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Royal Surrey County Hospital Good

All reports

Inspection report

Date of Inspection: 16 August 2012
Date of Publication: 4 September 2012
Inspection Report published 4 September 2012 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

Our judgement

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

The provider was meeting this standard.

User experience

We spoke to eight people about their medicines and they told us that they were happy with the way their medicines were managed. One relative told us that the pharmacist who explained how to use their inhaler was “Very good” and a patient told us that they had asked about a particular drug they were being given, “….and the ward sister did a print out explaining all about it.”

Other evidence

We visited four areas of the hospital to assess medicine management, and spoke to ten members of staff.

Pharmacy services to the ward covered checking medicine prescriptions for correctness, a supply function, and medicines advice. There is an on call service for an out of hours pharmacist to the hospital.

All staff spoken to said that overall they had a good service from pharmacy.

The hospital had done an audit on the security of medicines earlier in the year and had addressed concerns identified by obtaining necessary equipment and informing staff about the importance of secure storage. They had re audited the secure storage in middle of the year to confirm they had addressed concerns raised earlier.

The provider may wish to note that during this inspection, people told us that medicines for discharge were taking a long time. The members of staff spoken to all confirmed that medication was often not ready when the people were ready to go home. On occasions people missed their transport arrangements which had to be re-booked making the delay even longer.

Pharmacy staff told us they were aware of this issue and that there was a project in progress called ‘Ready to go’ aimed at finding ways to address this. The project was aiming to identify the areas where improvements could be made.

People told us that they were not asked if they wanted to manage their own medicines but were happy for staff to handle their medicines.

We saw that bedside medicine lockers were not accessible by patients due to the locker key system. This means that people would not be able to self administer if they wanted to due to lack of secure storage for medicines. The provider may wish to note that people should be given a choice to manage their own medicine if they so wish.

There were good systems in place to pick up and address any concerns from audits or errors in practice promptly. We saw two examples of how recent errors resulted in improvements incorporated into methodology so that this sort of error did not happen again.

Medicines were prescribed and given to people appropriately. We saw from the prescription charts that people’s medicines were prescribed, checked and administered as intended by the doctor.