Archived: Raplea Care Home

We saw documentation which confirmed staff had received further training, regular medication audits were undertaken and a pharmacist had reviewed the medication practices within the home. Together these ensured staff had updated their skills and knowledge in relation to the recording and administration of medicines. This ensured appropriate actions had been taken and arrangements were in place to ensure people were protected against risks associated with medicines.

We found practices in relation to the safe use and management of medicines had improved. Medication administration records (MAR) had been completed appropriately and showed people had received their medication at the prescribed times.

People had been consulted with and their consent gained in relation to the administration of their medication in food. We were informed an appointment had been arranged with the GP the week following this visit to discuss the administration of the medicines according to the person's wishes. This was to ensure the person's medication needs were met appropriately, safely and according to their wishes.

We found there still remained some confusion over the recording of the balance of controlled drugs in stock. However, we were able to audit the controlled drugs register and found all controlled drugs in the home had been accounted for.

Robust recruitment and vetting systems were in place to ensure people were cared for by staff who did not pose a risk to those using the service.

Care plans addressed people's individual needs, were detailed, reviewed and updated regularly. People had access to healthcare professionals and specialist support to ensure they were healthy and well. The care and support was planned and delivered in line with their care plan.

Medicines were not being managed safely which had the potential to place people at risk.

Whilst the service had a robust recruitment and vetting procedure in place for permanent staff posts, the procedure was not followed for the use of temporary staff. The required pre-employment checks had not been undertaken which meant people being cared for by staff who could potentially be unsuited to work vulnerable people.

People told us they felt safe and they had no concerns about the care and support they received ''they meet my needs well, I have no complaints.'' ''It is as good as home in here.'' They said they found the staff and management approachable and knew who to speak with if they had any concerns. They told us they found the staff to be caring and polite.