Title Page

  • Conducted on

  • Prepared by

  • Unit

  • Room Number

Resident checks

  • Is the resident in the room?

  • Is the resident clean & dressed?

  • Is the resident dressed in clothes appropriate for the weather?

  • Is the resident wearing appropriate footwear?

  • Is the resident wearing their own labelled clothing?

  • Has the resident had their teeth or dentures brushed?

  • Is the resident's hair clean & brushed?

  • Has the resident been shaved?

  • Has the resident had personal care?

  • Has the resident had a bath or shower within the past week?

  • (If applicable) Are the resident's hearing aids in place?

  • (If applicable) Is the resident wearing their glasses?

  • Does the resident have a call bell within reach?

  • Does the resident have a fresh drink available to hand?

  • Does the resident have a catheter?

  • Has it been emptied?

Bedroom

  • Is the room clean and tidy?

  • Have the bins been emptied?

  • Is the bed made?

  • Is the bed on the lowest setting?

  • Is the room at an appropriate temperature?

  • Does the room smell pleasant?

  • Has the bedroom been stocked with toiletries?

  • Is the room free of trip hazards?

  • Is the bathroom free of clutter?

  • Is the equipment and furniture in good working order?

  • Is the bed plugged in and switched on?

  • Is the air mattress plugged in and on the right setting?

  • Is the resident on a repositioning schedule? and is this being complete?

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.