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Archived: HRGO Recruitment Ltd - Healthcare Division

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Inspection report

Date of Inspection: 21 November 2012
Date of Publication: 13 December 2012
Inspection Report published 13 December 2012 PDF | 94.77 KB

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 21 November 2012, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

Our judgement

People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.

Reasons for our judgement

We looked at this standard because we found that appropriate arrangements were not in place in relation to the recording and handling of medicines.

Medication care plans in three of the records we saw stated that the people were administering their own medication. From talking to the three people using the service and a support worker we found that staff had been administering their medicines for some considerable time. The three people we spoke with were confident that they were receiving their medication in accordance with their doctor's instructions. Two people said, "The carers take my medicines out of the dosette box, hand them to me and I take them" and "The carers take it out of the blister pack and I check that it is correct before I take them." The third person confirmed that the support workers administered their medication. Although the three people's care plans had been reviewed this change had not been recorded.

We found that pain relief for one person was regularly being dispensed from a bottle and left in the fridge, or on a table, for the person to take later. No risk assessment had been undertaken to ensure that it was safe to do this.

These shortfalls in the standards of safe management of medicines, potentially placed the health and welfare of people using the service at risk of harm. The coordinator explained that due to the nature of the complex needs of the people they provided support to, they had found it time-consuming to hand write all the support plans. They were currently transferring from handwritten support plans to electronic ones, which would speed the process up. The provider acknowledged our concerns and told us that they would ensure that the coordinator had the resources available to ensure that care plans and risk assessments were reviewed and updated as a matter of priority.