MAR charts for domiciliary care: Everything you need to know

Proper medication management is a vital part of what so many of our customers in domiciliary care do. We’ve created this coherent and practical resource for understanding MAR charts for domiciliary care—a topic laden with outdated and scattered information.  

Understanding the importance of precise medication administration and the role MAR charts play can revolutionise care delivery. This blog aims to demystify MAR charts for domiciliary care, making the complex simple and the outdated refreshed, ensuring you have the knowledge needed to deliver outstanding person-centered care.

What is a MAR chart?

A MAR chart, often a paper record from a pharmacy, details all prescribed medications for the individuals under care. This record allows carers to verify and document the administration of medications accurately. Sometimes known as a domMAR chart in domiciliary care, it is an indispensable tool for carers entrusted with medication management.

The Royal Pharmaceutical Society offers invaluable guidance, emphasising that records must be "complete, legible, up to date, written in ink, dated, and signed." This stringent documentation ensures accountability and transparency in medicine management. Each MAR chart must clearly outline:

• The medicines prescribed
• The time and dosage for administration
• Any specific conditions, such as taking medication with food

By following these guidelines, carers ensure that everyone involved understands what actions have been taken regarding an individual’s medication plan.

Administering medication

Administering medication requires meticulous attention to detail. According to recommendations from the East Riding of Yorkshire Council, carers should verify several key points before dispensing medication:

1. Obtain a pre-printed MAR chart matching the individual’s support plan.
2. Double-check the individual's name and ensure the medication hasn't been administered already.
3. Note special instructions, such as how the medication should be taken (e.g., with food, chewed, dissolved).
4. Confirm the timing of administration.
5. Ensure the medication packaging matches the MAR chart instructions. If discrepancies occur, report them to a duty manager for further discussion with a pharmacist.

Carers are responsible for signing the MAR chart after administering medicine. There may be instances where individuals can self-administer their medication, which should be clearly documented in their care plans.

We have also put together this helpful guide for decoding MAR sheet codes.  

Involving the service user

Engaging service users and their families in medication-related decisions is crucial for fostering a person-centered approach to care. However, carers should refrain from suggesting over-the-counter medications or alternative treatments without proper consultation. The East Riding of Yorkshire Council advises that these decisions should be made by healthcare professionals.

Confidentiality and security of records are paramount, with separate documentation maintained for each service user, ensuring compliance with privacy standards and promoting trust in the care relationship.

Taking your medication administration digital

In the evolution of care processes, transitioning from paper to digital MAR systems can significantly enhance efficiency and accuracy. Traditional paper charts are prone to errors, damage, and loss, which can compromise care quality. Our electronic MAR system (eMAR) is designed with domiciliary carers in mind, integrating seamlessly with our suite of digital care solutions. By adopting an eMAR system, you can streamline record-keeping, reduce errors, and dedicate more time to person-centered care.

Ultimately, MAR charts remain a pivotal element in domiciliary care, ensuring precise medication administration and contributing to the overall quality of life for those you care for. With the right tools and understanding, carers can navigate the complexities of medication management effectively and compassionately.

If you’re curious about seeing some of Log my Care’s digital care management solutions such as eMar and Rostering, book a 1-1 demo to talk to the team.