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The Hydro Domiciliary Care Agency

All reports

Inspection report

Date of Inspection: 16 April 2013
Date of Publication: 11 June 2013
Inspection Report published 11 June 2013 PDF

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Not met 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 16 April 2013, checked how people were cared for at each stage of their treatment and care and talked with carers and / or family members. We talked with staff, reviewed information given to us by the provider and talked with other authorities.

Our judgement

People were not always protected against the risks associated with the unsafe use and management of medicines. This was because the provider did not always have appropriate arrangements in place for the safe administration and recording of medication.

Reasons for our judgement

There were appropriate arrangements in place in relation to obtaining, handling, storing and safe keeping of medicines. We saw that people using the service had an assessment of their needs regarding medicines. This included a risk assessment of their ability to safely manage their own medicines. Where people needed support with medicines, this was included in the risk assessment, including how medicines should be obtained and stored.

Medicines were not always properly recorded and there was a risk that some medicines were not correctly administered. We found there was no protocol in place for one person who had medication prescribed ‘as required’ to support them with managing their behaviour. This meant that the person might not get the medicine when they needed it. Protocols should be used when medicines are prescribed to be used ‘as required’. The protocols provide staff with information about when and why the medication might be required, and the doses that could be given.

We looked at the medication administration records (MARs) for two people using the service. We found that some MARs had the instructions handwritten by staff. The instructions had been signed by the member of staff who had written them, but not countersigned by another staff who had checked them as correct. This is recommended as good practice to ensure people are given their medicines according to the prescriber’s instructions. We found that there were some gaps on the MARs. This meant it was not clear if the person had been given the medicine or not. Staff administering medication must sign the MAR or use a code letter to show why the medication was not given.