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Archived: Elysian House Good

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Inspection report

Date of Inspection: 2 January 2014
Date of Publication: 16 January 2014
Inspection Report published 16 January 2014 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 January 2014, talked with staff and reviewed information given to us by the provider.

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

At our last inspection of the service we found that records of people’s medicines were not always accurate and arrangements for the safe storage of medicines were inadequate. We asked the provider to make improvements.

During our inspection on 2 January 2014 we found that arrangements for the management of people’s medicines had improved. Accurate records of medicines were kept and there were appropriate arrangements in place for the safe storage of medicines.

We reviewed the records of five of the nine people using the service on the day we visited. These showed that four of the five people had been given written information on their rights and responsibilities whilst using the service. The list of responsibilities included people’s responsibility to keep their medicines in locked cabinets provided in their rooms and to keep their door locked when they were not in the room. They were further required to inform staff when they brought over the counter medicines into the service. We saw that rights and responsibilities forms had been signed by people to show that they understood how to keep their medicines safely.

Records showed that an assessment had been made of each person’s capability in respect of managing their own medicines. We saw that people had medicine support plans in place that corresponded with the outcome of their individual capability assessment. We noted, however, that one person’s medicine support plan needed updating following a recent change in medicine management arrangements. The service manager confirmed this would be done immediately. The medicine support plans made clear whether the person was self-medicating or received their medicines from the Crisis Resolution Home Treatment Team.

The local operating procedure for medicines management had been revised by the provider. The procedure we saw, dated October 2013, stated that staff were to ensure that medicines of those people able to self-medicate were kept safely in a locked cabinet in their bedrooms. Staff carried out two hourly checks of the environment which included checks to ensure bedroom doors were locked when people were not in their rooms. We saw records that confirmed these checks were taking place. This ensured that other people would not be able to enter the rooms and access medicines, if they had not been safely stored.

We saw that summaries of people’s medicines were kept up to date and indicated the type of medicines and how many tablets they had in their possession. When people’s medicines changed this was recorded. Records showed that staff carried out spot checks of people’s medicines to confirm that summaries of medicines were correct. This ensured the service had an accurate record of people’s medicines.