Title Page
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Conducted on
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Prepared by
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Site conducted
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Resident name
Residents check - for those not in their bedroom
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Is the resident clean and dressed?
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Is the resident in clothes appropriate for the weather?
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Is the resident wearing appropriate footwear?
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Is the resident wearing their own labelled clothing?
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Has the resident has their teeth or dentures brushed?
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Has the resident been shaved?
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Has the resident had personal care?
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Has the resident has a bath or shower within the past week?
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If applicable, are the residents hearing aids in place?
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If applicable, is the resident wearing their glasses?
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Does the resident have a fresh drink available within reach?
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Does the resident have a catheter?
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Has the leg bag been emptied?
