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Archived: 16 Brimley

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Inspection report

Date of Inspection: 8 April 2013
Date of Publication: 3 May 2013
Inspection Report published 3 May 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 8 April 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.

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 spoke with two people who used the service but their feedback did not relate to this standard. The provider / manager told us that the service only provided support with medicines to one person. The other two people who received support for the service were able to manage their own medicine regimes.

We looked at the medicines policy. This was called Medication Administration in the Community (Domiciliary Care Services) and had been implemented by the provider 12 July 2013. The policy stated that assistance with medicines was only provided after written consent had been provided and the support was part of the person’s care plan. It also stated that a named healthcare professional would have provided a written list of medicines and that all care workers would have updated their medication awareness training on an annual basis. The policy also stated that as part of the care assessment process, the level of support a person needed had to be agreed and could be one of four categories. Support ranged from help ordering and collecting prescriptions (level one) up to total medication management and direct administration (level four).

We asked about the arrangements that were in place for the person supported with their medicines. We saw that a medication assessment had been completed and the person had signed their agreement and consent to receive support. We looked at the medication record forms. Details on the form regarding the person’s medicine regime had been completed by the provider / manager and not by a healthcare professional. Medicines were supplied by the chemist in packets and the provider / manager was removing the tablets and placing them into different compartments in a weekly medicines box. The provider did not have appropriate arrangements in place for recording or administrating medicines.

The provider / manager had completed an awareness of the principles of safe handling and administration of medicines in July 2011 and a refresher course in July 2012. The carer had not received any medicines training since 2011. The provider / manager told us that for most of the time they supported the person with their medicines however the previous week the carer had been solely responsible for the person’s support as the provider / manager was away.