ExcelCare Agency
In-house inspection checklist
Medicines & Clinical
CQC key question: Safe · Reg 12 (safe care and treatment) · medicines
Medication Management audit
Checks that medicines are handled safely in people's homes, from ordering and storage to administration, recording and disposal.
01Ordering and storage
011Each person's medicine is ordered in a timely way to avoid missed doses.
Not assessed012Medicines are stored at the correct temperature; fridge temperatures are recorded where required.
Not assessed013Original packs and blister packs are stored securely in the person's home as agreed.
Not assessed014Controlled drugs are stored and recorded in line with the controlled drug policy.
Not assessed015Out-of-date or unwanted medicines are returned to the pharmacy and the return is recorded.
Not assessed
02Administration
021Staff administer only medicines they are trained and competent to give.
Not assessed022The 6 'rights' are followed: right person, medicine, dose, route, time, documentation.
Not assessed023Staff check the MAR chart before administering and sign immediately afterwards.
Not assessed024No doses are administered without a current, signed instruction from the prescriber.
Not assessed025Crushing or covert administration only happens with documented pharmacy/pharmacist advice and best-interests agreement.
Not assessed026PRN (as-required) medicines have a clear protocol showing when and how much to give.
Not assessed
03Recording and reporting
031Every dose is recorded on the MAR chart; omissions are coded and explained.
Not assessed032Medication errors or near-misses are reported and recorded on the day they happen.
Not assessed033The registered manager reviews medication errors and takes action.
Not assessed034Stock checks for controlled drugs balance with records.
Not assessed
04Training and competency
041Medication training is completed before staff administer medicines unsupervised.
Not assessed042Annual competency assessment (observed administration) is in date for each staff member.
Not assessed043Staff know what to do if a person refuses a medicine.
Not assessed044Staff know how to recognise and report a medicine side-effect or adverse reaction.
Not assessed
Overall finding
Select the outcome of this audit and record any actions required.
Inspector signature
Registered manager review
ExcelCare Agency · In-house inspection checklist · Medication Management audit · Controlled document set v6.0 · Retain the completed audit in the quality file and review at the next governance meeting.