Medication Audit - Domiciliary Care
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- Q1: Is there a clear and up-to-date medication policy specific to domiciliary care?
- Q2: Are care staff trained and assessed as competent to administer or prompt medication in the home?
- Q3: Are medication risk assessments completed for each service user?
- Q4: Are support plans clear about who is responsible for administering, prompting, or self-managing medicines?
- Q5: Are staff aware of the difference between prompting and administering medication?
- Q6: Is there a process to identify and manage changes in a person's ability to self-administer medicines?
- Q7: Are Medication Administration Records (MARs) completed accurately and legibly at each visit?
- Q8: Are MARs stored safely and confidentially within the service user's home?
- Q9: Are handwritten MAR entries checked and double-signed where required?
- Q10: Do staff confirm the five rights before administering medication: right person, medicine, dose, time, and route?
- Q11: Are staff trained to identify and report medication errors, near misses, or refusals?
- Q12: Are medication incidents investigated and outcomes shared with staff for learning?
- Q13: Do staff know what to do if a service user refuses or misses a dose of medicine?
- Q14: Are PRN (as-needed) medicines supported by clear protocols and recorded accurately?
- Q15: Are time-critical medicines (e.g., Parkinson’s, insulin) identified and prioritised in scheduling?
- Q16: Is allergy and sensitivity information clearly recorded and checked before administering medication?
- Q17: Are records of delivered or collected medicines retained and reconciled with MAR charts?
- Q18: Do staff have access to current prescriptions or medication lists for each person they support?
- Q19: Are any medicines administered covertly, and if so, is there a best interest decision documented?
- Q20: Is there a secure system in place for handling and storing medication in service users' homes?
- Q21: Are expired, discontinued, or unused medicines disposed of safely and with consent?
- Q22: Is there a process in place if staff observe side effects or adverse drug reactions?
- Q23: Are staff aware of protocols for assisting with creams, patches, eye drops, inhalers, etc.?
- Q24: Are staff trained in infection control and hygiene relevant to medication tasks (e.g., hand hygiene, glove use)?
- Q25: Do staff document and report any medication discrepancies to the office or healthcare professional?
- Q26: Are there procedures to ensure safe support with controlled drugs in line with legal requirements?
- Q27: Do staff understand how to escalate medication concerns to the GP, pharmacist, or emergency services if needed?
- Q28: Are family or informal carers involved in medication support appropriately and safely?
- Q29: Are home visits scheduled with enough time to support medication safely without rushing?
- Q30: Are regular medication audits completed for each individual receiving support?
- Q31: Do spot checks or supervision include medication practice observations?
- Q32: Is medication information reviewed regularly during care plan reviews or changes in health?
- Q33: Are digital or electronic MAR systems (if used) functioning properly and reviewed for errors?
- Q34: Is the person supported to understand their medicines where possible (e.g., purpose, timing)?
- Q35: Are any homely remedies or over-the-counter medicines risk assessed and agreed with a healthcare professional?
- Q36: Do staff receive refresher training in medication at least annually?
- Q37: Are there procedures for lone workers to raise urgent medication concerns out-of-hours?
- Q38: Are staff familiar with local safeguarding procedures related to medication errors or neglect?
- Q39: Are lessons learned from medication incidents used to improve policies or training?