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Oaklands Park Domiciliary Care Service Good

All reports

Inspection report

Date of Inspection: 21 October 2013
Date of Publication: 6 November 2013
Inspection Report published 06 November 2013 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 21 October 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and reviewed information sent to us by commissioners of services.

Our judgement

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. A medicines risk assessment had been carried out for each person the service supported and support had been tailored to their needs and preferences.

Reasons for our judgement

Appropriate arrangements were in place in relation to obtaining, storing and administering medicine. Medicines were collected from the dispensary attached to the GP surgery and were supplied in weekly blister packs. This meant that people were not holding large stocks of drugs and any changes to their prescribed medication could be managed readily. The registered manager told us that they had raised a complaint earlier this year via the Patient Advice and Liaison Service (PALS) as medicines dispensed had not always been as prescribed. Hence a system was in place to check medicines at dispensing and when brought home for people who were unable to check their own medicines.

A medication risk assessment had been completed for each person to determine what level of support they needed. When people required support to collect their medication this had been included in their activity support plan to make sure that their medication was always available. People who were able to self-medicate had a lockable cabinet in their personal room where they could store their medicines securely. Other people’s medication was stored safely in locked cupboards or drawers which only staff had access to. Storage temperatures in these areas were monitored by staff. In one house we visited we saw that this cupboard was not well fixed to the wall it hung on. The registered manager addressed this during our inspection.

Appropriate arrangements were in place in relation to the recording of medicine when this was administered by staff. We checked Medication Administration Records (MAR) for two people and saw that these had been appropriately completed for prescribed medications. However, the provider may find it useful to note that there were some gaps in recording whether high fluoride toothpaste had been used as prescribed. Only one of the people we spoke with received support with their medication but both people we spoke with were satisfied with the arrangements in place for them. The two staff members we spoke with demonstrated appropriate knowledge and responses in relation to the scenarios we discussed with them. We saw that all staff had completed medication training which was updated biannually. We also saw a draft copy of the provider’s updated medication policy which was pending approval. This included a form for undertaking spot-checks on staff practice. We saw that checks had been built into processes which would reduce the risks of errors occurring. Some of these good practices had already been implemented.

Medicines were disposed of appropriately. Staff told us that medicines were returned to the GP surgery dispensary. The provider had undertaken a quality check on medication practices at the service in June 2013. Following this they had recommended that a record of returns was maintained. The provider may find it useful to note that the registered manager had been unable to action this as the dispensary did not offer this service. We discussed options for how this might be addressed with the registered manager.