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Archived: The Providence Projects - Percy

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Inspection report

Date of Inspection: 6, 7 August 2013
Date of Publication: 7 September 2013
Inspection Report published 07 September 2013 PDF | 87.42 KB

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 6 August 2013 and 7 August 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

People were protected from risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

Appropriate arrangements were in place in relation to obtaining medicines

There were different arrangements in place for obtaining people’s medication depending on their risk assessments and at what stage they were at of their treatment programme.

We spoke with 13 people and eight of them told us that on admission to the treatment programmes they spent a large proportion of their first week in the process of detoxification. They said that during this period they were prescribed medication by the GP who worked closely with The Providence Projects. This medication was to help them manage the risks and physical symptoms associated with their withdrawal from the substances they had used. They told us their prescription and their medication was obtained by staff.

Appropriate arrangements were in place in relation to the recording of medicines.

We saw that medication administration records (MAR charts) were kept for medication that was collected on behalf of people and also given to them by staff. We noted there was a picture of the person concerned with the MAR chart, the quantity of medication received was recorded, as was the amount given and when and the balance remaining.

There was a system in place for handing over the responsibility for managing and administering medication among staff each week. The records showed that the balance of medication held was checked at each handover.

Medicines were handled appropriately and were safely administered/given out.

The provider had a comprehensive policy and procedures about medication. It set out among other things how medication was ordered, received, stored, handled, recorded and disposed of.

We observed three people who were going through the process of detoxification being given their prescribed medication staff. We noted that staff checked the identity of the individual concerned. Staff also made sure liquid was available to assist the people swallow their medication. They then checked the person had taken their medication before they completed the relevant MAR chart.

We spoke with three people who had progressed in their treatment programme and were taking medication such as an anti-depressant and subject to a risk assessment could collect their own prescriptions and self-medicate.

One person told us they were in the fourth week of their treatment programme but as a result of the outcome of their risk assessment did not manage their own medication.

We also spoke with three staff who were among a group whose responsibilities included managing and giving people their prescribed medication. They told us they had undertaken relevant training. Staff records we looked at confirmed this.

Medicines were kept safely.

We saw that medication was stored securely and appropriately. The facilities comprised a metal cabinet with an inner safe and it was fixed to a wall. The cabinet was located in a room that was locked when medication was not being administered.