Welcome to our webpages which aim to support care providers in managing medicines safely in all social care settings. The information will assist managers to meet the fundamental standards in relation to medicines management.
If you require information or support on medicines management in social care setting please contact the Medicines Management Team at email@example.com
Did you know?
Pregabalin and gabapentin became schedule 3 controlled drugs on 1st April 2019
If your prescriptions are sent electronically to the pharmacy from the surgery this may no longer be possible for pregabalin and gabapentin - please check with your surgery or pharmacy so that arrangements can be put in place if needed.
You may be asked to provide identification if you are collecting the prescriptions or the medication
There is no change to storage and recording requirements. Storage in a controlled drug cabinet is not required. Records are not required in a controlled drugs register.
There is no change in disposal requirements for most social care services except care homes with nursing.
For care homes with nursing (nursing homes) only: As pregabalin and gabapentin are schedule 3 controlled drugs it is recommended they should be disposed of in a CD denaturing kit before transfer to the waste company.
Please contact us if you have any questions.
The Care Quality Commission (CQC) The sector regulator. The website is where you can find your latest published CQC report, information on the judgement framework and the latest news from CQC. They also provide
- guidance on meeting the regulations in Guidance for providers on meeting the regulations.
- information on what it looks for when it inspects and monitors services in its Key Lines of Enquiry guidance.
- Medicines: information for adult social care providers
National Institue for Health and Care Excellence (NICE) produces guidance for social care. including:
- For providers of services for adults in people's own homes Managing medicines for adults receiving social care in the community.
- For providers of care homes Managing medicines in care homes.
The Royal Pharmaceutical Society (RPS) has guidance available The handling of medicines in social care.
FOR NURSES: The Nursing and Midwifery Council (NMC) is the professional regulator for registered nurses. It publishes
Central Alerting System (CAS): This service alerts providers to safety information including drug alerts. Providers should ensure they are registered with CAS. Information on how to do this can be found on the help pages on the CAS website in the Helpsheet for independent health and social care providers.
Electronic Medicines Compendium (eMC) - Patient information leaflets (PILs) for most prescribed medicines can be found on this website. When a medicine is dispensed by a pharmacy or dispensing GP a patient information leaflet should be supplied with it, if one exists. The patient information leaflet should be kept as a reference source for social care staff and service users to refer to.
NHS Choices contains information from the NHS including on health conditions, medicines and social care.
The British National Formulary (BNF) - Online version of this reference source for information on medication.
The internet can be a useful source of information, but you need to be sure that the information is from a reliable source and quality controlled. (Please note: Harrogate and Rural District Clinical Commissioning Group is not responsible for the content of external websites).
Sample safe handling of medicines policies and procedures
Click on the documents below to download sample policies which can be used as a resource to assist managers in developing a policy for the safe handling of medicines in their own service.
** The domiciliary care sample policy and proceedure is being updated and is currently unavailable**
Information on homely remedies is currently being updated.
- Homely remedies stock record
- Form to record the agreement of staff involved in the administration of homely remedies
If you want any advice on the implementation of a homely remedies policy in your home please contact firstname.lastname@example.org
Click on the document to download the covert administration policy agreed by Harrogate and Rural District CCG, Scarborough and Ryedale CCG, Vale of York CCG and Hambleton, Richmondshire and Whitby CCG
Management of Medicines
Storage of medicines: The safe storage of medicines in care homes is essential. A checklist for the risk assessment for storage of dressings, bland emollients and appliances in a person’s room is available here.
Medicines Administration Record (MAR) Chart.
It is essential in any care setting where medication is administered by staff that a MAR chart is used. The provision of the MAR chart is the responsibility of the care provider (although pharmacies often supply them as a complimentary service).
Care homes in North Yorkshire and York should report incidents involving controlled drugs to the Controlled Drugs Accountable Officer (CDAO) at NHS England using the online reporting tool.
Care homes should register and login to the reporting tool at https://www.cdreporting.co.uk/
This does not change the requirement to report incidents to CQC/safeguarding/police as appropriate which should still be done.
Transfer of medicines: When a person moves between providers or goes into hospital it is essential that relevant information accompanies them. A form to help ensure all the relevant information is sent is available here and an example of a completed form is available here.
Oxygen: Useful tips on the storage and use of oxygen are available here. Further advice can be obtained from the oxygen supplier.
Safe recording templates
Clear and accurate documentation is a fundamental part of safe medication practice. The following forms can be downloaded and used by care providers. Click on the title to download the document.
Supplementary information (Protocol) about when required and variable dose medication – It is essential that staff administering medication prescribed to be taken ‛when required’ know what the medication is for and under what circumstances it may be appropriate to administer a dose. The supplementary information document can also be used for variable dose medication to indicate when a higher or lower dose should be given. The supplementary information document should be reviewed on a regular basis and/or if the person’s circumstances change.
Supplementary information about creams and ointments - It can be helpful to provide extra information about creams and ointments including the use of a body map.
Transdermal Patch record - when administering patches it is important to remove the old patch before applying a new one and to rotate the sites where the patch is applied. This form will support safe recording.
Supplementary Medication Administration Record – As the space on traditional MAR charts is quite limited care providers may find this supplementary record sheet useful as it allows staff to record the time the medicine was administered, the dose and the quantity remaining. If using a supplementary record staff must annotate the main MAR chart with ‛see supplementary sheet’ so all staff record the administration in the same place.
Supplementary sheet for the recording of creams and ointments – Administration of prescribed creams/ointments must be recorded. In some circumstances it may be appropriate to use separate documentation to record the administration. In care homes this may be kept in the person’s room. If using a supplementary record staff must annotate the main MAR chart with ‛see supplementary sheet’ so all staff record the administration in the same place.
Supplementary sheet for the recording of nutritional supplements – The administration of nutritional supplements such as Fortisip and Ensure must be recorded. In some circumstances it may be appropriate to use separate documentation to record the administration. If using a supplementary record staff must annotate the main MAR chart with ‛see supplementary sheet’ so all staff record the administration in the same place.
Medicines Refrigerator – Temperature Recording Chart – In care homes the maximum and minimum temperature of the fridge should be recorded daily. Staff must ensure that they always reset the thermometer once the reading has been taken. If the fridge temperature is outside of the required range then action must be taken.
Recording of medicines taken on short periods away from the home – Care homes must be able to account for all the medication for which they are responsible. This form can be used to document medication which the person takes with them for periods away from the home, for example, weekend visits to family.
It is the responsibility of managers to assess the competency of staff before they are allowed to administer medication – competency assessment tools to support this are available below.
1.• Competency assessment tool for staff working in care homes
2.• Competency assessment tool for domiciliary care staff
Information is also available through your local Clincal Commisioning Group websites.
For further information or queries please email email@example.com