Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Care plans and risk assessments: choose a care plan and risk assessment, to determine its relevance to the clients needs, does it contain client centre information that is accurate. Check staffs knowledge of the care plan/ risk assessment and whether it has been reviewed recently. PHOTO

  • Communication aids: Are there sufficient communication aids onsite for clients need and if so are they being used correctly and effectively. E.g visual calendar, chores routine, meal planner etc. PHOTO

  • Current shift plan and activity plan onsite, are they relevant to client needs and therapeutic plan. PHOTO

  • Leisure activities available in the home. PHOTO

  • Leisure activities available outside of the home. PHOTO

  • Current menu plan in place in line with clients needs and being used appropriately. PHOTO

  • ADULT: Review premises and confirm if any locked doors/ windows/ gates are being used or any restrictive practise (objects/ physical, mechanical, chemical, seclusion, containment) Confirm staffs awareness and understanding of such strategies and where policies and procedures are located. PHOTO

  • ADULT: A copy of current TIM/ PBSP/ Short term approval/ Consent letter are available. Confirm staffs awareness and understanding of such documents. PHOTO

  • CHILD: Confirm a ACIP or child PBSP care plan is on sight and staff have an awareness and understanding on such documents. PHOTO

  • House project: recommendations by AHA (e.g garden/ arts and crafts projects/ creation of visual aid) evidence of ongoing projects. PHOTO

  • Improvement evidence: Is the service outlet meeting a high quality standard of appearance both internally and externally. PHOTO

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.