Medication Audit – Monthly Managers Audit

Weekly medication audits have been fully completed by Team Leader / Seniors. Any actions have been completed.

There is adequate facility for the safe keeping of resident medication.

Medication cabinet and fridge temperatures have been taken daily and are recorded.

Hand written MAR’s are clear, with two signatures

All opened liquids, creams and ointments are labelled and dated upon opening.

Medicine bottles are clean

Medicine bottles are clean

Medicines are clearly labelled by the pharmacist

There are no medicines with instructions such as ‘use as directed’

Stock levels of reserve drugs are acceptable.

There are no drugs with passed expiry dates.

All drugs in the drugs cupboard are currently prescribed.

A record is kept of all drugs received and returned.

Medication returns are clearly labelled with the DOB, Name, Date, what it is and reason i.e. dropped, refused.

PRN medication is made visibly clear on the MAR.

All PRN medications have an in date PRN protocol.

Where PRN medication has been administered this is recorded in the carers notes on the back of the MAR.

Boxed medication is present and correct in accordance with the MAR Evidence; Audit 20% of service user’s boxed medication.

Self-medicating is encouraged even if it is minimal For residents able to self-medicate there is a locked storage facility in their room for medication, a risk assessment has been completed for self-medication and a daily check of the residents medicine stock <br>is undertaken

When covert administration of medicines is being considered, Mental capacity assessments and best interest meetings are held with people who know and understand the person using the service and are updated annually.

There is adequate storage for stock items and returns.

Items due for returns are entered into the returns book.

There is a suitable procedure in place for the handover of keys when shifts change. The keys are held by a designated person

Refrigerated medications stored in a lockable fridge/locked box in the food fridge. Only refrigerated medications stored in the lockable fridge.

Correct codes are used for missed doses

Short life medicines are dated upon opening e.g. Insulin (vials usually have a 4 week life after opening) Creams (tubs have 1 month life, tubes and dispenser packs have 3 month life after opening) Eye drops and ointments (28 days after opening)<br>Brown bottles (6 month life following first dispensing) Manufacturers bottle (6 month life after opening) Calogen (14 day life on opening IF stored in a fridge) Blood and Urine testing strips – see pack

All CD medications are stored in a locked metal cabinet that complies with Requirements

Administration of CDs recorded on MAR and CD register

The home has a CD cupboard even if they do not hold CD medication

There is a CD register in use. The index includes relevant page information.

The stock present match that recorded in the CD register

There are two staff signatures for every entry in the CD register

Are CD stock levels checked at every administration and audited weekly where CD medication is not routine.

Are CD stock levels checked at every administration and audited weekly where CD medication is not routine.

All staff administering medications has completed a medication competency assessment within the last 12 months.