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Managing medicines in care homes key points People in care homes have the same rights and responsibilities in relation to NHS care as the rest of us - the NHS Constitution. Residents should have the opportunity to make informed decisions about their care and treatment. Person-centred care is important. Helping residents to look after and take their own medicines helps them retain their independence. When a person moves into a care home, staff should assume they can manage their own medicines, unless indicated otherwise. Each resident should have an individual risk assessment to determine the support they need to manage their own medicines. Care home providers should have a medicines policy which includes written processes for the safe and effective use of medicines. Care Home Policy Assessing mental capacity (legislation) Storing and sharing information (inc. transfers) Keeping accurate records Problem identification and reporting Safeguarding residents Medicines reconciliation and review Ordering and disposing of medicines Stock control of medicines Administration of medicines (by resident, staff and covertly) Staff training and competency Non-prescription medicines NICE have published a ‘checklist’ to help you put a local policy in place Improvement priorities Health or social care service providers to send a discharge summary, including details of the person’s current medicines, with a person who transfers to or from a care home Prescribers who are responsible for people who live in care homes to provide comprehensive instructions for using and monitoring all newly prescribed medicines. A multidisciplinary team should undertake medication reviews for people who live in care homes Residents who wish to self-administer their own medicines should be supported to do so as long as it does not put them or others at risk. List of statements Statement 1 People who transfer to a care home have their medicines listed by the home on the day of transfer. St
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