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Archived: Oakwood Grange

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Inspection report

Date of Inspection: 4 June 2014
Date of Publication: 27 June 2014
Inspection Report published 27 June 2014 PDF | 89.56 KB

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 4 June 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 reviewed information sent to us by commissioners of services.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage them.

Reasons for our judgement

We looked at the systems in place for the safe management of medicines.

Some people who used the service spoke about their medication. They told us they were given their medication either before or after their meals, depending on what the instructions said and that staff stayed with them until they’d swallowed it. One person explained they had their medication at specific times and staff always brought them it in a little pot with a drink.

Family members confirmed people’s comments. One relative had observed staff giving their family member medication and said they had ‘no concerns’. Another family member explained the service had arranged for a medication review for their family member and as a result their medication had been prescribed in liquid form because their family member was refusing to take their medication. They said when their family member refused their medication, staff always returned to try and encourage them to take it. Another family member said, “they’re meticulous with the medication when they’re giving it out. They always make sure the cabinet’s locked”.

When staff gave people their medication we saw they did not handle people’s medication. We saw that medicines were taken to people on an individual basis to minimise the risk of people being given the wrong medication. People were not rushed and staff were patient with people giving them time to take their medication.

Some people refused to take their medicines. When this happened we saw that staff had a patient approach and explained they would return later.

The registered manager confirmed a medication policy/procedure was in place for the safe management of medicines.

The registered manager said before staff took on the responsibility for medicines they completed medication training and their competency to administer medicines safely was checked through observations. This was confirmed by staff when we spoke with them and by the records we saw.

Discussions with staff evidenced they knew the arrangements in place for the management of medicines at the home, including obtaining, recording, safe keeping, safe administration and disposal.

Where medicines were prescribed ‘as required’, individual guidelines were in place for the administration of those medicines. The records we looked at confirmed those medicines were administered in line with the guidance.

Medicines were stored in a locked cabinet in a ‘treatment room’. We saw that safe systems were in place when medicine trolleys were in communal areas, to minimise the risk of people accessing medication. This meant prescribed medicines were stored safely in line with current and relevant regulations and guidance.

We looked a medication audit that had been carried out in April 2014. We found where actions had been identified to improve practice and identify any shortfalls these had been acted upon, demonstrating the service did monitor the quality of the service to identify improvements that were needed.