Title Page

  • Unit

  • Date and Time

  • Completed by

  • Location

1. Clinic Room

  • Are the keys to the clinic room separate from the main keys to the home and kept secure with staff at all times?

  • Are the medicine cupboards locked?

  • Is the medication room door locked when the room is not in use?

  • Are the room temperature records complete daily to demonstrate the room is maintained between 16-25 degrees centigrade?

  • Are refrigerator temperature records complete daily to demonstrate storage between 2-8 degrees centigrade?

  • Are refrigerators cleaned and well maintained

  • Is the room clean, tidy and free from unnecessary items?

  • Are appropriate hand washing facilities available, including hand gel on medication trolleys?

  • Are there suitable procedures in place for recording the disposal of medications?

  • Is the medicines waste box stored in a locked cupboard?

  • Is there an up to date monthly date checking matrix in place?

2. Non-CD Medication

  • Is the medicine cupboard clean and organised?

  • Sample 5 medications: Are medications in date?

  • Are medications stored in their original package?

  • Sample 5: Is the date of opening clearly stated for liquids, creams and other limited life medications?

  • Is there a record of each homely remedy administered?

3. Controlled Drugs

  • Is the CD cupboard locked and properly secured

  • Are the CD keys kept separately from the main drug keys and only accessible to authorised staff?

  • Have entries in the controlled drug register been made by 2 approved practitioners?

  • Sample 5 medications: Do levels of controlled drugs tally with the register?

  • Is there evidence of a weekly check of the controlled drugs?

  • Are any controlled drugs disposed of correctly recorded?

  • Do pages in the Control Drug record book have "transferred to page" notes at the bottom (if appropriate)?

4. First Aid boxes

  • Are first aid boxes located in an accessable site?

  • Are first aid boxes checked and a record maintained?

5. MAR Chart review

  • Are MAR charts available for all service users with an up to date photograph (unless service user declined consent for such)

  • Are there any gaps in the MAR charts? (missing signatures)

  • Sample 5 medications: Does the running balance recorded tally with the actual number of medication in the service users medication box?

  • Sample 5 service users: If as required medication is used, is there a PRN protocol in place?

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. You should independently determine whether the template is suitable for your circumstances.