D1- Evaluate the effect of legislation and guidelines on the administration of medicines.
Case Study
The CQC representative for the local area has recently visited a nursing home, The Hollies,
near you. They have made the following points on the report that you have been given to
read.
The policy for administration of medication was not up to date and still had the previous
managers name in it.
It is crucial that the medication administration sheet is up to date as there are a number of
legislations surrounding it. These may be; Care Standards Act 2000 as this was introduced to
make sure that the standards for medication administration remain high, if this is not the
case, then the care home can be prosecuted. In having an out dated medication
administration sheet, they also failed to meet the policy known as Administration and
Control of Medicines in Care Homes and Children’s Services Act 2003, this act ensures that
medication is administered safely to service users. Policies and procedures were also put
into place to give guidance when making decisions, an example of this may be when the
medication policy was not up to date, this could lead to issues for members of staff as these
guidelines are out into place to protect staff members and service users from harm.
The medication administration record sheet (MAR) had gaps where the staff had not
signed.
Gaps in the MAR sheet could lead to a number of issues, these might include the staff not
knowing if the patient has previously received medication from another member of staff.
This will result in the patient being over medicated which can lead to illness or death
depending on the medication given. Failing to sign the MAR sheet violates the Care
Standards Act 2000, this can also lead to prosecution as the home have not maintained the
high standards for administrating medication. The Administration and Control of Medicines in
Care Homes and Children’s Services act 2003 was not followed as the MAR sheet was not filled in,
this may mean that the patient did not receive their medication, or that medication that was
administered was not noted. It also means that the Medicines Act 1968 was not followed as
medication may not have been given out. Policies and procedures were broken in this case as MAR
sheets should be signed to regulate and maintain the patients care information, this allows them to
control and preserve their health, this was not done once the MAR sheet was not filled signed by
members of staff.
There were Medicines in a pot left by the side of a resident’s bed.
Any medication left unattended with a resident is extremely dangerous to the patient. Due
to this, it is clear that the Health and Safety at Work Act 1974 had not been followed. This
act makes sure that anyone who is exposed to hazards is kept safe. However, the