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Chesterfield Royal Hospital Requires improvement

We are carrying out a review of quality at Chesterfield Royal Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 17 May 2011
Date of Publication: 12 July 2011
Inspection Report published 12 July 2011 PDF

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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 have their medicines when they need them and have sufficient information to understand the purpose of the medication.

User experience

People told us they received their prescribed medication at the time they expected it. They said that medication brought in from home was stored securely in a locked bedside cabinet. One person told us they would require a number of injections when they went home. They said nursing staff had shown them how to administer the injections and explained why these had been prescribed.

People told us they had received pain relief medication when they needed it. A child said they told the nurse if they were in pain and they were given medicine straightaway.

Two people we spoke with who were ready to go home said their medication had been ordered to ensure it was ready and would not delay their discharge. They said that the purpose and use of the medication had been explained to them.

In the surveys and other information we looked at people said they were usually given enough information about their medicines.

Other evidence

The information we held about the provider prior to our visit showed there was a low risk that they were not meeting this outcome. The provider had notified CQC as required of incidents involving medicines with details of the action taken. For example, an incident where two doses of a medicine were omitted without any recorded reason. Staff involved were briefed on the correct action to take.

We saw that there was an electronic system in place for administration of medication which provided a robust audit trail and reduced the risk of medication errors.

We saw from the website that people were encouraged to bring in their own medicines from home and to carry on managing their own medicines where appropriate. There was information about how medicines would be stored securely and would be checked by the hospital pharmacists to ensure they were safe and appropriate to use.