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Inspection report

Date of Inspection: 11 August 2011
Date of Publication: 20 September 2011
Inspection Report published 20 September 2011 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

Our judgement

There were appropriate arrangements in place for obtaining, recording, handling, using, safe keeping, dispensing, safe administration and disposal of medicines.

User experience

No service users were spoken to regarding this outcome.

Other evidence

The manager told us that medicines were now handled safely, audited and securely stored. We saw records of daily medication audits that had been introduced and that the medication administation records (MAR) were being completed appropriately, specific codes were being used for as and when, required medicines.

The manager told us that all service users prescribed medicines had been reviewed by their own GP. Many “as required” medicines had been discontinued because they were no longer needed.

The manager showed us that all the recommendations made by a recent visiting PCT pharmacist audit/report had been complied with.

There were medication guidance and safeguards in place, which were monitored and reviewed.

Any prescribed medication were given to people safely. All staff had been properly trained to manage, handle and administer medication safely. This included monitoring the effect of people’s medicines, potential side effects and any adverse reactions.

Staff had been appropriately trained to administer midazalam safely; this is an epileptic rescue drug

There were procedures in place for recording and reporting adverse events, drug reactions, incidents, and errors. Stringent procedures were in place should any controlled drugs be prescribed.

On the day of the inspection, a nurse practitioner was visiting the home, and was providing the manager with support and guidance regarding associated medication risk assessments. She arranged to revisit the home to assist with implementing specific risk assessments linked to certain medicines.

The providers systems complied with the requirements of the Medicines Act 1968 and the Misuse of Drugs Act 1971, and the safe Management of Controlled Drugs Regulations 2006.