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Inspection report

Date of Inspection: 2 May 2013
Date of Publication: 30 May 2013
Inspection Report published 30 May 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 2 May 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

Appropriate arrangements were in place for all aspects of medicines management. Those included procedures for obtaining, storing, administering and monitoring people’s medicines. We found that systems were followed by staff which ensured people’s medicines were handled safely.

Appropriate arrangements were in place in relation to the recording of medicine. We found that the medication administration records demonstrated that people received their medication as prescribed. We checked the balances of medication and found this to be accurate with what had been administered. Records were held of samples of staff signatures to enable them to identify staff signatures on the medication records.

Our inspection on 3 January 2013 had found that staff prepared medicines in the upstairs office and then insecurely carried them through the home to administer to people, which meant that they were not handled in a secure way to protect people. During this inspection we found that the provider had purchased a medication trolley, which was taken into the lounge area when staff administered medication. The provider had also purchased a controlled drugs cabinet and a medication fridge. This meant that all medication is stored securely at all times.

We saw that protocols were in place for when people should be given their ‘as required’ medication. These are medicines that are administered if and when needed. There were clear instructions for staff to ensure that they understand when the medication should be given and the dose that should be administered. This meant that arrangements were in place which ensured that staff took a consistent approach when offering or administering such medication to individuals.

The records we looked at contained some information about what medication people were prescribed. Specific information was recorded for one person about the way medication should be administered and this person’s consent had been obtained. However this information was not available for all the people that live in this home. The provider may find it useful to note that staff should have access to specific information about people’s needs and preferences in relation to their medication.

Staff we spoke with told us they had received training for the administration of medication. Records seen confirmed this. We found that staff were now being observed to ensure their practices were safe. This would ensure staff have the skills to administer medication appropriately.