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Archived: Cedar Lodge Care Home Ltd

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Inspection report

Date of Inspection: 11 February 2013
Date of Publication: 2 March 2013
Inspection Report published 2 March 2013 PDF | 79.02 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 11 February 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 protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

We found that medicines were prescribed and given to people appropriately. People told us the staff gave them their medication, “That’s fine with me as I might forget it”. Another person said the staff, “Look after the tablets and give them to me when they are due. I am happy with that”. Another person said, “I manage my own medication. The staff bring them every month and I have never run out”.

People told us they were aware of the medication they took and what they needed them for. People said, “I always get my tablets on time”. People told us, “The staff stand and see you take them”. Another person said, “I have my tablets after food. They are to keep me going”.

Staff spoken with told us they had received training for the administration of medication. Records seen confirmed this. Staff told us the process they followed for the administration of medicines. This matched the information in the provider’s medication policy.

We saw that there were appropriate arrangements in place for obtaining, recording, handling, safe keeping, safe administration and disposal of medicines. We saw that staff recorded medicines received and administered on the medication administration record (MAR). The provider may wish to note there was no record of staff signatures to enable them to identify staff signatures on the MAR. We saw there was one gap on one MAR where there was no signature for one medicine. The registered manager told us this medicine had been given as the cassette was empty when they changed them over that morning. We looked at this cassette and saw that it was empty. This meant that the staff had not signed this MAR after they had given this medicine.

Records showed that the registered manager audited boxed medication every week to ensure that the medicines were being given as prescribed. We did some random audit checks of medication and found them to be correct. This meant that people received their medication as prescribed by the prescriber.

We saw that medicines were stored securely in locked cabinets, this included controlled medicines. We saw that the keys to these cabinets were held by one of the staff at all times for safety. Records showed that the temperature of the medicine refrigerator was being checked and recorded each day. This ensured that the medicines were being stored within the range recommended by the manufacturer. The provider may wish to note that there were no records of the temperature of the two rooms where other medicines were stored.

We saw records of medicines that were returned to the pharmacy for disposal. We saw that controlled medicines returned had two staff signatures. We saw that the pharmacy stamped these records upon receipt of the medicines. This meant that there was a complete audit trail of all prescribed medicines for people to ensure that they were managed safety.