We carried out this inspection to see if the provider had made improvements to management of medicines and quality monitoring of the service since our last visit in October 2012. At that inspection we spoke with three people who use the service. They told us they received their medication when required and had not experienced problems with their medication. We did not see evidence to confirm this and we identified concerns about how medicines are managed.The safe handling of medicines was assessed by a CQC pharmacist inspector. The reason for this inspection was to follow up on a warning notice from the previous inspection on 15 October 2012. We looked at the storage of medicines, six people's medicine records, two care plans and spoke with two members of staff.
People told us they could give feedback about their experiences of care. We saw notes of meetings that confirmed this. However we did not see evidence of how the provider acted on this feedback. We had concerns about how the provider monitored the quality of the service and managed potential risks.
During this visit we saw that the provider had made some improvements to the management of medicines and quality monitoring of the service since our last visit. However the provider had not addressed all areas of concern identified and was not compliant with these outcomes.