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Archived: Marie Stopes International Birmingham

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 10 December 2013
Date of Publication: 10 January 2014
Inspection Report published 10 January 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 10 December 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff, reviewed information given to us by the provider, were accompanied by a pharmacist 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

Reasons for our judgement

Appropriate arrangements were in place in relation to obtaining medicine. The service had a secure central store and medicine stock levels were managed from there by a dedicated member of staff. The receipt of medicines was recorded on arrival. The clinic and theatre areas obtained their medicine supplies by completing a request form, which was then fulfilled by the central store. The receipt of medicines to the clinic and theatre areas was confirmed by the nursing staff. This meant that medicines were being accounted for and there was minimal risk that these medicines could be used inappropriately.

Medicines were kept safely. We found that medicines were kept in locked designated cupboards throughout the clinic, to which only authorised people had access. We found that medicines requiring cold storage conditions were being kept in secure fridges. Medicines being stored securely will ensure that they cannot be used inappropriately and will safeguard the women visiting the service.

The service had two fridges which were being used to store medicines. We found that the temperature of these fridges was being monitored properly and therefore the service was able to show that these medicines would be fit for use. Medicines stored at the correct temperature will ensure that they work effectively to treat the conditions they were prescribed for.

We found that the service had computerised its record keeping for the prescribing, dispensing and administration of medicines. We found that the computerised system had made the process more accountable and the service was able to demonstrate that the administration and dispensing of medicines was only carried out when they had been prescribed by a doctor. We found that the medical termination procedures were being carried out in accordance with the Abortion Act. We found that appropriate arrangements were in place in relation to recording the administration of these and other related medicines. Good record keeping will ensure that women using the service will be protected against the risks associated with the poor management of medicines.

We found that the ordering, receiving, storage and administration of Controlled Drugs used by the service were complying with the guidance on the safer management of Controlled Drugs.

The provider may wish to note that at the last inspection we found that the service was dispensing medicines to women to take home and administer at a later time without a dispensing label being attached. At this inspection we found that the service had introduced two labels which they were attaching to the dispensed medicines before giving them to the women to take home. We found that the information displayed on these labels would not ensure that the dispensed medicines would be used safely. We found that there was no cautionary information on the labels offering advice to women on how the medicines should be taken and what should be avoided during the administration. The use of cautionary information on the labels will help women to take their medicines safely.