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Inspection report

Date of Inspection: 27 April 2011
Date of Publication: 28 June 2011
Inspection Report published 28 June 2011 PDF | 110.55 KB

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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 reviewed all the information we hold about this provider, carried out a visit on 27/04/2011, checked the provider's records, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People had been given their medicines at the times they needed them and in a safe way and practice had followed procedure except in one instance, which had since been remedied.

User experience

People we spoke to said they had been very satisfied with the arrangements for handling their medication and they said they had not wanted to take charge of it for fear of forgetting to take it or taking it incorrectly or at the wrong time. They said they had been given their medication appropriately as far as they could remember.

Other evidence

In April the provider submitted a PCA document to the CQC which described how the home was compliant with the outcome and all of the elements that formed the outcome. The PCA was in the provider's own format and it stated that the home had been compliant. It gave a fairly good account of how medications are well handled.

We checked the storage and administration of medication and looked at the medication administration record (MAR) sheets. We found that storage was in a locked medication trolley in a locked cupboard and that there was also a lockable fridge for storage of medicines needing to be kept cold. There had been some controlled drugs stored and administered in the past but there had been none recently. A controlled drug cupboard and register were available. There was also a returns system and record used for any unused or refused medicines.

The rest of the medication had been administered from a monitored dosage system. We observed staff administering medication and found they had followed procedure and had given it to people safely. The MAR sheets had been accurately maintained.

There had been a complaint made in October 2010 about psychotic medication not being given five consecutive nights in a row for one person, which had been investigated by the ERYC and had been 'upheld'. The reason given for the person not getting this medication was because she had been asleep when staff went to give it. The home staff had been made well aware of the importance of and procedures for ensuring people got their medicines as prescribed and had changed their practice to follow procedure.

The training record showed that the unregistered manager, eight staff and the cook had completed a medication administration handling course in the last two years and one of the staff confirmed this in interview.