Audit

Resident Full Name

Date of Birth

Room Number

Has an Initial Care / Support Needs Assessment been 'Fully' completed?

Please Complete Immediately

Was a Pre-Admission visit conducted?

Where did the visit take place?

Has a Resident Inventory form been completed?

Please Complete Immediately

Has the Resident visited the Home before?

Does the Resident have a Personal File?

Has a 'Key Worker' been assigned?

Name of Staff Member:

Who will be apponted?

Is the Key Worker on Duty during admission?

Ensure they spend time with the Resident to settle them.

Arrange for them to spend time during their next available shift and confirm this with the Resident.

Has they been introduced to other residents?

Have they been introduced to other Staff?

Has a care and Support Plan been established based on the initial Assessment?

Start to complete Form 063 with immediate effcet.

Is their GP aware of the Service provision?

Please contact GP immediately and Record in Care Notes.

Have they arrived with any Medication?

Will they be Self-Medicating?

Is a Medication Self-Assessment Form completed

Complete a Self-Medication Assessment Form immediately and record in the Care Notes.

Has this been entered onto a MAR Sheet?

Complete this immediately and Record in the Care Notes.

Are there any Dietary considerations?

Enter the details on Form 066 and Record in Care Notes and Care Plan.
Ensure the kitchen is informed following the correct procedure.

Have Cultural and Religious preferences been discussed?

Check the information is recorded correctly in the Care Plan.

Has the Residents Register been updated?

Please update the Register immediately.

Have they been given a copy of the Contract of Services and facilities provided?

Has it been signed by the Resident or their Representative?

Ensure it is signed immediately.

Have they received a Statement of Purpose?

Give a copy of the Statement of Purpose now and tick to confirm.

Have they received a copy of the Complaints Procedure and Forms?

Give copies now and tick to confirm.

Have they given consent for their photograph to be used on the front of their folder?

Complete to consent form now and tick when done.

If not 'Privately Funded', is there a Funding Agreement in place?

Bring this to the attention of the Manager without delay.

Do they have any allergies?

Are the correct details recorded in the Initial Needs Assessment and Care Plan?

Record the details immediately and tick the box when complete.

Do they currently receive visits from Community Nursing Service?

Are the correct details recorded in the Initial Needs Assessment and Care Plan?

Record the details immediately and tick the box when complete.

Do they have any Mobility Aids / Needs?

Are they detailed in the care Plan and Specific risk Assessments completed?

Complete the relevant forms immediately and tick the box when done.

Do they require the use of a Hoist?

Is there a suitable Sling available?

Notify the Manager immediately and tick the box when done.

Only Sign when form is completed.

Signature:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.