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Archived: Oulton Abbey Residential & Nursing Home Good

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All reports

Inspection report

Date of Inspection: 25 July 2013
Date of Publication: 17 August 2013
Inspection Report published 17 August 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 25 July 2013, 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 arrangements in place to manage medicines.

Reasons for our judgement

We looked at the way the service managed people’s medication.

We saw that medication was stored securely in a locked room on each of the two floors of the home. We saw that medication was stored securely in locked cabinets in each of the rooms. A locked trolley was used to transport medication around the home. This meant that people were supported with their medication when it was required and in places which were convenient for them.

We saw that each person who was prescribed medication had a medication administration record (MAR). We saw that a photograph of the person was attached to the MAR for identity purposes. The MAR was completed each time a person was offered their medication. The MAR also recorded when a new supply of medication had been received.

We saw a controlled drug register that was used to record the drugs that required additional safe storage. We saw that the register had been correctly completed on occasions when medication had been administered. The amount recorded in the register and the amount of drugs in the controlled drugs cabinet accurately corresponded when we checked.

Some medications required cool storage, a fridge had been provided for this purpose. The fridge was located in a locked room on the first floor. We saw that the temperature of the fridge was monitored each day and a record kept. However, the minimum/maximum temperature of the fridge was not being recorded in line with the storage of medication guidelines. The matron offered an assurance that action would be taken to ensure the guidelines would be followed.

We saw some medication (eye drops, creams and lotions) that should only be used for a certain period of time when they were in use. We saw that a bottle containing eye drops had been opened and was in use. There was no date of opening on the package or bottle of these eye drops so it was not possible to establish if they were still within their use by date. We saw some creams and lotions that were in use but the date of opening had not been noted. We spoke with the nurse and the matron who offered an assurance that action would be taken to ensure medication in use was within the use by date.

In the care records we looked at we saw that an assessment had been made that identified staff would administer medication to people. This assessment and the consent for staff to take on this responsibility had been agreed with the person and /or their representative. We spoke with one person who told us about their particular way and preference for taking their prescribed medication. The nurse confirmed this when we asked them. This meant that systems were in place for people to have medication in their preferred way.