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Archived: Spire Liverpool Hospital Good

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Inspection report

Date of Inspection: 12 August 2013
Date of Publication: 22 November 2013
Inspection Report published 22 November 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 12 August 2013, talked with staff and took advice from our pharmacist.

We also reviewed other relevant records held by the provider.

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 had previously inspected this service on 19 June 2013 when we found non-compliance with this outcome for which a warning notice was issued. At our previous visit we found that appropriate arrangements were not always in place in relation to the recording of medicine. We found that the procedures for recording controlled drugs had not been followed. We also found that medicines were not always handled or stored appropriately .The emergency drugs box was not fully up to date and fit for purpose and some of the medicines were not stored correctly. We considered because of this that the provider had not taken proper steps to ensure that appropriate arrangements were in place in relation to the recording of medicine. We spoke to people regarding this outcome at our last visit to the service. Details of their views can be found in our report of that visit.

During this visit we found that significant improvements had been made in the management and storage of medicines. We found that medicines were handled appropriately.We found that all the policies and procedures in relation to the management of medicines had been reviewed and implemented. Medicines were prescribed and given to people appropriately. The provider showed us the updated audits and action plans that had been carried out by each team at Spire Liverpool Hospital to ensure compliance with policies and procedures for the effective management of medicines. Staff told us and records showed that they had received updates in the safe management of controlled drugs at Spire Liverpool Hospital. Staff had also received an update in record keeping including keeping clear records, any advice given and drugs prescribed.

We were shown copies of revised records that clearly documented individual medication and any advice given to the person, such as stopping medication both as part of the preoperative assessment and any post-operative medication instructions. We were also showed copies of patient information sheets given out to people who were self-medicating during their stay at Spire LiverpoolHospital.

During our visit we looked at where medicines were stored and noted that a new air conditioning unit had been installed and reviewed procedures had been put in place for best practice monitoring. We noted that new fridges had been purchased and actions were in place to respond to any temperature anomalies.

We were shown that new emergency drugs boxes were in place and that the provider had revised its resuscitation policy to ensure that staff were aware of the emergency drugs for both adult and paediatric emergencies. A new system had been put in place for checking and updating the emergency drugs box which showed us that the provider was proactive in ensuring that there were effective systems in place for the safe storage of medicines.