2015

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Carried out by

• Location
  Address

• Person in Charge at the time

• Staff seen

• Service Users Seen

Desktop Findings

Key Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Subject Area

• Findings

• Add media

  Media

People are kept safe from FIRE through the effective local procedures and arrangements

• The Livability Fire Risk Assessment has been:<br><br>Reviewed in the last twelve months or following a significant change<br>Authorised by the service manager for use<br>Demonstrates that the monitoring section has been reviewed and all actions are noted with timescales for completion<br>Actions from the above are completed or a management plan is in place

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Yes

  No

  N/A

• Comments

• The Livability Local Emergency Evacuation Plan has been revised and provides:<br>The key roles to ensure an evacuation is successfully managed<br>The necessary equipment to enable people to evacuate is in place and staff are trained and are competent to use it

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• The Livability Personal Emergency Evacuation Plans are :<br>In place for every person in the service who requires assistance to evacuate.<br>Agreed with the service user where ever possible<br>Signed of by the Service Manager<br>All staff know and can demonstrate the way in which the individual can be taken to a place of safety.

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Add media

  Media

People are kept safe through a proactive response to accidents and incidents

• Reporting Injuries/Incidents/Near Miss<br><br>The service has a clear culture of reporting all events that can lead to loss or concern<br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• The manager responds to all loss events in a timely and robust approach<br><br>There is clear evidence that the manager completes the managers action both in the sign off for all the necessary actions and in the required time frame.<br><br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• RIDDOR S AND SERIOUS ACCIDENTS<br><br>The manager has reported all Riddors to HSE in the required timeframe<br><br>The manager has completed all actions required to meet the internal RIDDOR and serious accidents procedure.<br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Add media

  Media

People are kept safe through effective risk management.

• Risk management enables choice while keeping people safe.<br><br>All risk assessments for people using the service have sought to involve them.<br>All risk assessments are in date and the next review is clearly indicated<br>All risk assessments have been authorised for use<br>Staff can demonstrate that they understand the risk assessment and the measures required.<br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Risk management ensures it meets the individuals needs in keeping people safe.<br><br>All risk assessments for people using the service have sought to involve them and meets there individual needs.<br>All risk assessments have risk reduction measures relevant to the individual.<br>People using the service see these risk assessments as empowering and enabling.<br>Staff can demonstrate that they understand the risk assessment and the measures required to support the individual<br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Risk management ensures that staff and volunteers are safe.<br><br>All risk assessments for staff ensure risks are clearly identified.<br>All risk assessments for staff cover the significant risks and have appropriate risk reduction measures.<br>All risk assessments are in date and the next review is clearly identified<br>All risk assessments have been authorised for use<br>Staff can demonstrate that they understand the risk assessment and the measures required.<br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Add media

  Media

People are kept safe through the effective management of the individuals physical environment

• The local service has effective system that minimises the risk to people from UTILITIES<br><br>The service ensures the required certification for FIXED WIRING is in date<br>The service ensures the required certification for PORTABLE APPLIANCE TESTING is in date.<br>The service has ensured that all GAS APPLIANCES have been tested and serviced in the required period.<br>The local service has internal systems for identifying faults/breakages/concerns with utilities and dealing with these to minimise the risk to occupants in the building/service.<br><br><br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Add media

  Media

People are kept SAFE when using TRANSPORT provided by the local service

• All drivers are authorised<br><br>Records show that all drivers are authorised to drive for Livability.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comment

• Vehicles have the required level of local checks<br><br>Records show that all local vehicles have the required checks at the correct frequency<br>Records show that all actions have been completed and signed off.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comment

• All drivers have the required level of training for the vehicles they use.<br><br>Records show that all drivers have undertaken a local induction if using a livability vehicle<br>Records show that all drivers who require specified training have completed this and in date<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comment

• Add media

  Media

Additional areas being reviewed in the local service

• Additional Area Reviewed -provide details<br><br>Add any information on standards required.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Additional Area Reviewed -provide details<br><br>Add any information on standards required.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Additional Area Reviewed -provide details<br><br>Add any information on standards required.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Additional Area Reviewed -provide details<br><br>Add any information on standards required.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Additional Area Reviewed -provide details<br><br>Add any information on standards required.<br><br><br>

  Yes

  No

  N/A

• Action Required

• Date for Completion

  Date

• Person Responsible

• Comments

• Add media

  Media

Judgement - Safe

• Evidence Judgement - Safe Feedback about the safety of the service describes as consistently good and they feel safe. There is a culture of learning from mistakes and an open approach. The services manages incidents, accidents and safeguarding concerns promptly. There are policies and procedures for managing risks and staff understands them and follows at all times to protect people. Restrictions are minimised so they feel safe but also have freedom regardless of disability or other needs. Staff give information about other risks and support them in their choices so they have as much independence as possible. Risk assessments are proportionate and centred around the needs of the person. Are formal and informal methods used to share information on risks to people's care and support? Are there plans for responding to emergencies or untoward events, are these understood by all staff? How are the risks identified and managed? There are policies and procedures for managing risk and staff understand and follow them to protect people. The service does this consistently so that people feel safe whether they are within the service or out in the community.

• Judgement

  Select Outstanding Good Needs Improvement Inadequate

  • Outstanding
  • Good
  • Needs Improvement
  • Inadequate

judgement - Effective

• Evidence Peoples feedback about the effectiveness of the service describes it as consistently good. Peoples needs and preferences are taken into account when the premises are adapted or decorated. The environment is designed to promote independence.

• Judgement

  Select Outstanding Good Needs Improvement Inadequate

  • Outstanding
  • Good
  • Needs Improvement
  • Inadequate

Judgement - Responsive

• Evidence Peoples feedback about responsiveness of the service describes it as consistently good.

• Judgement

  Select Outstanding Good Needs Improvement Inadequate

  • Outstanding
  • Good
  • Needs Improvement
  • Inadequate

Judgement - Well Lead

• Evidence Peoples feedback about the way the service is led describes it as good. How does the service make sure they have robust records and data management systems? How is innovation recognised, encouraged and implemented in order to drive a high quality service? How is information for investigations and compliments used to drive quality across the service? Legal obligations including conditions of registration from CQC, and other external organisations are understood and met.

• Judgement

  Select Outstanding Good Needs Improvement Inadequate

  • Outstanding
  • Good
  • Needs Improvement
  • Inadequate