CRU AUDIT - duplicate

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

CLIENT RELATED AUDIT

Behaviour Support Plans

• Are all dates current?

  Yes

  No

  N/A

• Are the plans accessible for all staff?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

INCIDENT REPORTS

• Is the Incident Report Register up to date?

  Yes

  No

  N/A

• Are Incident Reports related to the person in their individualised folders?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Medication

• Has there been a medication audit completed?

  Yes

  No

  N/A

• What was the date of the last medication audit?

  Date

People Meetings

• Is the People Meetings folder present and stored in the correct location?

  Yes

  No

  N/A

• Are their regular meetings being held

  Yes

  No

  N/A

• What was the date of the last people meeting?

  Date

• Evidence of any NON-CONFORMITIES.

  Media

Support Plans: PCP

• Are all support plans current?

  Yes

  No

  N/A

• Are the plans accessible for all staff?

  Yes

  No

  N/A

• Are the staff recording PCP Outcomes.?<br>(Key worker reports)

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

CHAPS

• Is the CHAPS information current?

  Yes

  No

  N/A

Health Care Plans

• Are all health care plans current?

  Yes

  No

  N/A

• Do the plans have relevant and up to date information?

  Yes

  No

  N/A

• Are staff following up on recommended appointment schedules?

  Yes

  No

  N/A

Epilepsy Management Plans

• Are all epilepsy management plans current?

  Yes

  No

  N/A

• Are plans located in appropriate folders?

  Yes

  No

  N/A

Diabetes Management Plans

• Are the diabetes plans current?

  Yes

  No

  N/A

• Are plans located in appropriate folder?

  Yes

  No

  N/A

Asthma Management Plans

• Are the asthma plans current?

  Yes

  No

  N/A

• Are the plans located in the appropriate folders?

  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
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  • Five
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  • 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 the handover sheets completed appropriately?

  Yes

  No

  N/A

• At the end of each month are the Team Leaders reconciling the books signing them off?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Fire Folder

• Have the individual client responses been recorded and located in fire folder?

  Yes

  No

  N/A

• Is there a Fire Risk Behaviour Assessment for each resident.

  Yes

  No

  N/A

• Last date reviewed

  Date

• Have the Weekly Fire Safety checklists been completed?<br>Part A and Part B

  Yes

  No

  N/A

• Please record the date of the last completed checklist.

  Date

• Are there records of fire drills?

  Yes

  No

  N/A

• When was the last fire drill recorded?

  Date

• Have there been evacuation evaluations for each person sighted and are they up to date?

  Yes

  No

  N/A

• Evidence of any NON-CONFORMITIES.

  Media

Evacuation Pack

• Are there current photo's of all clients?

  Yes

  No

  N/A

• Are the weekly evacuation pack checklists completed?<br><br>

  Yes

  No

  N/A

• Please record the date of the last completed checklist.

  Date

• Evidence of any NON-CONFORMITIES.

  Media

First Aid Kit

• Is the First Aid Kit adequately stocked?

  Yes

  No

  N/A

• Are there any Panadol located in the first aid kit?

  No

  Yes

• Evidence of any NON-CONFORMITIES.

  Media

Food Safety Fridge/ Pantry

• 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

• 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

• 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 twelve and more

  • one
  • two
  • three
  • four
  • five
  • six
  • seven
  • eight
  • nine
  • ten
  • eleven
  • twelve
  • twelve and more

SIGNATURE OF AUDITOR

• Add signature

  Sign