Medication Audit (Monthly)

Use this Monthly Medication Audit Checklist to evaluate medication practices, storage, documentation, staff competency etc. to adhere to proper safety protocols. References: CQC Regulations: Regulation 12 (Safe Care and Treatment), Regulation 9 (Person-Centered Care), Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, NICE Guidelines on Medicines Management, Care Act 2014, PAMS (Patient Administration Medication System) Audits, Data Protection Act 2018 (for handling personal and medical data related to MAR charts).

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Care Homes
Medication Audit (Monthly)

Medication Storage

Medication Administration Records (MARs)

Compliance And Best Practices

Medication Handling And Administration

Medication Errors And Incidents

Resident-Specific Considerations

Controlled Drugs Management

Disposal Of Medications

Covert Medication

Time-Sensitive Medications

Body Maps For Topicals

Stock Reporting

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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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Medication Audit (Monthly)

1. Medications are stored securely (Photograph Mandatory)

2. Storage temperature is appropriate (Photograph Mandatory)

3. Is fridge min and max temperature recorded daily? (Photograph Mandatory)

4. Are all medicines locked away?

5. Are any residents considered as self-medicating?

6. Are keys to medication cupboards managed as per policy?

7. Controlled drugs are stored in compliance with regulations (Photograph Mandatory)

8. Medications are clearly labelled and in their original packaging (Photograph Mandatory)

1. MARs are up to date and accurately maintained

2. All administered medications are correctly documented

3. Are the MAR Charts fully completed without administration gaps?

4. Where there are any doses missed or omitted, are reasons for these clearly explained and recorded?

5. PRN (as needed) medications are appropriately documented

6. Is there a risk assessment and care plan for self-medication?

7. PRN Protocols are in place (Photograph Mandatory)

1. Cleaning rota for the medication storage area is available?

2. Are pharmacy contact details displayed and up to date?

1. Staff administering medications are trained and competent

2. Two staff members check and sign for controlled drugs administration

3. Two staff members check and sign for any medication entering the home

4. Medications are administered according to prescribed instructions

5. Staff observe the resident taking the medication

1. Medication errors are promptly reported and documented

2. Root cause analysis is conducted for medication errors

3. Corrective actions are taken and documented

1. Medication reviews are conducted and documented regularly for each resident

2. Allergies and contraindications are clearly documented and displayed (Photograph Mandatory)

3. Consent for medication administration is obtained and documented (Photograph Mandatory)

4. Resident preferences for medication administration are respected

1. Controlled drugs register is up to date and accurate (Photograph Mandatory)

2. Balance checks for controlled drugs are performed and documented regularly

3. Expired or discontinued controlled drugs are disposed of according to regulations

1. Expired or discontinued medications are disposed of safely

2. Disposal records are maintained and up to date (Photograph Mandatory)

3. Is medication for disposal separated from those in use?

1. Staff understand and follow the Mental Capacity Act (MCA) guidelines and document any decisions related to the covert administration of medications.

2. All staff involved in any medication are trained in MCA and that decisions are clearly documented and reviewed regularly.

1. A process is in place ensure that time-sensitive medications are administered at the correct times, with appropriate intervals between doses. This should be clearly documented and monitored.

1. Body maps are used for the application of topical medications. These maps document the specific areas on the body where topical medicines are applied, to avoid reapplying in the same area and causing irritation.

1. Medication stock levels are accurately recorded and monitored. A system is in place to regularly check and document the quantities of medicines received, used, and disposed of.