Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Cleanliness
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BATHROOM/ KITCHEN: Surfaces/ walls/ cupboards/ all facilities and equipment clean and tidy. PHOTO EVIDENCE REQ
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COMMUNAL AREAS (living/ dinning): Surfaces/ walls/ furniture clean/ tidy and free of clutter. PHOTO EVIDENCE REQ<br>
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EXTERNAL AREAS: Patios/ gardens/ verandas free of clutter/ rubbish and leaves. PHOTO EVIDENCE REQ
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BEDROOMS: Beds made, all areas clean/ tidy and free of clutter. PHOTO EVIDENCE REQ.
Food hygiene
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Adequate food in fridge/ freezer and cupboards stored appropriately. Dated/ hygienically stored (container/ cling wrap). PHOTO EVIDENCE REQ
Maintenance
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Any hazards identified (broken furniture/ fixtures and fittings/ clutter etc). PHOTO EVIDENCE REQ IF APPLICABLE, COMPLETE RENTPOST
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Maintenance works required. PHOTO EVIDENCE REQ IF APPLICABLE, COMPLETE RENTPOST
Documentation
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MEDICATION CHART SIGNED: PHOTO EVIDENCE REQUIRED. If documentation is missing follow up with staff member on duty.
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CMS entry completed for every shift: monitoring of appropriate content and correct completion. Please make notes, if required support individual staff to make improvements.
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CMS back up and and communication books used appropriately: staff signing to acknowledge read/ client info in apprpriate book.
Staff direction provided
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Please document any directive/ instruction provided to staff to rectify any problems identified in audit.