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Archived: Castle Park

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Inspection report

Date of Inspection: 16, 17 April 2014
Date of Publication: 24 May 2014
Inspection Report published 24 May 2014 PDF | 90.62 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 16 April 2014 and 17 April 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information sent to us by local groups of people in the community or voluntary sector and used information from local Healthwatch to inform our inspection.

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 prescribed and given to people appropriately. We looked at three people's medication records and saw that they were completed accurately in the computerised system. We saw the system highlighted people's allergies, the time span from the last administration of a drug and alerts if there was not a sufficient time span between each administration. The amounts of medication held corresponded accurately with the record, with one exception where a high number of tablets held had been miscounted. The provider should note that when we discussed this with the manager, she was able to identify how the error had occurred although this had not been identified on her recent audit.

We saw the provider had introduced additional audits to check medication, which meant there was less room for error. We saw these audits were carried out on a daily basis by staff administering the medication and monthly by the manager. The last full audit carried out in March 2014 had developed an action plan to address any issues found.

Medicines were kept safely. We looked at the controlled drugs in use in the service and found that the record was accurate and corresponded with the amount of medicines held. They were stored securely. This meant these drugs were stored and administered according to legal requirements.

We saw that the storage of medicines was satisfactory and a random stock check showed that medicines were within their expiry dates. We saw that the medication refrigerator temperatures were recorded on a daily basis and were within safe limits and that medicines with a short shelf life were labelled with the date they were opened.

We saw training records that showed us medication training for staff administering medication was up to date and their competency to do so had been assessed. This meant staff had the relevant guidance and skills to ensure medicines were administered safely.