Meds Audit

• Conducted on

  Date

• Completed by

MAR charts and Administration

• Are MAR charts completed in ink?

  Yes

  No

  N/A

• Are MAR charts current in date?

  Yes

  No

  N/A

• Are MAR Charts legible?

  Yes

  No

  N/A

• Are MAR Charts signed?

  Yes

  No

  N/A

• Are there two signatures on any handwritten entries on the MAR charts?

  Yes

  No

  N/A

• Are all medication directions on the MAR Chart?

  Yes

  No

  N/A

• Are all medication directions for PRN medications detailed on the MAR chart, with a corresponding PRN protocol in place?

  Yes

  No

  N/A

• Are the MAR Charts initialled every time medications are administered?

  Yes

  No

  N/A

• Are the MAR Charts coded every time a client refuses medication?

  Yes

  No

  N/A

• Are the MAR Charts coded every time the client does not receive the drug because it is not available?

  Yes

  No

  N/A

• Are the carers notes completed on the back of the MAR chart where required?

  Yes

  No

  N/A

• Do MAR charts correspond with directions on all boxes, bottles and blister packs?

  Yes

  No

  N/A

• Is there a Patient Information Leaflet for all medications?

  Yes

  No

  N/A

MAR charts and Administration

• Is there an in date BNF available?

  Yes

  No

  N/A

• Do all medications received from the dispensing pharmacy have 2 signatures on the labels (Dispenser and Checker)?

  Yes

  No

  N/A

• Are all boxes, bottles and blister packs clearly labelled?

  Yes

  No

  N/A

• Are any special instructions for specific medications detailed on the MAR chart if required?

  Yes

  No

  N/A

• Are all eye drops clearly labelled on both the box and the bottle?

  Yes

  No

  N/A

• Are all creams and ointments labelled on both the box and tube/tub/bottle?

  Yes

  No

  N/A

• Are all topical preparations clearly labelled?

  Yes

  No

  N/A

• Do all medications have expiry date clearly labelled?

  Yes

  No

  N/A

• Are all medication in stock within the expiry date?

  Yes

  No

  N/A

• Is each client easily identifiable? Are there photos on the files and inside the cabinet?

  Yes

  No

  N/A

• Is there a Medication Care plan in place for each client?

  Yes

  No

  N/A

• Is there a Medication Risk Assessment in place for each client?

  Yes

  No

  N/A

• Has the cabinet temperature been recorded daily?

  Yes

  No

  N/A

• Has the medication fridge temperature been recorded daily?

  Yes

  No

  N/A

• Any covert medication has rigorous guidance and evidence of this being followed – clear evidence of agreements/ best interest’s agreements

  Yes

  No

  N/A

• Does each member of staff administering medicines know what each medicine is for?

  Yes

  No

  N/A

Ordering and Signing in

• Are all stocks of medication checked before ordering?

  Yes

  No

  N/A

• Are all prescriptions checked against what has been ordered?

  Yes

  No

  N/A

• Are all medications carried over recorded on the MAR charts?

  Yes

  No

  N/A

• Are all medications signed in on receipt of order?

  Yes

  No

  N/A

• Is there a signing in/out log for medications if taken out on trips/holidays/day services?

  Yes

  No

  N/A

Storage

• Are all medications stored centrally?

  Yes

  No

  N/A

• If stored centrally, are the cupboards big enough and locked securely?

  Yes

  No

  N/A

• Is access to the locked medication cupboards limited to named staff?

  Yes

  No

  N/A

• Are topical medicines, dressing appliances and MDS stored separately in suitable sized cupboards?

  Yes

  No

  N/A

Controlled Drugs

• Are CDs stored in individual patients locked cupboards?

  Yes

  No

  N/A

• Are CDs stored centrally? If stored centrally, is there an individual secure CD cupboard or cabinet used for CDs only?

  Yes

  No

  N/A

• Is the register kept correctlyrunning balances that are reconciled regularly?

  Yes

  No

  N/A

• Are keys held by designated persons only?

  Yes

  No

  N/A

• Is the CD register bound with numbered pages?

  Yes

  No

  N/A

• Are records of receipt, administration and disposal/return of CDs completed?

  Yes

  No

  N/A

• Is a second signature required on MARs chart when CD are administered?

  Yes

  No

  N/A

Disposal of Medication

• Does the home keep a record of disposed/returned medicines which can be easily accessed e.g. ‘a waste book’?

  Yes

  No

  N/A

• Do records show date of disposal/return, name and strength of medicine, quantity removed and who the medicine was for?

  Yes

  No

  N/A

• Are unwanted medicines disposed of or returned to pharmacy promptly?

  Yes

  No

  N/A

• Are medicines kept for seven days in the event of a patient’s death?

  Yes

  No

  N/A

Minor Ailments

• Does the home allow treatment with “Homely remedies”?

  Yes

  No

  N/A

• Does the home get advice on homely remedies from a doctor, nurse or pharmacist?

  Yes

  No

  N/A

• Does home have a detailed protocol for minor ailments available to staff, clients and relatives?

  Yes

  No

  N/A

• Does the home record purchase, administration and disposal of homely remedies?

  Yes

  No

  N/A

• Do residents receive a regular Medication Review by their GP?

  Yes

  No

  N/A