Medication Audit Checklist – Domiciliary Care

Use this quarterly domiciliary care medication audit checklist to review policies, ordering, storage, administration, staff training, and incident reporting, ensuring safe and compliant medicines management.

Medication Audit Checklist – Domiciliary Care



Governance & Policy

1. Is there an up-to-date medication policy reflecting NICE guidance and best practice?


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2. Are policies for PRN, home remedies, and disposal reviewed regularly and communicated to staff?


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3. Is there a clear policy for secure management of medication keys and access to storage areas?


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Service User Records & Consent

1. Are service user details (name, DOB, allergies) recorded and accessible to staff?


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2. Is a medication risk assessment in place for each service user who requires support?


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3. Has consent for medication support been obtained and recorded (service user or appropriate authority)?


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4. Is the type of medication support provided (prompting, administration, covert) clearly documented in the care plan?


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Ordering, Supply & Storage

1. Are medicines ordered in a timely manner to avoid shortages?


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2. Are records of medication orders and deliveries maintained?


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3. Are medicines (including homely remedies) stored securely and at the correct temperature, including refrigerated items?


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4. Is there a process for safe disposal of discontinued, expired, or unused medicines?


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Administration & Use

1. Are medicines administered safely in line with prescriptions (right person, dose, time, route)? Are time-critical medicines (e.g., Parkinson’s, antibiotics) given at prescribed times?


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2. Are PRN medicines administered according to clear protocols, with reason and outcome recorded?


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3. Are variable doses (e.g., warfarin, insulin) administered safely and in line with GP instructions?


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4. Is the support provided (prompt/administer/covert) consistent with the service user’s care plan?


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Reporting, Training & Competency

1. Are medication incidents, errors, or near misses reported promptly and reviewed for learning?


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2. Are safeguarding authorities informed of serious medication errors where required?


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3. Have all staff administering medication completed up-to-date training?


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4. Are staff medication competency assessments and specimen signatures current and available?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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