You are here

Archived: Swiss Cottage Care Home

The provider of this service changed - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 2, 6 May 2014
Date of Publication: 5 June 2014
Inspection Report published 05 June 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 2 May 2014 and 6 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with 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

During our inspection we observed the administration of medicines on one of the units. We saw that the staff member involved in the administration of medicines wore a red tabard with a do not disturb sign written on it. This was to minimise the risk of errors occurring whilst the medicine round was in process. It was evident that the home had developed strategies to ensure that medicines were safely administered and in line with best practice.

We looked at the area where stock medicines were stored. We found they were stored securely conforming to the Royal Pharmaceutical Society and the General Nursing Council guidelines. We found that daily temperature checks relating to the room and the medicine refrigerator were undertaken. These ensured medicines were stored in appropriate conditions.

The provider might wish to note that on one unit gaps were noted on the temperature record sheet. This meant that the record was not consistently maintained.

We saw the majority of the medicines were administered from a monitored dose system and were colour coded. Opened packets of eye drops and liquids were dated to ensure they were not used beyond the use by date. Any known allergies which people experienced were recorded on their medication administration record (MAR) sheets. This ensured people received their medicines safely and at the appropriate time.

We looked at a sample of MAR sheets on all three units and found that they had been fully completed with staff initials. A sample of controlled drugs was checked and we found that the medicines in stock matched with the controlled drug record. This demonstrated that the controlled medicines in stock were accurate.

We saw that the home had a system in place to record medicines leaving the home for disposal. The provider might wish to note that the record was not fully completed in line with current best practice. Although the return sheet reflected a witness signature and the medicines for disposal were clearly listed on the return sheet. There was no witness signature recorded to verify that the number of tablets recorded were accurate. There was a potential risk that medicines returned for disposal were not always witnessed and countersigned by a second staff member and could be open to abuse.

Staff responsible for the administration of medicines told us that they had been provided with recent updated training in the safe handling of medicines and we saw evidence to confirm this. We found that robust monitoring systems had been introduced to protect people against the risk associated with unsafe use and management of medicines. For example, at each handover staff checked the MAR sheets to ensure that medicines had been appropriately administered. Tablets which had not been dispensed in the monitored dose system were regularly checked to ensure that the balance in stock were accurate. As a result of these stringent monitoring checks the home had been able to identify errors and addressed them with the staff members involved. This resulted in staff having to undertake further training and their competencies re-assessed to ensure that they were competent to administer medicines safely.