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Managing medication in a care home means keeping track of a large number of medicines, often across multiple residents, storage locations and members of staff.

When processes rely heavily on paper records and manual stock checks, maintaining a clear picture of what is available, where it is stored and when it needs to be used can become difficult.

Good medicine management is about creating a process that is secure, traceable and easy for staff to follow. So, what does that look like in practice?

Medicine Management and CQC Requirements

For care homes in England, good medicine management is also an important part of meeting Care Quality Commission (CQC) requirements. Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 requires providers to ensure medicines are properly and safely managed and, where they supply medicines, that sufficient quantities are available to meet people’s needs. Regulation 17 also requires effective governance systems, including accurate records and processes for monitoring risk and improving the quality and safety of care. In practice, this makes good visibility of medicine stock particularly important: care homes need reliable processes for knowing what they hold, where it is stored and maintaining an appropriate record of stock activity.

1. Knowing What Medicine You Have

Good medicine management starts with accurate stock information.

Teams should be able to establish what medication is currently available without relying solely on physical stock counts or searching through cupboards.

Using a medicine stock management system allows individual items to be recorded digitally, including information such as batch number and expiry date. This creates greater visibility from the moment medicine enters the care environment. ExPD’s MICS platform, for example, manages medical supplies by item, batch number and expiry date.

2. Knowing Where It Is

Having the right medicine in stock is only part of the picture. Staff also need to know where it has been stored.

Clearly defined storage locations make it easier to find the correct item when it is needed and reduce the risk of medicine becoming misplaced.

3. Controlling Who Can Access Medication

Medicine needs to be accessible to the right people while remaining secure from unauthorised access.

Digital access controls can help care homes move away from relying solely on physical keys. With MICS, access can be assigned according to a user’s role, while higher-risk items can require secondary authorisation before they are accessed.

This creates a clearer record of access and adds accountability without making the everyday process unnecessarily complicated for authorised staff.

4. Keeping an Accurate Audit Trail

Good medicine management shouldn’t leave teams trying to piece together what happened after a discrepancy is discovered.

Recording medicine as it is received, stored and removed creates a traceable history of stock movement.

Regular audits can then compare what should be in a cupboard or locker against what is physically there. MICS allows users to scan stock during an audit and flags discrepancies between the recorded and actual inventory.

This can make investigating missing or unexpected stock considerably simpler.

5. Managing Expiry Dates and Stock Rotation

Medicine wastage remains an important consideration for care environments. ExPD’s existing MICS research highlights excess inventory, poor stock rotation, short shelf lives and misplaced medication as contributors to medicine wastage.

A better-managed system keeps expiry information alongside the stock record, making it easier to identify medicine approaching its use-by date and prioritise older stock.

It also makes it easier to identify affected items when a particular batch needs to be recalled.

Making Medicine Management Easier to Control

Good medicine management in a care home ultimately comes down to visibility and accountability: knowing what you have, where it is, when it expires and who has accessed it.

Digital stock management, barcode scanning and secure storage can help bring those elements together while reducing the reliance on disconnected paper records and manual processes.

ExPD’s Medicine Inventory Control System (MICS) can be used with your existing cupboards or dedicated Smart Lockers, allowing the system to be adapted around the way an organisation already stores and manages its medicine.

Want to improve visibility and control of medicine stock in your care environment?

Find out more about MICS or get in touch with the ExPD team to discuss your current medicine management process.