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
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.