Centrum House Office Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Office

• Statement of Purpose displayed and current

  Yes

  No

  N/A

• Policies & Procedures Folder displayed and current

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Carer and customer memo file up to date

  Yes

  No

  N/A

• Staff Handbook displayed and current

  Yes

  No

  N/A

• Business insurance certificate displayed and current

  Yes

  No

  N/A

• CQC certificate displayed and current

  Yes

  No

  N/A

• UKHCA certificate displayed and current

  Yes

  No

  N/A

• Business continuity plan displayed and current

  Yes

  No

  N/A

• Evidence of Daily Catch Up Diary being used

  Yes

  No

  N/A

• Evidence of meeting minutes being recorded

  Yes

  No

  N/A

• Evidence of Action Boards being used

  Yes

  No

  N/A

• Evidence of Weekly Planning Board being used

  Yes

  No

  N/A

• Top 5 up to date

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the boat moving faster chart up to date

  Yes

  No

  N/A

• Office desks clear and tidy

  Yes

  No

  N/A

• Walls and floor clear of rubbish

  Yes

  No

  N/A

• Employee of Month chart up to date

  Yes

  No

  N/A

• Employee of the Month on Facebook

  Yes

  No

  N/A

• Latest documents from Nest on Dropbox and being used

  Yes

  No

  N/A

• Filing all clear

  Yes

  No

  N/A

• First aid kit fully stocked

  Yes

  No

  N/A

• Electrical appliances safe and clean

  Safe

  At Risk

  N/A

• Fire extinguisher in date

  Yes

  No

  N/A

• Fire blanket in kitchen present

  Yes

  No

  N/A

• Smoke alarm tested

  Yes

  No

  N/A

• Office environment safe

  Yes

  No

  N/A

• Staff notice board up to date

  Yes

  No

  N/A

• Washing up area clear

  Yes

  No

  N/A

• General office tidiness

  Tidy

  Requires tidying

StaffPlan and PASS System review

• Customer reviews on Staffplan up to date and on whiteboard

  Yes

  No

  N/A

• Carer reviews on StaffPlan up to date and on whiteboard

  Yes

  No

  N/A

• Training on StaffPlan up to date and on whiteboard

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• All alerts on PASS System resolved correctly

  Yes

  No

  N/A

Carer files

• Name of carer 1

• Recruitment and file checklist at front of file

  Yes

  No

  N/A

• Application form fully completed

  Yes

  No

  N/A

• Full working history and all gaps accounted for

  Yes

  No

  N/A

• Work references present and matches dates on application form

  Yes

  No

  N/A

• Personal reference present and matches dates on application form

  Yes

  No

  N/A

• Proof of photo ID

  Yes

  No

  N/A

• 2 proofs of address

  Yes

  No

  N/A

• Evidence of right to work in UK

  Yes

  No

  N/A

• Record of interview

  Yes

  No

  N/A

• Health declaration completed

  Yes

  No

  N/A

• Evidence of offer letter sent

  Yes

  No

  N/A

• Acceptance letter present

  Yes

  No

  N/A

• Contract signed and dated by employee

  Yes

  No

  N/A

• Contract signed and dated by employer

  Yes

  No

  N/A

• Working time directive completed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• If foreign driving licence, evidence to check driver status

  Yes

  No

  N/A

• MOT certificate on file and on StaffPlan and in date

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Driving for Work Policy Signed

  Yes

  No

  N/A

• Copy of ID badge

  Yes

  No

  N/A

• DBS certificate valid

  Yes

  No

  N/A

• CIS certificate

  Yes

  No

  N/A

• Moving & Handling training certificate (annual update)

  Yes

  No

  N/A

• Medication training certificate (annual update)

  Yes

  No

  N/A

• Infection control certificate (annual update)

  Yes

  No

  N/A

• Protecting Adults from Abuse certificate (annual update)

  Yes

  No

  N/A

• Protecting Children from Abuse (annual update)

  Yes

  No

  N/A

• Food hygiene and preparation (annual update)

  Yes

  No

  N/A

• Health & Safety including COSHH (annual update)

  Yes

  No

  N/A

• Basic life support (3 yearly update)

  Yes

  No

  N/A

• Fire safety awareness (annual update)

  Yes

  No

  N/A

• Mental capacity act (annual update)

  Yes

  No

  N/A

• Evidence of shadowing

  Yes

  No

  N/A

• Spot check conducted in last 6 months

  Yes

  No

  N/A

• Supervision conducted in last 6 months

  Yes

  No

  N/A

• End of probation performance appraisal

  Yes

  No

  N/A

• Annual appraisal conducted

  Yes

  No

  N/A

• Carer details correct on StaffPlan

  Yes

  No

  N/A

• Carer details correct on Highrise

  Yes

  No

  N/A

• Carer details correct on PASS System

  Yes

  No

  N/A

• Name of carer 2

• Recruitment and file checklist at front of file

  Yes

  No

  N/A

• Application form fully completed

  Yes

  No

  N/A

• Full working history and all gaps accounted for

  Yes

  No

  N/A

• Work references present and matches dates on application form

  Yes

  No

  N/A

• Personal reference present and matches dates on application form

  Yes

  No

  N/A

• Proof of photo ID

  Yes

  No

  N/A

• 2 proofs of address

  Yes

  No

  N/A

• Evidence of right to work in UK

  Yes

  No

  N/A

• Record of interview

  Yes

  No

  N/A

• Health declaration completed

  Yes

  No

  N/A

• Evidence of offer letter sent

  Yes

  No

  N/A

• Acceptance letter present

  Yes

  No

  N/A

• Contract signed and dated by employee

  Yes

  No

  N/A

• Contract signed and dated by employer

  Yes

  No

  N/A

• Working time directive completed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• If foreign driving licence, evidence to check driver status

  Yes

  No

  N/A

• MOT certificate on file and on StaffPlan and in date

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Driving for Work Policy Signed

  Yes

  No

  N/A

• Copy of ID badge

  Yes

  No

  N/A

• DBS certificate valid

  Yes

  No

  N/A

• CIS certificate

  Yes

  No

  N/A

• Moving & Handling training certificate (annual update)

  Yes

  No

  N/A

• Medication training certificate (annual update)

  Yes

  No

  N/A

• Infection control certificate (annual update)

  Yes

  No

  N/A

• Protecting Adults from Abuse certificate (annual update)

  Yes

  No

  N/A

• Protecting Children from Abuse (annual update)

  Yes

  No

  N/A

• Food hygiene and preparation (annual update)

  Yes

  No

  N/A

• Health & Safety including COSHH (annual update)

  Yes

  No

  N/A

• Basic life support (3 yearly update)

  Yes

  No

  N/A

• Fire safety awareness (annual update)

  Yes

  No

  N/A

• Mental capacity act (annual update)

  Yes

  No

  N/A

• Evidence of shadowing

  Yes

  No

  N/A

• Spot check conducted in last 6 months

  Yes

  No

  N/A

• Supervision conducted in last 6 months

  Yes

  No

  N/A

• End of probation performance appraisal

  Yes

  No

  N/A

• Annual appraisal conducted

  Yes

  No

  N/A

• Carer details correct on StaffPlan

  Yes

  No

  N/A

• Carer details correct on Highrise

  Yes

  No

  N/A

• Carer details correct on PASS System

  Yes

  No

  N/A

Customer file

• Name of customer 1

• Front page completed correctly

  Yes

  No

  N/A

• Detailed directions to customer's home

  Yes

  No

  N/A

• Access details on PASS and StaffPlan

  Yes

  No

  N/A

• 3 emergency contacts given

  Yes

  No

  N/A

• Support plan completed with detail

  Yes

  No

  N/A

• Customer guide declaration of receipt signed

  Yes

  No

  N/A

• Risk assessments completed with detail

  Yes

  No

  N/A

• Evidence of equipment checks being carried out

  Yes

  No

  N/A

• Medication support plan completed and signature of consent obtained

  Yes

  No

  N/A

• Customer consent form signed

  Yes

  No

  N/A

• Visit notes being completed correctly on PASS

  Yes

  No

  N/A

• MAR sheet information being completed correctly on PASS

  Yes

  No

  N/A

• Evidence for lasting powers of attorney present

  Yes

  No

  N/A

• Confirmation of instructions / purchase order form present

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Signed by customer

  Yes

  No

  N/A

• Signed by assessor

  Yes

  No

  N/A

• Review conducted in last 6 months

  Yes

  No

  N/A

• Review evident on StaffPlan

  Yes

  No

  N/A

• Customer details correct on StaffPlan

  Yes

  No

  N/A

• Customer details correct on Highrise

  Yes

  No

  N/A

• Customer details correct on PASS System

  Yes

  No

  N/A

• Name of customer 2

• Front page completed correctly

  Yes

  No

  N/A

• Detailed directions to customer's home

  Yes

  No

  N/A

• Access details on PASS and StaffPlan

  Yes

  No

  N/A

• 3 emergency contacts given

  Yes

  No

  N/A

• Support plan completed with detail

  Yes

  No

  N/A

• Customer guide declaration of receipt signed

  Yes

  No

  N/A

• Risk assessments completed with detail

  Yes

  No

  N/A

• Evidence of equipment checks being carried out

  Yes

  No

  N/A

• Medication support plan completed and signature of consent obtained

  Yes

  No

  N/A

• Customer consent form signed

  Yes

  No

  N/A

• Visit notes being completed correctly on PASS

  Yes

  No

  N/A

• MAR sheet information being completed correctly on PASS

  Yes

  No

  N/A

• Evidence for lasting powers of attorney present

  Yes

  No

  N/A

• Confirmation of instructions / purchase order form present

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Signed by customer

  Yes

  No

  N/A

• Signed by assessor

  Yes

  No

  N/A

• Review conducted in last 6 months

  Yes

  No

  N/A

• Review evident on StaffPlan

  Yes

  No

  N/A

• Customer details correct on StaffPlan

  Yes

  No

  N/A

• Customer details correct on Highrise

  Yes

  No

  N/A

• Customer details correct on PASS System

  Yes

  No

  N/A

• Audit conducted by

  Sign