Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Cleanliness

  • BATHROOM/ KITCHEN: Surfaces/ walls/ cupboards/ all facilities and equipment clean and tidy. PHOTO EVIDENCE REQ

  • COMMUNAL AREAS (living/ dinning): Surfaces/ walls/ furniture clean/ tidy and free of clutter. PHOTO EVIDENCE REQ<br>

  • EXTERNAL AREAS: Patios/ gardens/ verandas free of clutter/ rubbish and leaves. PHOTO EVIDENCE REQ

  • BEDROOMS: Beds made, all areas clean/ tidy and free of clutter. PHOTO EVIDENCE REQ.

Food hygiene

  • Adequate food in fridge/ freezer and cupboards stored appropriately. Dated/ hygienically stored (container/ cling wrap). PHOTO EVIDENCE REQ

Maintenance

  • Any hazards identified (broken furniture/ fixtures and fittings/ clutter etc). PHOTO EVIDENCE REQ IF APPLICABLE, COMPLETE RENTPOST

  • Maintenance works required. PHOTO EVIDENCE REQ IF APPLICABLE, COMPLETE RENTPOST

Documentation

  • MEDICATION CHART SIGNED: PHOTO EVIDENCE REQUIRED. If documentation is missing follow up with staff member on duty.

  • CMS entry completed for every shift: monitoring of appropriate content and correct completion. Please make notes, if required support individual staff to make improvements.

  • CMS back up and and communication books used appropriately: staff signing to acknowledge read/ client info in apprpriate book.

Staff direction provided

  • Please document any directive/ instruction provided to staff to rectify any problems identified in audit.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.