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Archived: Home Instead Senior Care Also known as Silver Lining Care Services Limited t/a Home Instead Senior Care

This service is now registered at a different address - see new profile

All reports

Inspection report

Date of Inspection: 14 January 2014
Date of Publication: 11 February 2014
Inspection Report published 11 February 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 14 January 2014, 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, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

We spoke with the owners, the registered manager, two health care professionals, three relatives and a family friend.

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

Medicines were handled appropriately.

Staff had undertaken training in the safe administration of medicines. This consisted of an updated six hour course which had recently been introduced by the agency. We looked at the programme and saw that the training was in-depth and comprehensive – the content covered theory and practice and staff completed a workbook. This meant that staff received appropriate training in medication practices and procedures.

Staff we spoke with were clear how procedures were followed. The agency had a suitable medication policy in place. They used a 'traffic light’ system which directed staff as to how much support a person needed with their medication. We saw that this information was clearly written on records and staff had a personal copy of the system should they need to refer to it. We were told that staff only supported people with their medicines from a measured medication administration system that had been prepared and checked by the pharmacy. One person we visited in their own home required their medication to be given in liquid form via a specialised feeding tube. Care staff supported this practice and told us they had received training in this and had a good knowledge of what was required.

We saw that any errors in medication were reported to the office, the appropriate people notified and the correct action taken to prevent a reoccurrence.

We looked at the medication records in two of the homes we visited. We found that there were clear medication administration records in place and that these had been completed appropriately, with the exception of one person. The provider might find it useful to note that staff told us this person regularly had a prescribed cream applied by care staff, but there were no records to confirm this.