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Dimensions 2 Buckby Lane Good

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 3 July 2014
Date of Publication: 19 August 2014
Inspection Report published 19 August 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 3 July 2014, observed how people were being cared for and spoke with one or more advocates for people who use services. We talked with people who use the service, talked with carers and / or family members and 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 found that medicines had been safely administered and that the medicines given had been appropriately recorded. We viewed the medication file which contained profiles of people. These profiles contained personal details and a description of any medical conditions, diagnoses or allergies. Details of the supplying pharmacy and prescribing doctors were also shown. We saw this file clearly listed the name of the medicine, the dose required, the times it should be administered, how it should be taken and any side effects. This also included medication procedures for handling medicines prescribed as required and homely remedies.

At the time of our inspection none of the people at the home were prescribed controlled drugs, although we saw the provider had a policy in relation to this. We noted there was information provided regarding the way people took their medication, for example if they needed support to swallow. We saw the provider had a system whereby the staff giving medication completed a weekly stock check. This meant there were effective processes to record the handling and administration of medicines.

Staff told us about the action they would take if a person refused to take their medication. They explained a variety of approaches they would try before accepting the person’s decision. The medication would then be recorded as ‘refused’. Staff said that they would then contact the GP for advice.

We saw that the medicine management records had been completed correctly. We saw that people had been prescribed ‘as required’ medication (PRN). We saw that records had been completed to indicate when someone had been given medication. We looked at the records for people who were prescribed PRN medication. We saw there was clear guidance from the GP to staff on when to administer PRN medication. There was also detailed information about the medication, its use, effects and side effects. This meant that PRN medication was only used when absolutely necessary.

We observed people being given their medication in a calm and respectful manner. Staff asked the person if they were ready to take their medication and waited for them to respond before starting the process. All medication was administered by one staff member and witnessed by another. We saw one member of staff read out the details from the medication record, whilst the other read out the details from the actual medicine container. This was to double check they were the same, to prevent any medication errors. The care worker who administered the medicine signed the medication administration record (MAR), whilst the other member of staff signed the medication witness form.

Staff told us that the team leader had often monitored the administration of medicines and emphasised the need to follow the correct procedure. Relatives told us that they had seen staff supporting people with their medicine in an appropriate and friendly manner, using the same routine. They told us that they knew what medicines were currently being administered to their family member and that the manager always kept them informed if there were any changes. This meant that medication was given to people appropriately and safely.

We found that medicines were kept safely. We saw that the medicines for each person were stored separately in a lockable cabinet. We noted that the home had a system for monitoring and recording the temperature of the cabinet. The keys to the medication cabinet were kept securely by the senior support worker on duty. Staff told us that keys were never taken off the premises and the medication cabinets were never unlocked or unattended when medicines were being administered. Medicines were disposed of safely. We were told by staff that any damaged pre packed containers or unused medicines were correctly stored in the locked cabinet before return to the pharmacy.

We looked at staff files and saw that all of the staff had completed training in relation to the administration