1.Understanding the CQC Quality Statements (Medicines Optimisation)
The new CQC Quality Statements emphasize:
Person-Centred Care: Ensuring each person is involved in decisions about their medication.
Safety and Effectiveness: Administering medications correctly, securely, and in accordance with legal requirements.
Staff Competency: Staff must be trained, competent, and assessed regularly.
Management of Risks: Identifying and managing risks associated with medication handling.
2.Key Steps for Safe Medication Management and Administration
a. Policies and Procedures
Develop clear medication policies that are CQC-compliant.
Include procedures for:
Prescribing, ordering, and storage.
Administration (including self-administration).
Disposal of medication.
Handling of controlled drugs.
Medication errors and adverse reactions.
b. Staff Training and Competency
All staff must be:
Trained in medication administration and management.
Regularly assessed for competency.
Familiar with National Institute for Health and Care Excellence (NICE) guidelines.
Include shadowing and supervised assessments as part of training.
c. Medication Records and Documentation
Use Medication Administration Records (MAR) sheets to track:
Dosages, times, and method of administration.
Any side effects or refusals.
Changes in prescriptions.
Ensure records are accurate, up-to-date, and securely stored.
3.Risk Management and Safety Measures
Conduct risk assessments for all individuals:
Allergies, adverse reactions, and specific conditions.
Risks of missed doses or overdosing.
Implement:
Double-check systems for high-risk medications.
Secure storage in locked medicine cabinets.
Regular stock checks and expiry date monitoring.
4.Communication and Person-Centred Approach
Involve clients in decisions:
Educate them about their medications.
Encourage participation in their medication plans.
Communicate effectively with:
GPs, pharmacies, and families when changes occur.
CQC notifications for serious incidents involving medication.
5.Regular Audits and Compliance Checks
Conduct regular audits:
Medication records.
Staff competency.
Storage and disposal.
Use the findings for continuous improvement and training updates.
6.Meeting the CQC ‘Outstanding’ Criteria
To achieve an Outstanding Rating, ensure:
Medication management is proactive, not just reactive.
Innovation in medication safety and staff engagement.
Transparent learning culture from errors and best practices.
Evidence of positive health outcomes linked to safe medication handling.
