CQC Assessment - Medicine Management Quality

• Health/Social Care Facility

• Address
  Address

• Ward/Team

• Reviewer

• Conducted on

  Date

Clinic Room

• Are there any medicines left out in the clinic room?

  Yes

  No

  N/A

• Are the trolley and drug cupboards locked?

  Yes

  No

  N/A

• Is the fridge locked?

  Yes

  No

  N/A

• Is the drug trolley attached to a wall when not in use?

  Yes

  No

  N/A

• Are the fridge temps (minimum and maximum) being recorded daily (working days only)?

  Yes

  No

  N/A

• Is the fridge thermometer reset daily?

  Yes

  No

  N/A

• Are the room temperatures being recorded daily?

  Yes

  No

  N/A

• Are medicines in date? (check 5 in each cupboard/trolley)

  Yes

  No

  N/A

• Do medicines have the date opened on them if needed? ( e.g. oral liquids, eye drops, creams - check 5)

  Yes

  No

  N/A

• Do all patients’ own drugs have the patient’s name on?

  Yes

  No

  N/A

• Are there any loose tablets/ strips?

  Yes

  No

  N/A

Medicine Waste Bins

• Is there a blue waste bin?

  Yes

  No

  N/A

• Does the blue bin have ward name and date started on it?

  Yes

  No

  N/A

• Is the blue bin locked away?

  Yes

  No

  N/A

• Does the blue bin contain correct waste?

  Yes

  No

  N/A

• Is there a purple bin?

  Yes

  No

  N/A

• Does the purple bin have ward name and date started on it?

  Yes

  No

  N/A

• Is the purple bin locked away?

  Yes

  No

  N/A

• Does the purple bin contain correct waste?

  Yes

  No

  N/A

• Are denaturing kits available for Controlled Drug destruction?

  Yes

  No

  N/A

Controlled Drugs (CDs)

• Has a stock check been completed in the past week?

  Yes

  No

  N/A

• Are there separate entries for stock, patient’s own & TTOs?

  Yes

  No

  N/A

• Are all CDs in date?

  Yes

  No

  N/A

• Are errors annotated correctly? (bracket/sign/date/witness/no crossing out)

  Yes

  No

  N/A

• Have CD orders been completed correctly? (including sig/qualification)

  Yes

  No

  N/A

• Have stock receipts been documented in the CD register correctly? (including order no./pharmacy name)

  Yes

  No

  N/A

General Questions

• Are the gas cylinder(s) in date?

  Yes

  No

  N/A

• Are the gas cylinder(s) stored appropriately? i.e. large cylinders secured in rack/trolley.

  Yes

  No

  N/A

• Is a BNF available, which is no older than one year?

  Yes

  No

  N/A

• Do trained staff (ask 3) know how to access MCAPP (SH CP1), Medusa, and Choice & Medication website?

  Yes

  No

  N/A

• Are trained staff up-to-date with the following training: 1) Medicines Management Day A/B? (MH and LD only); 2) Rapid Tranquilisation (MH and LD only); 3) Buccal Midazolam; 4) Medication Administration Competency; and 5) Medicines policy training (community and school nurses only)?

  Yes

  No

  N/A

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• Additional Comments

• Reviewer Name & Signature

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