You are here

All reports

Inspection report

Date of Inspection: 5 December 2013
Date of Publication: 28 January 2014
Inspection Report published 28 January 2014 PDF | 83.31 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 5 December 2013, talked with people who use the service and talked with carers and / or family members. 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 saw training records that demonstrated that staff had appropriate training in regard to the recording, handling and administration of medicines. We were informed by the service manager that all staff were due to retrain as the medication policy for the borough was changing.

The decision in regard to if a person required prompting or actual administration of medication was changing. The manager gave us an example, stating, “If a person was on Warfarin, but not stable, the district nurses will administer this until the person was stable.” (Warfarin is a blood thinning medicine).

Medicines were prescribed and given to people appropriately. One care worker we spoke with informed us that at the initial assessment the person was assessed in regard to their ability to take their own medication. We were also advised by the care worker that, “Mostly people need a prompt only; we don’t want to take away from them anything they can do.”

Appropriate arrangements were in place in relation to obtaining medicine. We were informed by the manager that care workers could collect prescribed medicines from the pharmacy as needed. The manager informed us, “Most people come out of hospital with medicines in blister packs.”

We were advised that to ensure that medicines were safely administered reablement assessors checked the medication administration record sheets (MAR sheets).

One care worker explained that if they saw there had been any medicine errors then they would, “Log it, and log on case notes, and call the GP for advice, also inform my line manager”.