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Inspection report

Date of Inspection: 12 August 2013
Date of Publication: 5 September 2013
Inspection Report published 05 September 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 12 August 2013, talked with people who use the service 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 people’s prescriptions.

Reasons for our judgement

Medicines were prescribed and given to people appropriately. The people we spoke with said they received their prescriptions on time and when they needed it. One person told us, “My prescriptions are always regular. I never run out and I always get the right amount.” Another person told us, “They are considerate with my prescriptions and the Chemist sometimes will deliver to my home.”

Appropriate arrangements were in place in relation to people obtaining their medicine. The Manager told us prescriptions were issued to people who used the service by their partner organisation. We spoke with one member of staff, a Non-Medical Prescriber, who was responsible for issuing of prescriptions on the day of our visit. They described the systems in place and responsibilities for the issuing of prescriptions. They told us a medication review assessment was carried out which included people’s medical conditions and current medications. They would contact the individual person’s GP and Pharmacist, following gained consent from the person who used the service, to inform them of what medications were being prescribed by the service and to arrange completion and collection of the prescription. They also told us people attended a ‘first prescription’ appointment which included a drug test, a mental and physical healthcare check and a blood borne virus assessment. During subsequent appointment people’s levels of medication were always assessed.

The member of staff told us service guidance was always followed when issuing prescriptions. This included people receiving supervised consumption of their medication and any health and social issues. Three monthly reviews of their medication were also carried out.

The Manager told us all staff who dealt with the issuing of prescriptions had received training. The staff we spoke with confirmed this. One member of staff told us they had received prescribing and substance misuse training. Members of staff we spoke with were clear about their roles and responsibilities in relation to issuing of prescriptions which helped to ensure people received their medicines safely.

We looked at the medication policy and found comprehensive policies were in place. These included lost prescriptions and holiday prescribing.