Homely remedies in Care Homes: a practice note

A “homely remedy” is a non-prescription medicine used to treat minor ailments, such as mild pain, coughs, or indigestion. They can be purchased over the counter at a pharmacy or supermarket.

Timely treatment for such minor ailments is a right for someone living in a care home, whether they manage their own medicines or are cared for by the care home service.

Medicines falling into these categories may sometimes be prescribed for certain residents by their GP. Any such medicines obtained on prescription must only be administered to the individual specified on the prescription and medicine dispensing label. The GP may not be willing to provide a prescription for every home remedy medicine for every resident in a care home.

Care homes can offer timely treatment of minor ailments by operating a homely remedies policy. Any policy should consider:

• which medicines may be offered and for which symptoms
• the amount of the medicine that should be given as well as how often
• the maximum amount of the medicine that should be taken each day
• where to record that the medicine has been given
• how long the medicine should be given before the GP is contacted
• which residents should not be given certain medicines or products - a relevant healthcare professional (doctor, pharmacist or nurse) should be able to offer advice on this; for example, paracetamol should not be given as a homely remedy if a resident is already receiving prescribed paracetamol.

What we expect registered care homes to put in place

Care homes for adults and older people must have a mechanism in place that ensures residents can have minor ailments treated promptly when needed. We expect that a medicine policy and protocol will include provisions for the administration of homely remedies when a person has a common ailment.

Only a small number of people may require homely remedies. If a person requires regular administration of medication this should be discussed with the prescriber or GP who will decide on whether a prescription is needed.

Homely remedies medicines can be purchased and held as communal stock by the care home for use by any resident who needs it.

How the provision of homely remedies meets quality standards

The Health and Social Care Standards

1.13 I am assessed by a qualified person, who involves other people and professionals as required.

1.19 My care and support meet my needs and are right for me.

1.24 Any treatment or intervention that I experience is safe and effective.

2.3 I am supported to understand and uphold my rights.

2.23 If I need help with medication, I am able to have as much control as possible.

Quality framework for adults and older people in care homes

1.3 People’s health and wellbeing benefit from their care and support.

3.2 Staff have the right knowledge, competence, and development to care for and support people.