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Two Cedars Residential Care Home Good

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Inspection report

Date of Inspection: 13 December 2013
Date of Publication: 9 January 2014
Inspection Report published 09 January 2014 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 13 December 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and 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.

Reasons for our judgement

When we arrived at the home a senior member of staff was in the process of administering morning medication. They came to the door to greet us and we saw that they had locked the medicines trolley. In addition we saw ointments and creams stored in a locked cupboard upstairs and a separate room with a locked cupboard for the storage of controlled medicines, although nobody had been prescribed them at the time of our visit. Medicines that needed to be stored in the fridge were kept in a locked cupboard at the correct temperature. This meant that medicines were stored safely.

Medicines were prescribed and given to people appropriately. We saw a senior member of staff administer medication to five people who gave their consent for us to observe the procedure. These included oral medication, eye drops, eye ointment and an inhaler. The member of staff explained what each medicine was for and ensured that people were in the correct position to receive it such as tilting their head back for the eye ointment and sitting upright to take oral medicine. They attached a spacer device to the inhaler so that the person could take it more effectively.

We asked people if they were happy to take their medication and if they knew what it was for and the people we spoke with told us they did. This meant that people made informed choices about their medication.

The member of staff explained that they had received medication training and done their NVQ level three. They correctly explained the procedure for giving as required (PRN) medicines. The manager told us that staff were put forward for training once they had sufficient experience of working at the home and if they felt it was appropriate. This meant that staff were appropriately qualified to administer medicines.

The member of staff we observed washed their hands after administering eye medication and used a no touch technique to dispense tablets to ensure that the correct hygiene practices were followed. They explained that gloves were used and disposed of when they administered topical creams and that each person had their own cream.

Appropriate arrangements were in place in relation to the recording of medicine. Once each person had taken their medicine the member of staff signed in the correct space on the Medication Administration Record Sheets (MARS). We saw that these were up to date and contained photographs and room numbers of people. The procedure for documenting PRN medicines was documented in the MARS sheets and in the care plans we looked at. Codes had been correctly applied to indicate when medication had not been given.

The home used the pharmacist's Monitored Dose System (MDS) for ordering medicines and we saw that unused medicines had been returned to the pharmacy. This meant that the home used the correct procedure for ordering and disposing of medicines.