Information

  • Document No.

  • Audit Title

  • Customer name

  • Conducted on

  • Prepared by

  • Location

Customer file

  • Name of customer

  • Front page completed correctly

  • Detailed directions to customer's home

  • Access details on PASS and StaffPlan

  • 3 emergency contacts given

  • Support plan completed with detail

  • Customer guide declaration of receipt signed

  • Risk assessments completed with detail

  • Evidence of equipment checks being carried out

  • Medication support plan completed and signature of consent obtained

  • Customer consent form signed

  • Visit notes being completed correctly on PASS

  • MAR sheet information being completed correctly on PASS

  • Evidence for lasting powers of attorney present

  • Confirmation of instructions / purchase order form present

  • Terms of business fully signed and charge rates for care given

  • Signed by customer

  • Signed by assessor

  • Review conducted in last 6 months

  • Review evident on StaffPlan

  • Customer details correct on StaffPlan

  • Customer details correct on Highrise

  • Customer details correct on PASS System

  • Audit conducted by

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