General Information

  • During this audit, one MARS record should be used as a sample during the audit process. If any errors are found, a further two records should be audited. If any further errors are found this will necessitate a full audit of all MARS

    MARS records used for sampling during audits should be selected on a rotational basis.

Section 1

1 - Overview

  • 1.1 Total number of available beds

  • 1.2 Total number of beds occupied?

  • 1.3 Has the previous audit been reviewed and signed off?

  • 1.4 How many corrective actions were raised during the last audit?

  • 1.5 Have all corrective actions raised during the last audit been completed? If not give further details.

Section 2

2 - Management of Medication

  • 2.1 Is there an up to date list of all staff who administer drugs complete with sample signatures?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.2 Is there a written procedure for the administration of drugs in use?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.3 Have all staff who administer medication been trained and assessed as competent?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.4 Is a copy of the BNF available and is this under twelve months old?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.5 Is there a policy in place for:
    Obtaining, Receipt and Storage of medicines
    Handling and Administration of medicines
    Monitoring of medicines
    Disposal of medicines
    Handling and Review of incidents / errors / near misses
    Homely Remedies
    Covert medication
    Social Leave
    Self-administration of medication

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.6 Has a cosh assessment been completed for hazardous substances e.g. Cytotoxics, oxygen?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 2.7 Further comments / observations for Management of Medication

Section 3

3 - Ordering of Medication

  • 3.1 Do you have a specific named contact at the surgery and at the pharmacy where medication is ordered?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 3.2 Are there designated members of the team who deal with the ordering of medication?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 3.3 Are all requests for prescriptions auctioned in a timely manner?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 3.4 Is there a procedure in place for obtaining emergency supplies of medicines? E.g out of hours, bank holidays.

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 3.5 Further comments / observations:

Section 4

4 - Medication and Administration

  • 4.1 Is a monitored dosage system in place and if so is it operated satisfactorily in your home?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.2 Are all medicines clearly labelled in accordance with requirements?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.3 Are all medicines within their expiry date?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.4 Does the strength of the medication correspond with that written on the treatment sheet?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.5 Are all medicines appropriately signed for at the time of administration?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.6 Do MAR sheets have a means of identifying the patient? E.g photograph and room number?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.7 Does the MAR sheet tally with the amount of medicine in stock?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.8 If prescription states take 1 or 2 tablets, does the treatment sheet identify clearly wether 1 or 2 are administered?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.9 Do the instructions state 'as directed'? Are instructions clarified with GP before administration?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.10 If medication is PRN does it state in what circumstances it is to be administered?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.11 Is a record made of any doses omitted with a reason why? (I.e. appropriate coding used to acknowledge reason)

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.12 Are all external medications recorded when administered or applied?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.13 Are eye drops and insulin dated when opened and discarded after one month?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.14 Is there evidence of regular medication reviews?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.15 Where additional knowledge is required for administration e.g. Insulin, PEG tubes, rectal products have staff been trained in these techniques including formal assessment of competency?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 4.16 Further comments / observations:

Section 5

5 - Labelling of Medicines

  • 5.1 Do all service users have their own individual supply?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 5.2 Is each medication clearly labelled by a pharmacist or GP?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 5.3 Are labels in original condition and not changed by hand?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 5.4 Is the medication labelled, not just on the outer box (e.g. Labels on tubes and not just the box)?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 5.5 Is a patient information leaflet available for each medicine store at the home?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 5.6 Further comments / observations:

Section 6

6 - Storage of Medication

  • 6.1 Is there a secure and designated storage area for medicines and medicine trolleys?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.2 Are the keys for the medical cupboard and CD cupboard kept separate from other keys?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.3 Is access to these keys and medical storage facilities restricted to authorised staff only?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.4 Are external medications stored in a separate locked cupboard or on a separate shelf in the storage area?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.5 Are all medicinal products, dressings and osteomyelitis products stored off the floor at all times?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.6 When new medication arrives atnthenhome is there a stock rotation system in place?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.7 Are stock levels of reserve drugs acceptable and appropriate for individual use?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.8 Are discontinued / expired medicines removed from the trolley promptly?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.9 Are medicines no longer required returned to pharmacy promptly?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.10 Are all medicines returned to the pharmacy signed for by the accepting pharmacy?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.11 Are all medicines stored in locked cupboards / trolleys? Is the trolley anchored to the wall?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.12 Are there any medications requiring storage in a fridge and if so are they stored correctly?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.13 Is there a maximum / minimum thermometer in the fridge?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.14 Is the fridge regularly cleaned and defrosted?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.15 Is the temperature of the fridge monitored and recorded on a daily basis?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.16 Are staff aware of the procedure to follow if the fridge temperature is outside the 2-8 deg. Range?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.17 Is storage satisfactory for oxygen cylinders and in accordance with the Health & Safety regulations?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.18 Is a warning notice displayed at each location where oxygen is stored or in use?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 6.19 Further comments / observations:

Section 7

7 - Controlled Drugs

  • 7.1 Does the controlled drug cupboard comply with legislative requirements? E.g. Is it a locked cupboard within a locked cupboard?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.2 Is a dedicated controlled drug register available?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.3 Do stock levels held balance with the controlled drug register?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.4 Are all controlled drug administrations witnessed and are two signatures obtained?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.5 Care homes providing personal care: Are CD's administered and witnessed by a designated and appropriately trained member of staff?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.6 Care homes providing nursing care: Are CD's administered by a registered medical,practitioner or registered nurse?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.7 Is a separate page used for each person and each CD?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.8 Further comments / observations:

Section 8

8 - Staff Training

  • 8.1 Have all staff who handle medication received training in the safe handling of medicines?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.2 Is all staff training documented?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.3 Is training accredited and does it cover the skills for Care Knowledge Set for Medication?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.4 Is there a refresher course for staff?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.5 Is there a procedure in place to deal with all relevant medicine related patient safety communications issued via alert systems within the required timescales?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.6 Is there a procedure in place to communicate relevant information within the administration team?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 8.7 Is there a procedure in place for reporting incidents, errors and omissions?

  • Action required

  • By who

  • Date for completion

  • Date completed

  • Sign

  • 7.8 Further comments / observations:

Audit Criteria

Audit Criteria and Additional Comments:

  • Number of records inspected during this audit.

  • Details of records inspected during this audit

  • How many corrective actions were raised from this audit?

  • Audit Completed By:

  • Review Date

  • Audit Reviewed By:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.