St Giles Hospice CQC Report 2017 St_Giles_Hospice_CQC_Report_2017 | Page 11

potential risks to their safety from this were assessed with them.
We found an open culture of reporting any medicine incidents such as recording errors, which were
documented and investigated. Medicine incidents were also reviewed at the provider's Medicine
Management Forum meeting and then also at the quarterly Clinical Governance Committee to ensure
positive outcomes from the incidents. For example, following incidents of clinical staff failing to record
patients' correct medicines on admission; an improved checking system was introduced. We were shown
how two nurses check and sign that all medicine information is recorded accurately. This meant lessons
were learnt with new systems for medicines safety implemented.
Medicines, including oxygen and controlled drugs, were correctly stored so as to protect people using the
service and to ensure that the medicines would be effective when used. Controlled drugs (CD) are a group of
medicines which are subject to strict legislative controls due to their potential for abuse and harm. We found
that safe arrangements were in place for the storage, recording and administration of CD. An Accountable
Officer (AO) for CD had responsibility for ensuring safe storage and recording of CD. The AO also attended
the regional CD Local Intelligence Network meeting to share good practice across the region.
11 St Giles Hospice - Whittington Inspection report 24 February 2017