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Eastleigh Care Homes - Minehead Limited Good

All reports

Inspection report

Date of Inspection: 20 August 2014
Date of Publication: 16 October 2014
Inspection Report published 16 October 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 August 2014, observed how people were being cared for and talked with people who use the service. 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

There were systems in place to ensure that medicines were safely stored, administered and disposed of. We heard medicines were only administered by registered nurses or senior staff who had completed appropriate training and been assessed as being competent to carry out the task.

The home had appointed assistant practitioners who were senior care staff who assisted nurses with some of their tasks such as medication. We saw records of the completed medication competency assessment completed for a newly appointed assistant practitioner.

Medication administration records we read showed all medicines were signed for when they entered the home and when administered or refused. This meant the provider was able to check the quantity of medicines on the premises at any time. We discussed the illegible signatures used by some staff when signing the medication records. The clinical lead took immediate action to ensure staff paid attention to the clear signing of these records.

We saw evidence that showed when a variable amount of medication had been prescribed it was clear how much had been taken. We saw people were offered prescribed analgesia and the nurse took time to establish whether the person had any pain. When people were prescribed short courses of antibiotics for infections it was clear the full course was given. There was a system in place for doctor’s to review people’s medication regularly and make any appropriate changes.

Controlled drugs were appropriately stored and a controlled drugs register was maintained. We checked a sample of controlled drugs and found that stocks matched the records kept. Stocks of controlled drugs were checked on a weekly basis by registered nurses. Records of these checks showed that no discrepancies had been found.

We saw records of the monthly medication audits that were carried out. The audits stated the standards of ordering, administering and recording of medications that were expected to be achieved. When there were any discrepancies found appropriate action was recorded. There were systems in place to address any medication errors. This meant the provider was taking action to protect people against risks associated with the unsafe use of medicines.

We were told about the service’s plans to implement an electronic medication administration record system (EMAR) in the near future in the home.