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Inspection report

Date of Inspection: 20 August 2013
Date of Publication: 6 September 2013
Inspection Report published 06 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 20 August 2013, 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, were accompanied by a specialist advisor and used information from local Healthwatch to inform our inspection.

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 the management of medicines including safe storage and disposal of medicines at the practice.

We checked the emergency drug kit and found that all drugs were in date. There was a log maintained with the expiry dates of all the drugs available in the kit. The vaccines and other drugs requiring refrigeration were stored in fridges at the practice. All the vaccines that we checked were within their expiry date. There were daily temperature checks and the logs we checked showed temperatures within the required limits in all cases apart from a few. Staff had taken appropriate actions and sought expert advice where temperatures were outside the permissible limits. Medicines were prescribed and administered appropriately. For example the nurses ensured the GP had signed a form for yellow fever vaccinations before a person was vaccinated. Staff were aware of the proper steps for the disposal of medicines. The practice used designated sharps bin with purple lids for the disposal of sharps used to administer cytotoxic medicines.

People we spoke with said the reception staff always asked them to confirm their name and address before handing out their prescription to ensure the prescription was handed to the right person.

The practice did not handle or store controlled drugs. The provider may wish to note that though a Standard Operating Procedure (SOP) for diazepam which was stored on-site was available, a SOP covering activities like prescribing, training or dealing with significant events relating to other controlled drugs was not available at the time of our visit. The provider may also wish to note that a separate record, which is considered good practice, was not being maintained, nor appropriate proof of identity being obtained when the prescription for controlled drugs was handed to the patient to ensure that the prescription was given to the right person.