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GO Online: Inspection toolkit

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Medicines optimisation

Medicines remains one of the more common areas of unsafe practice amongst services rated inadequate or requiring improvement. Where good and outstanding rated practice exists, effective processes, training and support are key.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Medicines optimisation

Duration 01 min 57 sec

Whatever role your service has in regard to people’s medicines, it’s important that your processes and procedures are robust.

You’ll need to be clear about your staff roles and responsibilities around medicines … and ensure that people receive them as prescribed.

NICE guidelines will need to be followed and the CQC inspectors will want to assure themselves that your service is safely managing the ordering, transporting, storage, and disposal of medicines.

Your staff will be expected to be effectively trained and assessed as competent in how they administer and record medicines.

Regularly use opportunities such as one-to-ones to discuss medication issues and check understanding with staff.

Your staff will also need to be confident to discuss medicines with the people you support, and ensure this information and advice is clearly communicated.

Involve the people you support in how their medicines are managed. Try to encourage independence. Correct procedures will need to be followed, including when supporting people with limited capacity.

Your medication management may also need to involve external healthcare professionals.

The CQC inspectors will review data from your service prior to interviewing people, staff, and managers. Be prepared for the CQC inspector to accompany your staff and observe them administrating medication.

The inspectors may also ask to see a range of documents related to your medication management including:

  • medicine administration records
  • medicine review
  • medicine training
  • and medicine protocols.

Take a look at the recommendations, examples, and resources in our GO Online resource to help you to safely manage medicines.

Watch the film here: https://vimeo.com/789624643

Resources

The practical resources below can help you to strengthen this area of CQC inspection. Use the filter to choose different types of resources or select based on related prompt.

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4 resource(s) found

Electronic medicines administration records (eMAR) in adult social care

Resource creator: Care Quality Commission

Good quality records underpin safe, effective, compassionate, high-quality care. They communicate the right information clearly, to the right people, when they need it. They are an essential part of achieving good outcomes for people.  The CQC has published some online guidance to help providers covering Electronic medicines administration records (eMAR).

  • Guide
  • Website

Date published: February 2023


Managing medicines in Shared Lives schemes

Resource creator: Care Quality Commission

If you are a Shared Lives Service that is registered with the CQC to deliver personal care, these services may also administer a person’s medicines as part of this. This is because medicines support is considered ‘ancillary to’ the personal care they are receiving.  The CQC has produced online guidance for Shared Lives Services on this matter.

  • Guide
  • Website

Date published: February 2023


Managing medicines in supported living

Resource creator: Care Quality Commission

A provider that is registered with the CQC to deliver personal care may also administer a person’s medicines as part of this. This is because medicines support is considered ‘ancillary to’ the personal care they are receiving.  The CQC has produced online guidance to advice Supported Living Services on this matter.

  • Guide
  • Website

Date published: February 2023


Medicines administration records in adult social care

Resource creator: Care Quality Commission

Good record keeping protects people receiving medicines support and their care workers.  The CQC has published online guidance to support providers to consider what is needed to support people and ensure your records meet their expectations.

  • Guide
  • Website

Date published: November 2022



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