Medication Audit - Domiciliary Care

Your Score: 0%

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