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Inspection report

Date of Inspection: 1 July 2013
Date of Publication: 8 August 2013
Inspection Report published 08 August 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 1 July 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with carers and / or family members 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 medicines.

Reasons for our judgement

The provider had written policies and procedures for the management and administration of medicines in place. These were comprehensive and included clear guidance for staff to follow for the safe administration of medicines.

We observed that upon administering the medicines the Medication Administration Record (MAR) was signed by the staff member to confirm that the person had received the correct medicine. However the provider may wish to note that we found two entries on the MAR that had not been signed for. We checked with the staff who had administered the medicines on that day and they told us that the medicines had been administered correctly. The tablet count confirmed this. The registered manager told us that this was an isolated error and they would follow this up with the staff member concerned.

We carried out an audit of the medicines of those people whose care files we had looked at. We found that people received their medicines as prescribed by their doctor. Each one we counted had the correct number of tablets remaining for the number that had been dispensed and administered. The staff member we observed administering the medicines told us that they, "Always check the medication stock each time medicines are administered". This ensured that people were protected against unsafe management of medicines. We did find however that tablet counts were being written in the area where signatures should be put. When we spoke with the registered manager they told us that they would redesign the MAR so that space is given for both the signature and tablet count.

We found that medicines were kept safe and secure in a locked medicines cabinet. This meant that medicines were being stored appropriately