18 July 2013
During an inspection looking at part of the service
During our inspection in May we found that staff were not recording each medicine they administered to people who used the service. At this visit we found evidence that individual medicines had been recorded on the two medication administration records that we looked at. These records also listed a description of each medicine, the dosage, frequency and route of administration. This provided evidence that medicine was being recorded and administered to people in a safe way.
We found a written instruction on one of the medicine records for staff to leave the person's lunch and evening medication in an egg cup when they conducted the morning visit. No risk assessment was in place to ensure it was safe for staff to do this. However, a senior member of staff conducted the risk assessment and updated the paperwork before the end of our visit. We noted that the person had requested their medication be handled in this way.