Electronic medication, aligned to NICE QS85
eMAR
Electronic medication administration with witness sign-off, PRN, controlled-drug register, homely remedies, MCA documentation, covert pathways and missed-dose alerts.
Aligned to NICE QS85
An eMAR built for accountable medication administration
Carerealm's eMAR is designed around NICE Quality Standard QS85 and NICE Guideline SC1 (Managing medicines in care homes — applied across CQC-registered providers including supported living). Every administration is timestamped, attributed to a named carer, and locked into a tamper-evident audit trail.
Schedules, alerts and witness rules can be configured per area, so a service supporting one person with complex medications doesn't share rules with a service supporting someone on a single PRN.
- Configure your schedule.
- Per-area medication scheduling — daily, weekly, custom dose windows, lock-out periods.
- Witness sign-off.
- Two-person sign-off for controlled drugs (CD register) and any medication you flag as requiring witnessing.
- Missed-dose alerts.
- Configurable alerts when a dose is due, late, or missed. Surface in app + via email or push.
Controlled drugs done right
CD register, homely remedies, PRN — all in one place
The platform ships with a built-in Controlled Drugs register covering balance tracking, witness signatures, and disposal audit. Homely remedies are recorded with their own rules and limits. PRN (pro re nata) medications can be administered against a written rationale, with effectiveness recording available for review later. Each module sits inside the eMAR so an audit doesn't become a paper chase.
- Controlled drugs register.
- Balance tracking, two-person sign-off, disposal record — built around the Misuse of Drugs Act 1971.
- Homely remedies.
- Per-realm allowed list with administration limits per individual.
- PRN with rationale.
- Capture why a PRN was given and follow up effectiveness — useful for medication reviews.
Capacity and consent
MCA / Best Interest documentation and covert pathway
For supported individuals who lack capacity to consent to medication, Carerealm provides a structured Mental Capacity Act 2005 assessment and Best Interest decision pathway, with attached signatures and review dates. When medication is administered covertly (e.g. dispersed in food), the platform requires an active Best Interest decision and a GP/pharmacist sign-off, and tracks the next review date.
- MCA + Best Interest.
- Structured assessment, Best Interest decision record, review-date tracking.
- Covert administration pathway.
- Requires an active Best Interest record. Disposal of crushed medication tracked. Reviewed against pharmacist input.
What our eMAR isn't (yet)
Carerealm's eMAR doesn't connect to NHS Digital's GP medication-reconciliation integrations today. If your service requires direct NHS-assured medication reconciliation, a supplier that's already on that programme is the right pick. We're evaluating the application process — but we'd rather tell you we don't have it yet than imply we do.
Keep exploring the platform
See every featureDaily Diary
Continuous person-centred documentation
Document daily observations with templates, lockdown rules, AI assistance, draft auto-save and a full revision history per supported person.
Forms
Bespoke forms for assessments and care plans
Build the forms your service actually uses — assessments, incident reports, care plans — with response tracking, public form links, exports and notifications.
Staff Rota
Person-centred rostering, time & attendance and payroll
Build staff rotas around the people you support — scheduling, open shifts, leave, location-stamped clock-in, timesheets and payroll-ready exports, all tied to each person's care record. An optional bolt-on.
Try it on a 14-day free trial
From £4 + VAT per user per month. No card, no sales call, cancel any time.