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Caterham Domiciliary Care Agency Requires improvement

All reports

Inspection report

Date of Inspection: 21 March 2013
Date of Publication: 18 April 2013
Inspection Report published 18 April 2013 PDF | 84.8 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 21 March 2013, 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 sent to us by commissioners of services.

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

We reviewed all of the information we held about this agency before we did our inspection and this did not raise any concerns in this outcome area.

We spoke with two people using the service and two relatives; we also spoke with four staff and the manager to assess compliance.

The people we spoke with had some support to make sure they took their medication on time and as their doctor prescribed. They were happy with this arrangement and said their medicines were given out safely. One person commented, “I have tablets which the staff look after for me. They bring them to me when I need them and a glass of water. I can’t refuse my tablets I have to take them to make sure I stay well. The staff make sure I have taken them.”

The relatives we spoke with told us they were happy with the arrangements for medication and they felt people received their medication safely.

The staff we spoke with told us they had received training on the safe administration of medication and they said this had recently been updated. They were clear about the process for administering medication and for recording what medicines people had taken. They knew people had a right to refuse medication and said they would record this and let the senior know if this was a regular occurrence. The senior support worker told us they went to all of the supported living houses to check the medication administration records (MAR) to make sure they were fully completed. The senior said the agency were identifying gaps on MAR charts and were identifying the staff responsible.

We saw a letter which had been sent to a member of staff who had not completed the MAR sheet accurately and this invited the person in to the office to explain their actions. It also warned that disciplinary action may be taken unless there was an improvement in practice. This showed that the agency were checking to make sure medication was safely administered and appropriately recorded, and that they were taking action to make sure appropriate standards were maintained.

We saw there were very clear policies and procedures in place about the safety of medicines. These offered guidance and information to staff about covert medication administration; the safe storage, administration and disposal of medication and there was information on frequently asked questions. This meant staff had access to information they needed to help them handle medicines safely.