Medication Audit - Supported Living

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