Care homes

This page will bring together all the PrescQIPP care homes resources and showcase good practice examples of projects focusing on medicines optimisation in the care homes setting. Each set of resources contains tools that can be adapted for local use before implementation. 

Medication in care homes

Care homes webkit webinar

This webinar showcased the work we have done so far on Care homes and future plans.

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B66: Bulk prescribing

General advice on the implementation of bulk prescribing. Implementation packs for care homes, GPs and pharmacists provide the tools needed to support the safe and effective implementation of bulk prescribing.

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B72: Homely remedies

The homely remedies resources provide advice on implementing a homely remedies policy in care homes. Support tools include advice on implementation, audit tools, agreement forms and information for GPs.

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B143: Supporting self administration of medication in the care home

Assessment and implementation tools are provided to support change and an educational slideset is available to support discussion with care home staff.

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B174: Care homes - use of monitored dosage systems

Supports the review of the use of compliance aids/monitored dose systems. Includes advice and guidance on changing to a system where medicines are administered/ dispensed in original packs. 

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B151: How to use multidisciplinary teams effectively

These resources will support effective working and communication between members of a multidisciplinary teams for care home residents. 

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B173: Implementation of NICE guidelines

Discusses the implementation of NICE guidance relevant to medicines optimisation in care homes. A summary of relevant NICE guidance and suggestions to support implementation are offered for each of the relevant NICE guidance.

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B75: Controlled drugs good practice guide

This bulletin is intended to be a supporting guidance document for care home staff on the management of CDs in the care home setting. It can be adapted by care home staff to form a policy for use in individual care homes. 

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B87: Medication and falls

A resource pack to raise awareness of the medicines that can increase the risk of falls in older people. Can be used when conducting medication reviews and when deciding whether to initiate medicines if the patient is  at risk of falls.

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B93: Waste reduction

This good practice guide to help reduce waste is aimed at GP practices and care home staff. It provides useful tips to consider when generating prescriptions and when ordering and administering medicines.

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B112: Good practice guide to prescribing and medication review

The document covers a range of good practice considerations when prescribing and also for medication review.

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B101: Covert administration

The resources in this section explore some of the challenges of administering medications within care homes and provide guidance on dealing with them.

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B179: Refused or missed doses

This bulletin looks at the issues around refused and missed doses when administering medicines in care homes and provides guidance for healthcare professionals in dealing with these issues. An educational slideset is available to support implementation. 

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B172: Safeguarding and medicines

Discusses the issues around safeguarding in relation to medicines which could include: withholding of medicine without a valid reason, incorrect use of medicines, deliberate attempts to harm through use of medicine, or accidental harm. 

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B178: Transferring patients between care settings

The resources in this section explore some of the issues where patients are transferred to and from care homes settings and provide resources to support good practice.

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B188: Assisting people with swallowing difficulties

There are particular concerns around the use of thickeners in care homes. These resources provide guidance on safe and appropriate use and encourage regular review and ensuring training of staff involved in administering thickeners. 

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Educational resources

Courses available on our e-learning hub https://www.prescqipp.info/learning/prescqipp-e-learning/

Medicines use in care homes: Course 1

This course is for care home staff involved in any aspect of medicines use. Students should have previously undertaken basic administration of medicines competency training as appropriate to their care setting prior to taking this course.
This course supports the implementation of recommendations in the NICE guideline on managing medicines in care homes. It also supports statement 3 in the NICE quality standard on medicines management in care homes.

It covers: the role of CQC and the NICE Guideline and Quality Standards; the management of medicines in care homes; management of self-medicating residents; administration of inhalers; administration of eye drops; administration of transdermal patches; administration of topical products; and administration of 'when required' medicines.

The course should take around 2.5 hours in total to complete, but please note that it is designed to be completed in stages and not finished in one sitting.

If your organisation is interested in commissioning this course please check out our flyer below, this includes details of the courses and prices (including volume based discounts).

Medicines use in care homes: Course 2

This is the second of our courses designed for care home staff involved in any aspect of medicines use.

Students should have previously undertaken basic administration of medicines competency training as appropriate to their care setting, and we recommend that students first complete our Medicines use in care homes: Course 1.

It covers: Refused and omitted doses; Covert administration; Controlled drugs; Bulk prescribing; Homely remedies; and Waste medicines reduction.

This course supports the implementation of recommendations in the NICE guideline on managing medicines in care homes.

It also supports statement 6 in the NICE quality standard on medicines management in care homes.

The course should take around 2 hours in total to complete, but please note that it is designed to be completed in stages and not finished in one sitting.

If your organisation is interested in commissioning this course please check out our flyer below, this includes details of the courses and prices (including volume based discounts).
medicines in care homes.

It also supports statement 6 in the NICE quality standard on medicines management in care homes.

The course should take around 2 hours in total to complete, but please note that it is designed to be completed in stages and not finished in one sitting.

If your organisation is interested in commissioning this course please check out our flyer below, this includes details of the courses and prices (including volume based discounts).

Medicines use in care homes: Course 3

The third of our e-learning packages for care homes, builds on the content covered in the first two Medicines use in care homes courses.

The course is designed for all care home staff involved in medicines administration and covers the use of certain ‘high risk’ or specialist medicines that require specific consideration and/or administration techniques.

This course covers: Medicines and falls risk, Antipsychotic medicines in dementia, Administration of anticoagulants, Administration of methotrexate and other cytotoxic medicines, Administration of bisphosphonates and Administration of medicines used in Parkinson’s disease.

The course should take around 2.5 hours in total to complete, but please note that it is designed to be completed in stages and not finished in one sitting.

It includes six modules focusing on key topics, in addition to two case studies that will help apply learning to practice.

Quizzes at the end of each module will test understanding and recap on key learning points, and a pass mark of 70% is required in the final assessment to complete the course and receive a certificate.

Care Homes Training Package - Part 1

These slides are designed for teams that want to deliver face to face training to care home staff and can be complemented by our CPD accredited Medicines use in care homes 1 e-learning course.

Care homes 1 slidesets.zip >

Care Homes Training Package - Part 2

These slides are designed for teams that want to deliver face to face training to care home staff and can be complemented by our CPD accredited Medicines use in care homes 2 e-learning course.

Care homes 2 slidesets.zip >

Care Homes Training Package - Part 3

These slides are designed for teams that want to deliver face to face training to care home staff and can be complemented by our CPD accredited Medicines use in care homes 3 e-learning course.

Care homes 3 slidesets.zip >

Reducing antipsychotic use in Dementia

The use of antipsychotics in dementia to control behavioural and psychological symptoms has been a concern for many years. The PrescQIPP toolkit looks at the safety issues associated with using antipsychotics in this way and also provides practical tools and guidance to support the reduction of use. The toolkit is not just aimed at care homes, however is an important resource to include in the care homes webkit.

T7: Reducing antipsychotics in dementia toolkit

The reducing antipsychotic prescribing in dementia toolkit is a resource aimed at healthcare professionals and carers, which can be used to support the management of behavioural and psychological symptoms of dementia without the use of antipsychotics.

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Reducing antipsychotics in dementia webinar

This webinar showcased the resources in the reducing antipsychotics in dementia toolkit and discussed the evidence behind the recommendations.

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Integrated care home dementia video

The video provides a real 360 view of the projects, their achievements, how they were established and the real benefits they have made to homes dealing with patients on low dose anti-psychotics, and the quality of life for the patients themselves.

Shared good practice - Award winning project webinars

Shared good practice - Other projects

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