

Medicines were safely administered. We found evidence that only appropriately qualified staff were involved in medicine administration. We saw that staff undertook relevant training updates in relevant areas such as the use of syringe drivers. This meant that people were protected from the risks associated with inappropriate medication management. We saw that the home followed clear guidelines around the administration of 'only when needed' medication and when people declined to take their medication. There were also appropriate protocols in place in the event of drug administration errors.

Medicines were kept safely. We observed that medication was stored in a lockable trolley in a secure treatment room to which only authorised staff had access. We noted that medication requiring refrigeration was kept in a separate, lockable fridge. The temperature of the fridge and the room that housed it were monitored daily and kept within safe limits. Controlled drugs were kept in a separate, locked cabinet in a secure room.