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Archived: Addaction - Cornwall

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Inspection report

Date of Inspection: 2, 3, 8, 9 January 2014
Date of Publication: 11 February 2014
Inspection Report published 11 February 2014 PDF | 95.92 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 January 2014, 3 January 2014, 8 January 2014 and 9 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 staff, reviewed information given to us by the provider and took advice from our specialist advisors. We were accompanied by a specialist advisor.

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 reviewed the Addaction clinical protocols folder (accessible for all workers through the Addaction Intranet) and saw a wide range of protocols and guidelines around specific medicines, risk assessments, prescribing, non-medical prescribing, analgesia in opiate substitution therapy (OST) clients, and clinical audit. Specific medication policies were thorough. These covered various aspects regarding the management of medication. For example the service had a general medication policy covering storage, administration and disposal. There were also policies regarding the management of controlled medication and the prescribing of medications such as Suboxone and Methodone.

We inspected the treatment rooms at Trevint House (Truro) and Gwilleans, (Redruth). The rooms, including equipment and surfaces, were all in good condition and clean. Medication refrigerators were in good condition with a completed daily temperature record. Vaccines kept were all within expiry date. Anaphylaxis packs were stored near the refrigerator and contents were in date. A protocol to use anaphylaxis packs was pinned to the notice board in each treatment room.

The provider might like to note that ‘Sharps’ boxes were not signed and dated when they were assembled. This was important should there for example be a needle stick injury.

We inspected the needle exchange facility at Redruth. We judged the facility was clean, well- organised and records were in order. We noted at Redruth there were detailed written protocols for managing body fluid spillages and an accompanying emergency kit for spillages.