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Archived: Abbeywood Outstanding

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Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 26 July 2013
Inspection Report published 26 July 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 3 July 2013, 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

Medicines were handled appropriately.

We saw there were policies and procedures in place for the management of medicines. These included for example, a process for ordering and receiving medicines, a homely remedies policy, a covert administration of medicines policy and a self-medication policy.

We talked to staff about "as required" medicines they demonstrated a good understanding of this procedure and were able to describe when "as required" medicines had been used. They were able to show us people's care plans regarding their medicines and the individual's "as required" medicines instructions. This meant the service had ensured there were appropriate systems in place to manage medicines.

We looked at the clinical/medicine storage which contained people's medicines, controlled drugs and medicine fridges. We found storage rooms to be locked and secured appropriately whilst staff were away from the vicinity clinical of the rooms. We also noted medicine trolleys had been secured to the walls whilst not in use. We checked the medicine fridges; these had been kept at the appropriate temperature and records showed temperatures had been checked every day. These meant medicines had been stored appropriately and securely.

Appropriate arrangements were in place in relation to the recording of medicines.

We looked at Medication Administration Recording (MAR) sheets and we saw these did not contain any gaps in staff's signatures. This indicated people had had their medicines as prescribed by their doctor. We looked at the controlled drugs cabinet and saw that it was in accordance with controlled drugs regulations and guidance from the Royal Pharmaceutical Society of Great Britain legislation.

We looked at the controlled drugs recording book. We checked the recorded amounts against the actual amounts of controlled drugs in stock and found these to be correct. We also noted two staff members had signed each entry. We also saw records indicating regular controlled drugs audits had been completed. This meant there was a robust system in place for checking controlled medicines.

We asked staff members about the procedure for checking medicine administration had been properly recorded. Senior staff told us medicine administration had been checked after each medicine round to ensure that any errors had been identified. We saw records that confirmed what we had been told. We were also told a senior member of staff had the responsibility of spot checking these records to ensure staff followed procedure. This person confirmed what we had been told.