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Inspection report

Date of Inspection: 7 December 2012
Date of Publication: 8 January 2013
Inspection Report published 8 January 2013 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 7 December 2012, 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 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 recording and obtaining of medicine. We reviewed twenty medicine administration records (MAR) and we saw staff were recording when they had administered it. Staff explained to us that the records were audited weekly to ensure they were being correctly completed. Unused medication was returned to the pharmacist, after first being recorded in a duplicate book and this was signed by the person collecting the medication. Where medication was not required, this was recorded on the MAR sheet and where necessary, discussed with the doctor to review the need for the medication and if the medication should cease.

We saw there were various checks in place to help ensure the safe administration of medication. For example the medicines were dispensed by the pharmacist who put them in a monitor dosage system (This was a separate pot which contained all the medication given at a specific time and day). The manager explained that the staff who administered medication were all suitably trained. We also saw that staff had access to information about the medication they administered. At the time of our visit one person self-administered their own ointments. We saw in peoples care plans an assessment had been made about their capacity to manage their own medications. Medication was stored securely. The home had one treatment room, where general equipment and the controlled medication was stored. Otherwise people had small individual lockable medication cabinets in their bedrooms. The key to the individual medication cabinets was the responsibility of the person leading the shift. Staff said this system helped to minimise the risk of the wrong medication being given out and helped with providing a more individualised service. For example, they could give morning medication out when the person was having breakfast in their own room.