Gallen Priory Nursing Home, 37, inspection report 28 - hiqa.ie

eviewed files for a sample of these residents and found that there was anassessment completed for the use of the restraint. There was evidence thatalternative strategies had been tried prior to the use of restraint in line with thecentres policy and the national guidelines on the use of restraint. Records weremaintained documenting the release of the restraint.There were opportunities for each resident to participate in activities appropriate tohis or her interests and capacities. The inspector met with the activities coordinatorresponsible for activities on that day. A social care assessment had been completedin respect of each resident and this information was used to develop activity careplans. There was evidence that residents engaged in activities such as painting,exercises, and music, crafts, reading and current affairs. A schedule was developedby the activity coordinator and she told inspectors this was reviewed and changed toaccommodate resident’s wishes on a day-to-day basis.Article 33: Ordering, Prescribing, Storing and Administration of MedicinesInspectors found evidence of good medication management processes. There werecomprehensive medication management policies which provided guidance to staff.Inspectors observed the nurses on part of their medication rounds and found thatmedication was administered in accordance with the policy and An Bord Altranaisguidelines. All medications no longer used were signed as discontinued by themedical practitioner. Some residents had as required (PRN) medication prescribedand the maximum dose in 24-hours was recorded on the prescription sheet.Medications that required special control measures were carefully managed and keptin a secure cabinet in keeping with the Misuse of Drugs (Safe Custody) Regulations,1982. Nurses kept a register of controlled drugs. Two nurses signed and dated theregister at the time of administration and the stock balance was checked and signedby two nurses at the change of each shift. Inspectors checked the balances andfound them to be correct.A medication fridge was in place and inspectors noted that it was kept in a lockedroom and the daily temperatures were recorded. There were appropriate proceduresfor the handling and disposal of unused and out-of-date medicines. Inspectors alsonoted that there was regular input from the pharmacist who audited drug stocks andmedication management practices and provided regular updates for staff.The person in charge maintained records of medication errors and used these toimprove the service with the pharmacy. The GP reviewed every resident’s medicationthree-monthly and these records were reviewed by inspectors.Page 10 of 20