Chorley Domiciliary Service was rated Requires Improvement overall following a November 2022 inspection, with breaches of Regulation 17 identified due to inaccurate medicines administration records and ineffective governance systems failing to detect medication errors. Strengths included person-centred care, positive safeguarding culture, and good infection control practices.
Concerns (5)
criticalMedication management: “Multiple medicines were missing from the medicines administration records. These included one regular medicine for one person, homely remedies and creams.”
criticalMedication management: “Prescribed thickeners were not always being recorded. We could not be sure they were being used as prescribed.”
critical
Record keeping
: “The provider had not maintained accurate and contemporaneous records in relation to medicines administration.”
moderateGovernance: “A Medicines audit was completed but only basic information was recorded and did not always identify medicines errors.”
moderateGovernance: “The provider's systems to assess, monitor and improve the quality of medicines management had not identified and addressed these issues.”
Strengths
· Staff thoroughly assessed people's needs and developed person-centred support plans promoting positive risk taking.
· People were protected against abuse; staff received training to recognise and respond to safeguarding concerns.
· Medicines training and competencies had been completed by staff administering medicines.
· Accidents and incidents were used as learning opportunities with trends reviewed and lessons shared with staff.
· Infection prevention and control practices were robust and in line with government guidelines.