Ablecare community services

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date

  Date

• Time of audit

  Date

Service outlet entry and office area

• Gate secure and self closing

  Yes

  No

  N/A

• Front door locked and self closing

  Yes

  No

  N/A

• Nominated Senior and Complaint handling details displayed clearly

  Yes

  No

  N/A

• Front of service outlet and office presentation - tidy and clean<br>

  Yes

  No

  N/A

• Current Audit rating displayed<br>

  Yes

  No

  N/A

• Emergency evacuation information displayed

  Yes

  No

  N/A

• CPR chart current and displayed

  Yes

  No

  N/A

• Nominated senior roster and contact details displayed<br>Nominated service facilitator contact times and details displayed

  Yes

  No

  N/A

• All staff signed into and out of shifts . Ezitracker log and record of schedule checked for all shifts for past 3 days

  Yes

  No

  N/A

• Nominated service facilitator contact times and details displayed

  Yes

  No

  N/A

• Work Heath and safety policies, procedures and forms are accessible to all staff

  Yes

  No

  N/A

• Visitors book available and correctly filled in

  Yes

  No

  N/A

• Staff training record book correctly filled in<br>

  Yes

  No

  N/A

• Two weeks of menus displayed

  Yes

  No

  N/A

• Policies are up to date and accessible by staff

  Yes

  No

  N/A

• Service outlet and home Philosophy displayed <br>

  Yes

  No

  N/A

• Staff qualifications and personal work ethic statement displayed

  Yes

  No

  N/A

• Staff room door closed

  Yes

  No

  N/A

• Staff bathroom door closed

  Yes

  No

  N/A

• Computer system operational

  Yes

  No

  N/A

Living and activity area : Sense of home

• Room clean

  Yes

  No

  N/A

• Door closed and self closing

  Yes

  No

  N/A

• Door to personal care and toilet change area closed <br>

  Yes

  No

  N/A

• Store room doors closed and locked

  Yes

  No

  N/A

• Emergency evacuation information displayed

  Yes

  No

  N/A

• CPR chart current and displayed

  Yes

  No

  N/A

• First Aid Box accessible by staff and contents up to date

  Yes

  No

  N/A

• Staff:client ratio at regulation level or higher

  Yes

  No

  N/A

• Room at appropriate temperature<br>

  Yes

  No

  N/A

• Use of natural light and ventilation<br>

  Yes

  No

  N/A

• Medical information sheets up to date and signed by staff

  Yes

  No

  N/A

• Noise level appropriate (0 being and empty room, 5 being a full room of service users positively engaged , 10 being clients vocalising in a distressed or constant manner or crying)

• Client sign in sheet filled in where in use

  Yes

  No

  N/A

• Daily routine displayed in visual form for service users

  Yes

  No

  N/A

• All clients have current daily care records

  Yes

  No

  N/A

• Equipment clean and in good repair

  Yes

  No

  N/A

• All service users engaged with activity/ staff-client interactions/ caregiving routines

  Yes

  No

  N/A

• Appropriate activities for service users with low support needs

  Yes

  No

  N/A

• Appropriate activities for service users with high support needs

  Yes

  No

  N/A

• Appropriate activities for service users with complex support needs

  Yes

  No

  N/A

• Staff dressed in appropriate uniform and abide by correct dress code

  Yes

  No

  N/A

• Staff have current blue and yellow cards

  Yes

  No

  N/A

• Medical portfolios available and up to date

  Yes

  No

  N/A

• Blue folder portfolios available and up to date

  Yes

  No

  N/A

• Linkages between client goals and programs demonstrated

  Yes

  No

  N/A

• Linkages between Developmental framework and activities demonstrated

  Yes

  No

  N/A

• Shift handover reports completed for last 3 days

  Yes

  No

  N/A

• Is there a sense of home and general appearance of the service outlet -welcoming and friendly

  Yes

  No

  N/A

OUTDOOR AREA

• Outdoor hazards identified by staff and available for viewing

  Yes

  No

  N/A

• Equipment clean and in good repair

  Yes

  No

  N/A

• Area clean and tidy

  Yes

  No

  N/A

• Storeroom and laundry doors locked or inaccessible to service users

  Yes

  No

  N/A

• Staff : service user ratios at regulation or higher<br>

  Yes

  No

  N/A

• Fence checked to assure service users are unable to pass through, or go over or under it and security for the premises is acceptable

  Yes

  No

  N/A

• Outdoor program is accessible , facilitated and up to date

  Yes

  No

  N/A

• All service users have hats

  Yes

  No

  N/A

• All service users have sunscreen applied

  Yes

  No

  N/A

• Service users have access to drinking water and fresh food snacks

  Yes

  No

  N/A

• Activities are provided in shaded areas

  Yes

  No

  N/A

KITCHEN

• Kitchen kept hygienic

  Yes

  No

  N/A

• Food handling qualifications displayed

  Yes

  No

  N/A

• Food handling procedures followed

  Yes

  No

  N/A

• Correct and safe storage of food

  Yes

  No

  N/A

• Door closed

  Yes

  No

  N/A

• Area inaccessible to service users for safety and skills deficit reasons

  Yes

  No

  N/A

• Cupboards containing chemicals are clearly labeled

  Yes

  No

  N/A

• Material safety data sheets displayed for all chemicals

  Yes

  No

  N/A

LAUNDRY

• Door closed and inaccessible to service users where applicable

  Yes

  No

  N/A

• Area kept tidy

  Yes

  No

  N/A

• Chemicals kept inaccessible to service users with skill deficits

  Yes

  No

  N/A

• Pet foods are stored in containers to prevent access to pests

  Yes

  No

  N/A

• Cupboards containing chemicals are clearly labeled

  Yes

  No

  N/A

• Material safety data sheets displayed for all chemicals

  Yes

  No

  N/A

• Time complete

  Date

• Signature

  Sign