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The Hollies Requires improvement

Our latest inspection of The Hollies, published on 13 August 2014, showed it was meeting all the required standards.
All reports

Inspection report

Date of Inspection: 26 January 2011 and 20 October 2012
Date of Publication: 27 May 2011
Inspection Report published 27 May 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

The procedures in place for the administration of medicine are working to keep people safe; however care plans to support those procedures, and give guidance to staff needs to improve.

User experience

We did not observe medication being given to people during our visit, and most of the people we spoke to were not able to give us any information relating to their medication.

Other evidence

Medication Administration Record sheets (used to record when people are given or receive their medication) showed that staff were following the medication procedures and recording relevant information. We also saw that important information about the person who was receiving the medication was recorded, and was available to the staff member administering the medication at the time that they gave the person their medication. We saw the facilities at the care home for storing medication, and these were safe and secure.

We looked at four people’s personal files and care plans. One person had a care plan for the administration of ‘as required’ (PRN) medication. The care plan said, “to use de-escalation techniques,” this was to be used before the administration of the medication, and if successful would mean that the medication would not need to be administered. However the care plan did not identify what these de-escalation techniques were, or how they might be used. It also did not say if any of these techniques had been particularly successful, and therefore which should be used first.

In their Provider Compliance Assessment the Hollies said, “all prescribed medication is provided by a local pharmacy. A robust system is in place to ensure that stocks of medication are available and also to ensure that stock piling does not take place. As required medication (PRN) is documented and highlighted on a Medication Administration Record sheet. PRN medication is kept separate from every day medication and is checked and accounted for per shift. The Hollies ensure that staff attend regular medication training. Staff medication training is within legislation of the Medicines Act 1968.”