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Archived: White Lodge Rest Home

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Inspection report

Date of Inspection: 2 November 2012
Date of Publication: 27 November 2012
Inspection Report published 27 November 2012 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 2 November 2012, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. Staff were trained and knowledgeable about the importance of medication and there were robust systems in place to check and monitor the appropriate administration of medicines.

Reasons for our judgement

Appropriate arrangements were in place in relation to obtaining medicine. We found that the home had policies and procedures in place to support the safe custody, recording and administration of medication. We looked at records for all people living at the home and found evidence of good record keeping and procedures for obtaining medications for people. All medications were checked on delivery to the home and a record made on the medication administration records (MAR) sheet. Any concerns were notified to dispensing pharmacy as necessary and a record made. There was adequate storage space for medications.

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

An audit of medication had been undertaken by the manager just prior to our inspection and changes required had been put into place. We looked at 20 people’s MAR charts who lived at the home. We found them to be well maintained and no omissions or gaps in records. There were appropriate measures in place to record if people refused any medication or it had not been taken that day. We saw examples of these records being made the day of our visit. Each person’s MAR sheet had their room number and their known allergies printed on them which had been a result of the medication audit performed two days prior to our visit. This meant that staff knew immediately if anyone had a known allergy to any medicines.

Medicines were prescribed and given to people appropriately. The home kept a record of all health professional visits to people. There was also a record of any telephone conversations made and the outcome of any changes to people’s medication. We were told that any changes to people’s medication was recorded and the appropriate changes made by health professions to their MAR sheet. The manager and head of care were both very knowledgeable about people’s medication especially those for mental health problems and had ensured the appropriate health professionals were contacted if any issues occurred. The provider had ensured that people’s prescriptions were up to date and reviewed by the appropriate professionals.

Medicines were kept safely. The home had a number of cupboards for the storage and safe keeping of medicines. There was an external medications and an ‘as required’ medicines cupboard, daily MDS cupboard and a controlled drugs cupboard. We looked at the medicines stored in these cupboards and found that they were clearly labelled and in date. They had been noted when opened in the case of externals topical creams and as required medicines. There was also a locked fridge for those medicines requiring storage at fridge temperature. We were shown the records that the fridge temperatures were being recorded on a daily basis.

Medicines were safely administered. We looked at the Medication Administration Records (MARS) of all the people who lived in the home and found that all administration had been signed for as required. Any refusals or non administrations were also duly recorded with the correct coding for the system used. We saw medicines being administered correctly to people in the home and staff ensured they had been taken by the person before signing the record sheets as per their procedure. The meant that people received their medicines at the times they needed them and in a safe way.

Medicines were disposed of appropriately. Any medication refused by people, dropped or not given were individually wrapped in a polystyrene bag and labelled as to date found or not given. These were stored in the home’s externals drugs cabinet. These were returned to pharmacy for disposal at the end of each month and appropriate records kept.