Medication Audit - Domiciliary Care

Q1 | Unanswered

Is there a clear and up-to-date medication policy specific to domiciliary care?

Q2 | Unanswered

Are care staff trained and assessed as competent to administer or prompt medication in the home?

Q3 | Unanswered

Are medication risk assessments completed for each service user?

Q4 | Unanswered

Are support plans clear about who is responsible for administering, prompting, or self-managing medicines?

Q5 | Unanswered

Are staff aware of the difference between prompting and administering medication?

Q6 | Unanswered

Is there a process to identify and manage changes in a person's ability to self-administer medicines?

Q7 | Unanswered

Are Medication Administration Records (MARs) completed accurately and legibly at each visit?

Q8 | Unanswered

Are MARs stored safely and confidentially within the service user's home?

Q9 | Unanswered

Are handwritten MAR entries checked and double-signed where required?

Q10 | Unanswered

Do staff confirm the five rights before administering medication: right person, medicine, dose, time, and route?

Q11 | Unanswered

Are staff trained to identify and report medication errors, near misses, or refusals?

Q12 | Unanswered

Are medication incidents investigated and outcomes shared with staff for learning?

Q13 | Unanswered

Do staff know what to do if a service user refuses or misses a dose of medicine?

Q14 | Unanswered

Are PRN (as-needed) medicines supported by clear protocols and recorded accurately?

Q15 | Unanswered

Are time-critical medicines (e.g., Parkinson’s, insulin) identified and prioritised in scheduling?

Q16 | Unanswered

Is allergy and sensitivity information clearly recorded and checked before administering medication?

Q17 | Unanswered

Are records of delivered or collected medicines retained and reconciled with MAR charts?

Q18 | Unanswered

Do staff have access to current prescriptions or medication lists for each person they support?

Q19 | Unanswered

Are any medicines administered covertly, and if so, is there a best interest decision documented?

Q20 | Unanswered

Is there a secure system in place for handling and storing medication in service users' homes?

Q21 | Unanswered

Are expired, discontinued, or unused medicines disposed of safely and with consent?

Q22 | Unanswered

Is there a process in place if staff observe side effects or adverse drug reactions?

Q23 | Unanswered

Are staff aware of protocols for assisting with creams, patches, eye drops, inhalers, etc.?

Q24 | Unanswered

Are staff trained in infection control and hygiene relevant to medication tasks (e.g., hand hygiene, glove use)?

Q25 | Unanswered

Do staff document and report any medication discrepancies to the office or healthcare professional?

Q26 | Unanswered

Are there procedures to ensure safe support with controlled drugs in line with legal requirements?

Q27 | Unanswered

Do staff understand how to escalate medication concerns to the GP, pharmacist, or emergency services if needed?

Q28 | Unanswered

Are family or informal carers involved in medication support appropriately and safely?

Q29 | Unanswered

Are home visits scheduled with enough time to support medication safely without rushing?

Q30 | Unanswered

Are regular medication audits completed for each individual receiving support?

Q31 | Unanswered

Do spot checks or supervision include medication practice observations?

Q32 | Unanswered

Is medication information reviewed regularly during care plan reviews or changes in health?

Q33 | Unanswered

Are digital or electronic MAR systems (if used) functioning properly and reviewed for errors?

Q34 | Unanswered

Is the person supported to understand their medicines where possible (e.g., purpose, timing)?

Q35 | Unanswered

Are any homely remedies or over-the-counter medicines risk assessed and agreed with a healthcare professional?

Q36 | Unanswered

Do staff receive refresher training in medication at least annually?

Q37 | Unanswered

Are there procedures for lone workers to raise urgent medication concerns out-of-hours?

Q38 | Unanswered

Are staff familiar with local safeguarding procedures related to medication errors or neglect?

Q39 | Unanswered

Are lessons learned from medication incidents used to improve policies or training?