You are here

Archived: Oaken Holt House Nursing & Residential Home

The provider of this service changed - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 2 November 2012
Date of Publication: 28 November 2012
Inspection Report published 28 November 2012 PDF | 83.05 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 2 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 protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

Appropriate arrangements were in place in relation to the management of people's medicines. We looked at medication practice in the nursing part of the home. A detailed policy was in place for staff to refer to for guidance. It was kept in the folder with medication administration records, for ease of access. It covered all necessary areas such as ordering, storage and disposal of medicines. Samples of staff signatures and initials had been obtained. This is a good practice which helps when auditing records.

Medicines were kept secure and the keys held by a senior nurse. We saw people's medicines were stored appropriately and safely. The room was fitted with air conditioning to keep medicines at optimum temperature. We looked at the medication administration records for 13 people. All records were up to date with initials alongside prescribed dose times. This showed people received their medicines regularly and as intended by their doctor. Separate record sheets were maintained to show when creams had been applied. There was a lockable medicines fridge for storage of items which needed to be kept cool, such as eye drops. Staff had written the date of opening on each medicine to make sure it was used within the optimum time since opening.

We checked some of the controlled drugs. The quantities in stock tallied with the recorded balances. We saw appropriate arrangements were in place for the storage, recording and disposal of controlled medicines. This ensured they were handled safely.

We saw two examples of people prescribed ''as required'' medication to calm them. There were individual protocols in each of the care plan files to explain what the medication was used for. There was also guidance on what signs or symptoms to look out for. We checked the medication administration records to see how often staff were administering the medication. It had not been used at all in the previous four weeks for one person. For the other person, it had been given on three occasions in the previous four weeks. This showed us staff only used the medication when it was absolutely necessary.