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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: 3 October 2013
Date of Publication: 30 October 2013
Inspection Report published 30 October 2013 PDF | 91.79 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 3 October 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and took advice from our pharmacist.

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 19 February 2013, we found the provider was not meeting this standard. This was because the provider did not have effective systems to ensure medicines were safely obtained, recorded and stored. The provider wrote to us to tell us what they would do to ensure they had safe systems. At this inspection, we checked what the provider had done.

Appropriate arrangements were in place in relation to obtaining medicine. Arrangements for obtaining medicines had been reviewed since our last inspection. Staff described how they obtained medicines either when they were prescribed for individual people, or when they were requested to keep as stock items by the doctor. We found that staff were following the provider’s written procedures for obtaining medicines. People were protected from the risks associated with obtaining medicines because the provider had effective systems.

Appropriate arrangements were in place in relation to the recording of medicine. We looked at treatment records for nine people using the service. Where people had been given medicines, this was clearly recorded in their records. The batch number and expiry date for the medicines administered was recorded. This meant if a problem with a medicine was reported, people who had received the medicine could be identified.

Medicines were prescribed to people appropriately. We spoke with staff and the doctor about the process for prescribing medicines. Staff showed us how they requested prescriptions from the doctor and recorded this in people’s treatment records. The provider’s procedures ensured medicines were prescribed safely.

Medicines were not kept safely. At our last inspection, we found medicines were stored in an unlocked cupboard in a treatment room that was sometimes left unlocked. The provider told us they would ensure the cupboard was kept locked. At this inspection, we found the cupboard was unlocked. The provider told us the lock had only recently been removed because the cupboard door had broken. There was no record of any action taken by the provider to reduce the risk of medicines being accessed by unauthorised people whilst the door was unlocked.

We also found there were medicines stored in an unlocked cupboard in the waiting area. This included medicines pre-packed in syringes with needles. This meant there was a risk of people using the service or other people accessing medicines or sustaining injuries from sharp needles.

We found that the provider’s emergency medicines were kept in a bag in a treatment room. This meant they were easily accessible in an emergency. However there was no system for checking the bag and its contents had not been tampered with. The provider told us she was solely responsible for checking the bag, including the expiry dates on the medicines. There was no record of any checks done on the emergency medicines. On the day of our inspection, the Epipen kept in the emergency bag had passed its expiry date. An Epipen is used to anaphylaxis – a severe allergic reaction which can result in death. This meant there was a risk people using the service would not have access to effective emergency medical treatment.