Ablecare Care Services - Allied Health Fortnightly Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• To meet the minimum competency and care standards, a site and the employee must demonstrate proficiency in performing the procedures as evidenced by the specific criteria listed below. In addition the organisational systems must be in place. The purpose of this audit is to guide senior staff when they conduct a visit as to the required areas and items they must check and confirm are in place. If issues are identified these must be immediately rectified while on site.

Administration and Record Keeping Standards

• FOLDER : MEDICATION AND RECORDING SHEETS : This must be visible and accessible. Checking includes confirming all signatures for regular and as required medication are on site and that the medication matches the sheets. PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

• FOLDER : CMS CLIENT CARE PLANS AND PROGRESS NOTES : This must be visible and accessible. Checking includes confirming that records are current and are being used correctly by staff. PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

• FOLDER : FINANCE : This must be visible and accessible. Checking includes confirming that receipts are being stored and filed correctly and that these records have been entered into the CMS FINANCE Module. PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

• FOLDER: MAIL, FAXES AND CORRESPONDENCE : This must be visible and accessible. Checking includes looking at mail and ensuring that it has been faxed and uploaded to CMS. This also includes any appointment dates have been advised to rostering and are entered into CMS. PHOTOS REQUIRED

  Sited and Compliant

  Non Compliant

• FOLDER : STAFF HANDBOOK : This must be visible and accessible. PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

Core Competencies:

• FOOD : Evidence of last food receipt and Photo of food on sitepurchase receipt : PHOTO REQUIRED

  Yes

  No

  N/A

• Safe storage : PHOTO OF STICKER ON SAFE THAT INDICATES LAST DATE BATTERIES WERE CHANGED .

  Yes

  No

  N/A

• OFFICE AREA IS CLEAN AND ORGANIZED : PHOTO REQUIRED

  Yes

  No

  N/A

• Emergency Evacuation plan is visible in the staff office : PHOTO REQUIRED

  Yes

  No

  N/A

• LAUNDRY AREA IS ORGANIZED AND CLEAN : PHOTO REQUIRED

  Yes

  No

  N/A

• KITCHEN STORAGE IS CLEAN AND ORGANIZED INCLUDING PANTRY AND FRIDGES : PHOTO REQUIRED

  Yes

  No

  N/A

• STORAGE AREAS ARE ORGANIZED, WELL STOCKED AND LABELLED: PHOTO REQUIRED

  Yes

  No

  N/A

• EQUIPMENT IS CLEAN AND IN WORKING ORDER : Wheelchairs, commodes, hoists, beds, vehicle : PHOTO REQUIRED

  Yes

  No

  N/A

• EMERGENCY ITEMS ARE IN PLACE : Emergency kit, First Aid Kit, Working Torch : PHOTO REQUIRED

  Yes

  No

  N/A

• UTILITIES : FAX IS RECEIVING AND SENDING : A SPARE INK CARTRIDGE IS AVAILABLE , COMPUTER IS OPERATIONAL : COPY OF A CURRENT FAX CONFIRMATION REPORT IS REQUIRED

  Yes

  No

  N/A

• Personal Protective Equipment : GLOVES , SHOWER APRONS ,ETC PHOTO REQUIRED

  Yes

  No

  N/A

• Medication is returned to its correct place for storage : PHOTO REQUIRED

  Yes

  No

  N/A

Elements of Support

• Communication aids - Evidence that these are in use : PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

• Client Visual Routine / Diary : PHOTO REQUIRED

  Sited and Compliant

  Non Compliant

• Staff Visual Roster/ Roster book: PHOTO REQUIRED

  Yes

  No

  N/A

• Current Shift Plans on site : PHOTO REQUIRED . The shift plan must show the current date

  Sited and Compliant

  Non Compliant

• Leisure activities available inside the home for clients : PHOTO EVIDENCE

  Sited and Compliant

  Non Compliant

• Leisure activities available outside the home for clients : PHOTO EVIDENCE

  Sited and Compliant

  Non Compliant

• Current Menu Plan : PHOTO EVIDENCE : Must show current date

  Sited and Compliant

  Non Compliant

• Review the premises and confirm if any locked doors and windows/ gates are being used or any restrictive practice : objects, physical restraint, chemical, containment or seclusion.

  Sited and Compliant

  Non Compliant

• Confirm that the following are on site in HARD COPY : Locked doors and windows policy and plan - Assessment evidence of skills deficits for clients it applies to

  Yes

  No

  N/A

• Confirm if a restrictive practice is in use ADULTS : A copy of the current Positive Behavior Support Plan and Authority / Short Term Approval are available for sighting. Staff must be able to articulate the plan and use of the practices

  Sited and Compliant

  Non Compliant

• Confirm a crisis intervention plan or child positive behaviour support plan is on site and staff are able to articulate the plan (CHILD )

  Sited and Compliant

  Non Compliant

Outcome

• IMPROVEMENT EVIDENCE : Is the service outlet meeting a high quality standard of appearance both internally and externally : PHOTO REQUIRED

  Acceptable

  Not Acceptable

• CURRENT ISSUES : Identified and being resolved : PHOTO EVIDENCE

  Yes

  No

  N/A

• COMMENT ON EMPLOYEE COMPETENCY AND MANNER INCLUDING DRESS STANDARD : PHOTO REQUIRED

  Acceptable

  Not Acceptable

• Signature of employee on shift

  Sign

• Signature of AuditingStaff Person:

  Sign