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Inspection report

Date of Inspection: 26 October 2012
Date of Publication: 8 December 2012
Inspection Report published 8 December 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 26 October 2012, 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.

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 kept safely. We saw that all medicines were locked and stored appropriately. We found that controlled drugs (CD) were kept in a secure cabinet. The medicine room was locked at all times and staff had keys to open the room and the cabinet when needed. We saw that daily checks were being carried out to ensure that the fridge and room temperature were appropriate. We found that action was taken when this was not between the recommended guidelines.

Medicines were handled appropriately and arrangements were in place in relation to the recording of medicine. The senior care staff gave us detailed information about how medicines should be handled and what the different processes were. We looked at two people’s medicines and found that balances were accurate. We looked at the medicine records and saw that staff had appropriately recorded the administration of medicines. We observed staff administering medicines and found that this was carried out safely. One person we spoke with said, “I always get my medicines on time.”

Medicines were prescribed and given to people appropriately. The deputy manager said, “We only administer medicines which have been prescribed by the doctor with clear instructions.” We looked at the home’s policy, which clearly stated this information. In instances where people needed ‘as required’ medicines during the night, care staff were instructed to call the on-call doctor. We found two instances when staff had appropriately called the doctor or emergency services. We found that in one instance where a person was required to have medicines when they felt pain, the home did carry this out following involvement of other health professionals.