Medication Audit - Supported Living
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- Q1: Is there a policy in place for supporting people with medication, including self-administration and prompting?
- Q2: Are staff clear on their level of involvement: prompting, assisting, or administering?
- Q3: Is a medication risk assessment completed for each individual, reviewing their ability to self-manage?
- Q4: Are medication support plans person-centred and regularly reviewed?
- Q5: Are individuals involved in decisions about how their medication is managed?
- Q6: Are consent forms in place for staff to assist or administer medication where required?
- Q7: Are staff trained and assessed as competent before supporting with medicines?
- Q8: Are PRN (as-needed) medicines documented with clear instructions and reviewed regularly?
- Q9: Do staff record PRN usage clearly and evaluate its effectiveness after administration?
- Q10: Are Medication Administration Records (MARs) completed accurately and in real time?
- Q11: Are medication errors or near misses recorded, investigated, and acted upon?
- Q12: Do staff know what to do in the event of a medication refusal, error, or overdose?
- Q13: Are people supported to understand their medication (purpose, side effects, how to take)?
- Q14: Are allergy and sensitivity details clearly recorded and checked before giving medication?
- Q15: Are medicines stored safely in the individual’s home, with secure arrangements if needed?
- Q16: Is there a system in place to monitor medicine expiry dates and reorder in time?
- Q17: Are expired or discontinued medicines returned or disposed of safely with a record kept?
- Q18: Do staff check the five rights before giving medication: right person, medicine, dose, time, route?
- Q19: Are controlled drugs managed in accordance with legislation, including safe storage and recordkeeping?
- Q20: Is there a clear handover or communication system for medicine changes (e.g., after hospital discharge)?
- Q21: Are there records of regular reviews with GPs or pharmacists for ongoing medication appropriateness?
- Q22: Are homely remedies used appropriately and documented, with professional authorisation if required?
- Q23: Are there systems to support emergency medication (e.g., rescue inhalers, epilepsy meds, insulin)?
- Q24: Are medicines transported safely if needed (e.g., between homes, day services, or respite)?
- Q25: Is there a plan for what to do if someone is away from their home during medicine times?
- Q26: Are individuals encouraged to build independence in managing their medicines where safe and possible?
- Q27: Are audits or spot checks of medicine practices conducted and recorded regularly?
- Q28: Do staff understand how to challenge unclear or inappropriate prescriptions (e.g., involving pharmacy or GP)?
- Q29: Are digital tools or eMAR systems used correctly and securely where implemented?
- Q30: Are lessons from medication incidents shared and embedded in team learning?