Further actions and timescale Home currently providing to be taken by home to: NICE recommendation Existing Trust wide approach 2017 or plus either comply with this ‘yes’ ‘no’, brief info if relevant statement or to develop this area further Quality statement 4 Competent medication trained employees follow all guidance in sections 2, 3.6 & 9.6 of the Trust Prescribers responsible medicines policy. for people who live in care homes provide Individual PRN protocols (MP26) completed, comprehensive followed and reviewed. Placed alongside MAR instructions for using charts to maintain safe administration. and monitoring all newly prescribed medicines Homely remedies MP8 completed with annual reviews. Quality statement 5 Section 10.1 of the Trust Medicines Policy provides all guidance. The review should include People who live in care the resident and their representative if homes have medication requested, representation from GP, pharmacist, reviews undertaken by homes nurse or care leader & preferably their a multidisciplinary team key worker, as appropriate and agreed. Quality statement 6 Competent medication trained employees follow all guidance in sections 5.1 of the Trust Adults who live in care medicines policy & MP31 homes & have been assessed as lacking Arrange a meeting to complete both the capacity are only guidance and recording the decision to administered covertly if administer medication covertly (MP31) and a management plan is covert medication core care plan document (this agreed after a best includes MCA assessments and best interest interest meeting decisions).
NICE recommendation Existing Trust wide approach 2017 Home currently providing ‘yes’ or ‘no’, plus brief info if relevant Further actions and timescale to be taken by home to: either comply with this statement or to develop this area further Quality statement 4 Prescribers responsible for people who live in care homes provide comprehensive instructions for using and monitoring all newly prescribed medicines Competent medication trained employees follow all guidance in sections 2, 3.6 & 9.6 of the Trust medicines policy. Individual PRN protocols (MP26) completed, followed and reviewed. Placed alongside MAR charts to maintain safe administration. Homely remedies MP8 completed with annual reviews. Quality statement 5 People who live in care homes have medication reviews undertaken by a multidisciplinary team Section 10.1 of the Trust Medicines Policy provides all guidance. The review should include the resident and their representative if requested, representation from GP, pharmacist, homes nurse or care leader & preferably their key worker, as appropriate and agreed. Quality statement 6 Adults who live in care homes & have been assessed as lacking capacity are only administered covertly if a management plan is agreed after a best interest meeting Competent medication trained employees follow all guidance in sections 5.1 of the Trust medicines policy & MP31 Arrange a meeting to complete both the guidance and recording the decision to administer medication covertly (MP31) and covert medication core care plan document (this includes MCA assessments and best interest decisions).
slexample17027supportingmaterial.docx