You are here

Archived: Caremark (Barnsley)

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

All reports

Inspection report

Date of Inspection: 2 July 2013
Date of Publication: 18 July 2013
Inspection Report published 18 July 2013 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 2 July 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 spoke with eleven people who used the service and seven relatives of people who used the service. The majority of the people we spoke with did not require any assistance with medication. Of the people who did, one person told us, “they (carers) put my tablets in a glass for me ready for the morning.” Another person said, “they get my tablets ready each time, all lined up for me.” One relative we spoke with said that she provided her family member with their medication. She told us, “when I have had the sitting service, the carers have made sure my (family member) has had their tablets.” No one we spoke with had any concerns regarding medication.

The provider had a medication policy in place which was kept in the general office for staff to access. We were informed that all policies were also available to view on Caremark’s own computer system.

We spoke with six care staff members who told us that they sometimes assisted or prompted people to take their medication as part of their role. They told us that they had been trained in medication and had been subject to an observation where their supervisor had assessed their competency in handling medication. It was only after they had been assessed as competent that they were able to perform this role unsupervised. All staff said they felt confident in undertaking this duty and in recording information in the relevant medical administration record (MAR) charts.

We looked at five staff files and saw evidence that the staff had undertaken training in medication. We also saw evidence of the medication observation checks where these had been undertaken. We were advised that the competency checks would be completed within an employee’s twelve week probationary period.

We looked at care records for seven people who used the service. Where applicable, we saw there were risk management plans in place for people who required assistance with medication. We reviewed two people’s MAR charts that had been filed. We found that one person’s MAR chart had not been completed on two occasions but when we checked the daily logs for the corresponding days, the entries did give information about the medication. However, this had not been reflected in the MAR chart. Similarly, another MAR chart also had an entry omitted but relevant information was recorded in the separate daily record.

The provider may wish to note that this meant that medication records were not always completed correctly and that this information on its own was misleading and could potentially pose a risk.