Administration Competency Assessment Form - CM14

• Conducted on

  Date

• Prepared by

• Location
  Address

Administration Competency Assessment Form - CM14

Policy Compliance - Policy and Training

• Has the Care Worker completed the approved training on medication management

  Yes

  No

  N/A

• Yes

  No

  N/A

• Has the Care Worker read the medication management policies of Aims Care Limited T/A Swallowfields Care Centre?

  Yes

  No

  N/A

• Can the Care Worker evidence that policies have been read and understood?

  Yes

  No

  N/A

• Does the Care Worker have access to the QCS System to review the policies?

  Yes

  No

  N/A

Policy Compliance - Preparation and Infection Control

• Did the Care Worker wash their hands before starting any medication administration and did they take correct hygiene measures throughout (e.g. using gloves when applying creams)?

  Yes

  No

  N/A

• Did the Care Worker make sure that everything was properly prepared before starting medication administration, e.g. were there enough medication pots, spoons, jug of water, beakers, etc?

  Yes

  No

  N/A

• Did the Care Worker take measures to ensure they were not going to be interrupted or distracted as far as possible?

  Yes

  No

  N/A

Policy Compliance - Consent, Mental Capacity Assessment and Best Interest

• Before preparing or administering the medication, did the Care Worker check the Care Plan to review the level of medication support required?

  Yes

  No

  N/A

• Before preparing or administering the medication, did the Care Worker obtain the Service User's consent?

  Yes

  No

  N/A

• If consent was not obtained, was this part of a documented Care Plan and procedure for this Service User and did the Care Worker check for best interest decision paperwork?

  Yes

  No

  N/A

• If consent wasn’t obtained, was the Care Worker satisfied that the correct procedures had been followed in the best interests of the Service User?

  Yes

  No

  N/A

Policy Compliance - Selection and Preparation of Medication

• Yes

  No

  N/A

• Before selecting, preparing or administering any medication, did the Care Worker read the MAR correctly?

  Yes

  No

  N/A

• Did the Care Worker check whether a dose had already been administered or if the medication had been stopped?

  Yes

  No

  N/A

• If any directions were unclear or illegible on the MAR, did the Care Worker take appropriate steps to check the instructions?

  Yes

  No

  N/A

• Did the Care Worker use the 6 Rights of Medication?

  Yes

  No

  N/A

• Was the medication selected checked against the correct MAR including checking the Service User’s name on the drug label and MAR?

  Yes

  No

  N/A

• If the directions on the MAR differed from those on the label, did the Care Worker take the appropriate steps to satisfy themselves as to the correct dose to be given?

  Yes

  No

  N/A

• Was the correct medication and dose selected at the correct time? Was consideration given to timing in terms of food or other directions on the label?

  Yes

  No

  N/A

• Was the medication prepared as per directions and information on the MAR or any accompanying procedure or Care Plan?

  Yes

  No

  N/A

• Did the Care Worker use the appropriate measure for any doses of liquid medication (e.g. oral syringe, graduated measuring cup)?

  Yes

  No

  N/A

Policy Compliance - Administration of Medication

• Did the Care Worker check the records to see how the Service User prefers to take their medication or demonstrate that they knew this information and administer the medication accordingly?

  Yes

  No

  N/A

• Did the Care Worker offer information, support and reassurance throughout to the Service User in a manner that promotes dignity, independence and is appropriate to their needs and concerns?

  Yes

  No

  N/A

• Was the medicine administered correctly and a glass of water offered where appropriate?

  Yes

  No

  N/A

Please place a tick next to the Medicine Types you have witnessed being administered

• Tablets/ Capsules

• Inhaler Devices

• Nose Drops

• Transdermal Patches

• Liquids

• Eye Drops

• Nasal Sprays

• Creams/ Ointments

• Sachets/ Powders

• Ear Drops

• Other (State)

• Other (State)

Policy Compliance - Administration of Medication

• Was the security of all medication maintained throughout, e.g. Medication not left on the bedside table, medication trolley locked when staff not present?

  Yes

  No

  N/A

• Did the Care Worker visually witness the individual taking all their medication?

  Yes

  No

  N/A

• If the medication was not taken, was the appropriate advice sought and documented including checking information in the Care Plan if appropriate?

  Yes

  No

  N/A

• If the medication was not taken, was it dealt with as outlined in the Administration of Medicines Policy and Procedure

  Yes

  No

  N/A

Policy Compliance - Record Keeping

• Did the Care Worker sign the MAR immediately after the medication was administered?

  Yes

  No

  N/A

• If the medication was not given, was the correct code entered on the MAR?

  Yes

  No

  N/A

• If the medication is a controlled drug, did the Care Worker ask a trained colleague to witness the entire procedure and sign the CD Register?

  Yes

  No

  N/A

• If the medication was a variable dose drug, was it given and recorded properly, and other records checked prior to administration if required?

  Yes

  No

  N/A

• Were the MARs returned to the proper place after the medication round?

  Yes

  No

  N/A

Policy Compliance - Stock Control

• Did the Care Worker check that there was sufficient stock in place to complete future medication rounds?

  Yes

  No

  N/A

• If there were shortages in medication noted, did the Care Worker take appropriate action to ensure the stock was replaced?

  Yes

  No

  N/A

• Was all medication returned to the secure storage area once the medication round was completed and placed tidily?

  Yes

  No

  N/A

Policy Compliance - Ordering, Receipt and Disposal of Medication

• Does the Care Worker record any medication received into Aims Care Limited T/A Swallowfields Care Centre in a timely fashion using the correct documentation?

  Yes

  No

  N/A

• Does the Care Worker order medication in accordance with the procedures at Aims Care Limited T/A Swallowfields Care Centre after checking currently held stock?

  Yes

  No

  N/A

• Is any out of date medication or medication no longer required recorded on the appropriate documentation and stored securely, clearly separated from ‘in use’ medication until it can be safely disposed of following local procedures?

  Yes

  No

  N/A

Policy Compliance - Storage

• Is the Care Worker aware of the correct storage conditions for medicines and where to find this information?

  Yes

  No

  N/A

• Is the Care Worker aware of the correct temperature range for the medication fridge and how to use the thermometer?

  Yes

  No

  N/A

• Does the Care Worker fill in the fridge temperature records correctly?

  Yes

  No

  N/A

• If new medication is received, is the stock put away so that older supplies are used first?

  Yes

  No

  N/A

Policy Compliance - Non-Prescribed Medication

• Is the Care Worker aware of what action to take if a Service User wants to take over the counter medication?

  Yes

  No

  N/A

• Is the Care Worker aware of what to do if a Service User has a minor ailment?

  Yes

  No

  N/A

• If a non-prescribed medication was administered, was this from the original container as purchased and was the dose offered within the directions given on the packaging?

  Yes

  No

  N/A

• If a non-prescribed medication was administered, did the Care Worker record this correctly on the MAR?

  Yes

  No

  N/A

Policy Compliance - Accessing Advice and Information

• Does the Care Worker know who to contact if they need advice on medication?

  Yes

  No

  N/A

• Is the Care Worker aware of the information sources held at Aims Care Limited T/A Swallowfields Care Centre, particularly patient information leaflets which should be available for the Service User and staff?

  Yes

  No

  N/A

• Other Information - Please record any discussions held with the Care Worker?

• Following the Medication Administration Competency Assessment, ___________________________ (insert name) has been assessed as:

  Sign

Tick as applicable

• Demonstrating competence at this assessment to administer medication unsupervised

• Demonstrating competence at this assessment to administer medication unsupervised with the exceptions recorded below

• Requiring further supervision or training to administer medication unsupervised

• Actions/Exceptions

• Signature of Care Worker:

  Sign

• Job Role:

• Signature of Assessor:

  Sign

• Job Role:

• Date of Next Review:

  Date