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Laser and Light Ltd Also known as The Laser and Light Medical Skin Clinic

All reports

Inspection report

Date of Inspection: 13, 21 November 2014
Date of Publication: 15 January 2015
Inspection Report published 15 January 2015 PDF | 77.91 KB

People should be given the medicines they need when they need them, and in a safe way (outcome 9)

Not met 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 13 November 2014 and 21 November 2014, talked with staff and reviewed information given to us by the provider.

Our judgement

People were not protected against the risks associated with medicines because the provider did not have appropriate arrangements in place to manage medicines.

Reasons for our judgement

When we inspected the service on 03 October 2013, we found the provider was not meeting this standard. This was because the provider did not have effective systems in place to ensure medicines were kept safely.

At our last inspection we found the medicine cupboard was kept in the reception area and was unlocked. At this inspection, we found the provider had taken steps to secure medicines in a cupboard in the treatment room and the room was locked when not in use. However, we noted the cupboard was locked using a chain and padlock which did not safely secure medicines within the cupboard.

We found that medicines were also stored in a medicine's fridge at the side of the reception desk on top of a filing cabinet. The fridge had a key operated lock, however, on both days when we visited the location, the fridge was not locked. The provider told us the reception desk was staffed. However, there maybe occasions when people who use the service or staff members who were not required to access medicines as part of their role could have access to the fridge. Fridge temperatures were being monitored on a daily basis and were found to be in range to ensure medicines were stored at the correct temperature. On the second inspection visit to the location, we discussed the medicines fridge next to the reception desk with the provider. The provider told us they intended to move the fridge into the treatment room.

The provider’s medicine policy stated that lockable storage is provided for all medicines and devices. The keys of cupboards used for the storage of medicines are held by the doctor, who was also the registered provider, and another staff member who is a registered nurse. Medicines requiring cold storage were kept in a designated refrigerator. We found the temperature in the room where medicines were being stored was not being monitored. This meant that medicines requiring storage below 25 degrees Celsius were at risk of being compromised if the room got too warm.

The provider had a bag for the treatment of emergency situations in the treatment room. This bag was checked on a daily basis to ensure the contents had not been tampered with. When we looked at the contents of the bag we saw this contained general medicines which might not be appropriate for use in the event of a medical emergency.

The provider had arrangements in place for obtaining medicines; however there was no audit or stock control of medicines currently in stock. This meant the provider was unable to monitor stock levels or establish any potential discrepancies in medicine stock levels.

Staff responsible for administering medicines had received specific training to ensure medicines were handled and administered according to the relevant prescription for each person. This training had been undertaken prior to the staff commencing work at the clinic. Staff told us their certificates and training were checked by the doctor at the clinic.