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Inspection report

Date of Inspection: 20 March 2013
Date of Publication: 25 April 2013
Inspection Report published 25 April 2013 PDF | 189.35 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 20 March 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

The provider had an administration of medicines policy in place which had been reviewed by all staff. The provider informed us that people’s medication needs were assessed when the contract was established. People’s ongoing medication requirements were reviewed as part of the regular checks carried out by the provider. There was guidance in the policy about homely remedies and the support for administering medication had been risk assessed. For example, we saw that low risks had been identified for a person who self administered but maybe could not open the container themselves. Some people were medium risks and were reminded to take their medication.

The staff that we spoke with were clear about their responsibilities. They told us they were not permitted to be involved in supporting people with their medications if they had not received appropriate training. Staff told us that they documented all medication related activities. For example, they recorded when they handed the person their blister pack or if the person had refused to take their medication. Staff told us they would report any concerns related to medication to the manager.

In one care record that we reviewed we saw that medication had been appropriately recorded. All entries had been initialled by the careworker when the medication had been administered. There was a coding system in place which meant that if the person had refused the medication that was recorded or, if the careworker was not visiting that day the record was complete. This ensured the person’s safety and well-being in the management of their medication was protected.

Medicines were kept safely. This was recorded in the care plan which stated where the medicines were located and how they were to be stored.

Medicines were disposed of appropriately. There were arrangements in place for the pharmacist or a family member to dispose of unused or out of date medications. There were details in the care plan when this was required.