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Inspection report

Date of Inspection: 20 February 2014
Date of Publication: 20 March 2014
Inspection Report published 20 March 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 20 February 2014, talked with people who use the service and talked with carers and / or family members. We talked with staff and reviewed information given to us by the provider.

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 and recording medicines. The practice manager told us that all medicines including vaccinations were directly ordered from pharmaceutical companies based on the needs of people using the service; and we saw records to evidence this. The care records that we looked at detailed the medication name, dose, batch number and expiry date, which provided an audit trail of the medicines administered for each person. The recording of this information ensured that should a person experience an adverse reaction, the medication administered could be traced back to the specific batch which had been used. However, we noted that the provider relied on despatch notes and invoices for their audit trail in relation to when and what medicines were received into the service, and this may not be an effective monitoring system of medications received into the service.

Medicines were kept safely. The medicines that we looked at were securely stored in locked refrigerators within the clinic. We found staff maintained daily temperature records to check that medicines were stored within the manufacturer's guidelines of between two and eight degrees Celsius. The temperature records that we looked at showed that medicines were stored at the appropriate temperatures and they were in date. We also found medicines for anaphylaxis were kept in a sealed plastic box and malaria tablets were kept in a lockable cupboard in the treatment room.

Medicines were safely administered and disposed of appropriately. People’s medicines were administered by a doctor following an initial assessment of people’s care needs. For example, we saw that factors such as allergies, current medication regimes including antibiotics for example, had been clearly recorded in people's care records to ensure safe prescribing of medication. Most people that we spoke with told us that medicines including vaccinations were administered in a manner that respected their privacy and dignity. We saw that needles and syringes were disposed of appropriately in sharps bins, and these were collected by an approved disposal company to minimise the risk of cross infection to people.

The provider had a system in place for reporting adverse reactions to medications via the yellow card system. The practice manager told us there had been no adverse reactions since the clinic was registered with the Care Quality Commission in December 2012. Staff were aware of how to report adverse reactions to the Medicines and Healthcare Products Regulatory Authority to protect people from the unsafe use of medicines.