Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Office

  • Statement of Purpose displayed and current

  • Policies & Procedures Folder displayed and current

  • Incident and Accident Reports Folder displayed and up to date with summary log at the front

  • Complaints and Compliments Folder displayed and up to date with summary log at the front

  • Evidence of notifications sent to CQC, local authority and FSC

  • Carer and customer memo file up to date

  • Staff Handbook displayed and current

  • Business insurance certificate displayed and current

  • CQC certificate displayed and current

  • UKHCA certificate displayed and current

  • Business continuity plan displayed and current

  • Evidence of Daily Catch Up Diary being used

  • Evidence of meeting minutes being recorded

  • Evidence of Action Boards being used

  • Evidence of Weekly Planning Board being used

  • Top 5 up to date

  • Is the boat moving in the right direction up to date

  • Is the boat moving faster chart up to date

  • Office desks clear and tidy

  • Walls and floor clear of rubbish

  • Employee of Month chart up to date

  • Employee of the Month on Facebook

  • Latest documents from Nest on Dropbox and being used

  • Filing all clear

  • First aid kit fully stocked

  • Electrical appliances safe and clean

  • Fire extinguisher in date

  • Fire blanket in kitchen present

  • Smoke alarm tested

  • Office environment safe

  • Staff notice board up to date

  • Washing up area clear

  • General office tidiness

StaffPlan and PASS System review

  • Customer reviews on Staffplan up to date and on whiteboard

  • Carer reviews on StaffPlan up to date and on whiteboard

  • Training on StaffPlan up to date and on whiteboard

  • Recruitment documents on StaffPlan up to date (e.g. MOT certificate, insurance, etc)

  • All alerts on PASS System resolved correctly

Carer files

  • Name of carer 1

  • Recruitment and file checklist at front of file

  • Application form fully completed

  • Full working history and all gaps accounted for

  • Work references present and matches dates on application form

  • Personal reference present and matches dates on application form

  • Proof of photo ID

  • 2 proofs of address

  • Evidence of right to work in UK

  • Record of interview

  • Health declaration completed

  • Evidence of offer letter sent

  • Acceptance letter present

  • Contract signed and dated by employee

  • Contract signed and dated by employer

  • Working time directive completed

  • Proof of Gov.uk check to assess driver points total and confirm they are not disqualified

  • If foreign driving licence, evidence to check driver status

  • MOT certificate on file and on StaffPlan and in date

  • Business insurance class 1 certificate on file and on StaffPlan and in date

  • Driving for Work Policy Signed

  • Copy of ID badge

  • DBS certificate valid

  • CIS certificate

  • Moving & Handling training certificate (annual update)

  • Medication training certificate (annual update)

  • Infection control certificate (annual update)

  • Protecting Adults from Abuse certificate (annual update)

  • Protecting Children from Abuse (annual update)

  • Food hygiene and preparation (annual update)

  • Health & Safety including COSHH (annual update)

  • Basic life support (3 yearly update)

  • Fire safety awareness (annual update)

  • Mental capacity act (annual update)

  • Evidence of shadowing

  • Spot check conducted in last 6 months

  • Supervision conducted in last 6 months

  • End of probation performance appraisal

  • Annual appraisal conducted

  • Carer details correct on StaffPlan

  • Carer details correct on Highrise

  • Carer details correct on PASS System

  • Name of carer 2

  • Recruitment and file checklist at front of file

  • Application form fully completed

  • Full working history and all gaps accounted for

  • Work references present and matches dates on application form

  • Personal reference present and matches dates on application form

  • Proof of photo ID

  • 2 proofs of address

  • Evidence of right to work in UK

  • Record of interview

  • Health declaration completed

  • Evidence of offer letter sent

  • Acceptance letter present

  • Contract signed and dated by employee

  • Contract signed and dated by employer

  • Working time directive completed

  • Proof of Gov.uk check to assess driver points total and confirm they are not disqualified

  • If foreign driving licence, evidence to check driver status

  • MOT certificate on file and on StaffPlan and in date

  • Business insurance class 1 certificate on file and on StaffPlan and in date

  • Driving for Work Policy Signed

  • Copy of ID badge

  • DBS certificate valid

  • CIS certificate

  • Moving & Handling training certificate (annual update)

  • Medication training certificate (annual update)

  • Infection control certificate (annual update)

  • Protecting Adults from Abuse certificate (annual update)

  • Protecting Children from Abuse (annual update)

  • Food hygiene and preparation (annual update)

  • Health & Safety including COSHH (annual update)

  • Basic life support (3 yearly update)

  • Fire safety awareness (annual update)

  • Mental capacity act (annual update)

  • Evidence of shadowing

  • Spot check conducted in last 6 months

  • Supervision conducted in last 6 months

  • End of probation performance appraisal

  • Annual appraisal conducted

  • Carer details correct on StaffPlan

  • Carer details correct on Highrise

  • Carer details correct on PASS System

Customer file

  • Name of customer 1

  • 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

  • Name of customer 2

  • 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

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.