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 1 People who transfer into a care home have their medicines listed by the care home on the day that they transfer. Competent medication trained employees follow all guidance in sections 3 and 7 of the Trust Medicines Policy Assessment document completed, with medication section completed accurately. Admission checklist completed on the day of admission to confirm. Discharge summary letter, GP document (or other) is read in full and details transcribed accurately onto MAR. In emergency situations, the Pharmacy provider to the homes can support with accessing summary care records (SCR).
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 2 Providers of health or social care services send a discharge summary, including details of the person's current medicines, with a person who transfers to or from a care home Competent medication trained employees follow all guidance in sections 7.3 of the Trust Medicines Policy The Transfer and Discharge policy is followed and the transfer/discharge document is completed and sent with the resident, including all medication. Quality statement 3 People who live in care homes are supported to their medicines if they wish to and it does not put them or others at risk Competent medication trained employees follow all guidance in sections 6.2, 6.3 & 6.4 of the Trust medicines policy MP4 is completed with the resident Residents are involved in their ‘Six Monthly Reviews’ and the relevant section for self administration of medication is completed.
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).