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Archived: Haringey DIP

Reports


Inspection carried out on 24 January 2013

During a routine inspection

We had conversations with two people using the service, and they spoke highly of the support provided to them. Their comments included �They hit the high marks on everything,� and �When I tell everybody about this place they can�t believe how quickly I was seen.�

People were satisfied that their privacy was respected and that they were treated with respect. They said that they were offered choices about the support they received, and their concerns were taken seriously by staff. They spoke highly of the support provided by their key workers, and were provided with information about other relevant services available to them. The project premises were clean and suitable for the use of people using the service.

Staff were appropriately skilled, trained and supervised effectively, and there was effective team working in place in the interests of people using the service. Appropriate quality assurance procedures were in place to look at ways of continuing to improve the service provided including further involvement of people using the service.

During a check to make sure that the improvements required had been made

During our previous visit on 1 March 2012 we found areas of non compliance with this outcome. We asked the provider to send us an action plan detailing how they intended to address this. We had seen that orders for controlled drugs had not been signed by the doctor, and the service�s policy stated that a nurse could sign the order.

The provider informed us that they had updated their standard operating procedure to ensure that all controlled drug orders are signed for by the doctor. We saw a copy of this new procedure which clearly states that a doctor must now sign all orders. This means that controlled drugs are ordered in line with current legislation.

During our visit the provider was unable to assure us that their process for dispensing medicines to people for use when the service was not open complied with their licence from the Home Office. The provider subsequently requested this information directly from the Home Office. We saw in the correspondence copied to us that the licence they hold is a valid Home Office Controlled Drug �supply� licence and the nurses they employ can continue to supply medicines to people for use when the clinic is not open. This means that people can receive their medicines when they need them in a safe way.

Inspection carried out on 1 March 2012

During a routine inspection

We spoke with four people using the centre, and they spoke highly of the support provided to them. One person said �it�s excellent � ten out of ten,� and another advised �I�m quite happy with the service.�

People were satisfied that their privacy was respected and that they were treated with respect. They felt that they were offered choices about the support they received, and their concerns were taken seriously by staff members. They spoke highly of the support provided by their key workers.

The premises were clean and hygienic, with appropriate health and safety measures in place. Staff were trained and supervised effectively, and appropriate quality assurance procedures were in place to look at ways of continuing to improve the service provided.

However we had concerns regarding two particular aspects of the service�s procedures for providing people with prescribed controlled medicines.