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Archived: Steps Care Limited

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Inspection report

Date of Inspection: 27 February 2014
Date of Publication: 20 March 2014
Inspection Report published 20 March 2014 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 27 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

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

Reasons for our judgement

We spoke to the staff and the manager about the management of medicines. All medicines arrived at the shared home in a dosage system and were booked in by the staff member on duty. These are then signed and dated by the staff member.

The staff member spoken with explained that the agency do not administer people’s medicines. People are only prompted to take medicines. For example the dosage packet is taken to the individual who pops the medicines out of the dosage packet and take it themselves.

The Medication and Record Sheet (MAR) is hand written and signed by the staff after the person take their own medicines. The staff signed to say that medicines are taken, “as per blister (dosage) pack”. This showed that people receiving assistance and/or prompting with medicines were receiving their medicines when they needed them and in a safe way.

The agency had updated and produced a policy and procedure on medicines as requested from the previous inspection. This policy and procedure showed clear information for staff on the safe storage, delivery, review and administration of medicines.

The staff member we spoke with about the policy and procedure had a clear understanding on what was expected of them when handling medicines. This staff member also confirmed that they had completed medicines training.

Each care plan we looked at held detailed information about people’s medicines and any side effects the staff needed to monitor. Any changes made to medicines were recorded and signed by the person making these changes, for example, a GP. This helped to ensure people received the medicines to keep them healthy.