Title Page
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Unit
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Date and Time
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Completed by
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Location
1. Clinic Room
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Are the keys to the clinic room separate from the main keys to the home and kept secure with staff at all times?
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Are the medicine cupboards locked?
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Is the medication room door locked when the room is not in use?
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Are the room temperature records complete daily to demonstrate the room is maintained between 16-25 degrees centigrade?
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Are refrigerator temperature records complete daily to demonstrate storage between 2-8 degrees centigrade?
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Are refrigerators cleaned and well maintained
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Is the room clean, tidy and free from unnecessary items?
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Are appropriate hand washing facilities available, including hand gel on medication trolleys?
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Are there suitable procedures in place for recording the disposal of medications?
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Is the medicines waste box stored in a locked cupboard?
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Is there an up to date monthly date checking matrix in place?
2. Non-CD Medication
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Is the medicine cupboard clean and organised?
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Sample 5 medications: Are medications in date?
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Are medications stored in their original package?
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Sample 5: Is the date of opening clearly stated for liquids, creams and other limited life medications?
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Is there a record of each homely remedy administered?
3. Controlled Drugs
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Is the CD cupboard locked and properly secured
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Are the CD keys kept separately from the main drug keys and only accessible to authorised staff?
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Have entries in the controlled drug register been made by 2 approved practitioners?
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Sample 5 medications: Do levels of controlled drugs tally with the register?
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Is there evidence of a weekly check of the controlled drugs?
4. First Aid boxes
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Are first aid boxes located in an accessable site?
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Are first aid boxes checked and a record maintained?
5. MAR Chart review
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Are MAR charts available for all service users with an up to date photograph (unless service user declined consent for such)
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Are there any gaps in the MAR charts? (missing signatures)
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Are running balances recorded on MAR charts
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Sample 5 medications: Does the running balance recorded tally with the actual number of medication in the service users medication pod?
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Is there an up to date signature sheet in the MAR folder?
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Sample 5 service users: If as required medication is used, is there an explanation on the back of MAR or PRN protocol in place?
6. Oxygen storage (complete if applicable)
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Is appropriate signage displayed on doors of all areas where Oxygen is stored?
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Is oxygen stored in clinic room safely?