Medication Assessment MEDICATION ASSESSMENT (QMS-F081) Contact Document Ref: QMS-F081 (Medication Assessment) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Safe (Medicines Optimisation) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Pharmacy & Allergy BaselineDoes the service user have any known allergies to medication?- Select -YesNoUnsure (Needs GP Verification before care commences)Please specify the allergies and reaction detailsNominated Pharmacy NamePharmacy Email & TelephoneWho is responsible for ordering and collecting the prescriptions?- Select -The Service UserFamily / Next of KinMutima Care StaffPharmacy Delivery ServiceSECTION 2 - Level of Medication Support RequiredAssessed Level of Support- Select -Level 1Level 2Level 3Level 4No Support Required (Fully independent)Will the pharmacy be providing a printed MAR (Medication Administration Record) chart?Mutima Care staff cannot administer medication without a formal MAR chart or a digital eMAR equivalent.YesNo (Action required to source MAR chart)SECTION 3 - Medication Formats & ComplexitiesIdentify all formats of medication the service user takes:- Select -Tablets / Capsules (Original packaging)Dosette Box / Blister Pack (MDS)Liquids / SyrupsInhalersEye / Ear / Nose DropsTopical Creams / OintmentsPatchesControlled DrugsAre any of these medications TIME-CRITICAL? (e.g., Parkinson's medication, Insulin)- Select -Yes (Care visits must be strictly scheduled)NoAre there any 'PRN' (As Required) medications prescribed? (e.g., Paracetamol for pain)- Select -YesNoPRN Protocol DetailsIs COVERT administration required? (Hiding medication in food/drink)Covert medication is a strict deprivation of rights. It MUST be supported by a Best Interests Decision (Form 44).Yes (Legal authorisation is in place)NoSECTION 4 - Storage and DisposalWhere are the medications securely stored in the property?- Select -Locked medication cabinetKitchen cupboardBedroom drawerRefrigerator (Specific for meds like Insulin)OtherDoes the service user have safe disposal arrangements for expired medication? (e.g., Returns to pharmacy)- Select -YesNo (Action required)SECTION 5 - Risk Control & Sign-offSpecific Care Worker InstructionsAssessor NameDate of AssessmentSave Medication Risk