CRU AUDIT - duplicate 2

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Client White Files

• Yes

  No

  N/A

Medical Examinations

Breast Examination

• How many clients require breast examinations?

  Select One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • Eleven
  • Twelve

PAP Smear Test

• How many clients require PAP tests?

  Select One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • Eleven
  • Twelve

Prostate

• How many clients require prostate checks?

  Select One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • Eleven
  • Twelve

STAFF RELATED AUDITS

FOLDERS

• Are all the folders the correct colour?

  Yes

  No

  N/A

• Are all the folders located in the appropriate places?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Casual Folder

• Is the information in the casual folder recent?

  Yes

  No

  N/A

• Is there appropriate information contained in the casual folder?<br>

  Yes

  No

  N/A

• Is the casual folder user friendly?

  Yes

  No

  N/A

• Is there a clear alert page in the front of the casual folder?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Community Visitors Reports

• What was the date of the last CV report?

  Date

• Are there any "follow up actions" required and if so how many?

  Select One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • Eleven
  • Twelve

• Evidence of any NON-CONFORMITIES.

  Media

Day Books

• Are staff signing in and out of the Day Book?

  Yes

  No

  N/A

• Are appropriate notes being recorded?

  Yes

  No

  N/A

• Are meals and visitors being recorded appropriately?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Disability Act 2006

• Is the Disability Act 2006 located and easily accessible to staff?

  Yes

  No

  N/A

Finances

• Are all financial records up to date on spreadsheets

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Fire Folder

• Has the fire folder been located?

  Yes

  No

  N/A

• Follow up required OHS ?

  Select forward OHS

  • forward OHS

• Evidence of any NON-CONFORMITIES.

  Media

Evacuation Pack

• Has the evacuation pack been located?

  Yes

  No

  N/A

• Follow up required OHS

  Select forward OHS

  • forward OHS

First Aid Kit

• Has the first aid kit been located

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

• Follow up required OHS

  Select forward OHS

  • forward OHS

Food Safety Fridge/ Pantry

• Is there an established system to storing food?

  Yes

  No

  N/A

• Storage of left overs dated and stored appropriately?<br>Please check the use by dates on food contained within the fridge.

  Yes

  No

  N/A

• Medication requiring refrigeration stored appropriately in a locked container?

  Yes

  No

  N/A

• Storage of open food dated and stored appropriately?<br>Please check the use by dates on the food stored in the pantry.

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

House Meetings

• Are the agenda and minutes of the last house meeting in folder?

  Yes

  No

  N/A

• What is the date of the last recorded house meeting?

  Date

• Have any actions been followed up on with appropriate outcomes?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Notice Board

• Is the notice board clearly defined with appropriate and current information?

  Yes

  No

  N/A

Phone Listings

• Are the phone listings located in the house current and up to date?

  Yes

  No

  N/A

POMS Manual

• Has the POMS manual been located and easily accessible to staff?

  Yes

  No

  N/A

Rosters

• Can you locate a printed copy of the current roster?

  Yes

  No

  N/A

SAFE ENVIRONMENT

Bathroom

• Is the bathroom area clean?

  Yes

  No

  N/A

• Are electrical safety tags in place?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Kitchen

• Is the kitchen area clean?

  Yes

  No

  N/A

• Are electrical safety tags in place

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Laundry

• Is the laundry area kept clean?

  Yes

  No

  N/A

• Is the dryer filter clean?

  Yes

  No

  N/A

• Are electrical safety tags in place?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

OTHER

• Is there any additional information that needs to be added to this audit?

  No

  Yes

• Details of follow up OHS

• Evidence of any NON-CONFORMITIES.

  Media

NON CONFORMITIES

• How many NON-CONFORMITIES are in this audit?

  Select One Two Three Four Five Six Seven Eight Nine Ten Eleven Twelve

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten
  • Eleven
  • Twelve

SIGNATURE OF AUDITOR

• Add signature

  Sign