Title Page
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Conducted on
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Prepared by
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Unit
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Room Number
Resident checks
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Is the resident in the room?
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Is the resident clean & dressed?
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Is the resident dressed 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 had their teeth or dentures brushed?
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Is the resident's hair clean & 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 had a bath or shower within the past week?
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(If applicable) Are the resident's 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 call bell within reach?
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Does the resident have a fresh drink available to hand?
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Does the resident have a catheter?
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Has it been emptied?
Bedroom
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Is the room clean and tidy?
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Have the bins been emptied?
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Is the bed made?
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Is the bed on the lowest setting?
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Is the room at an appropriate temperature?
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Does the room smell pleasant?
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Has the bedroom been stocked with toiletries?
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Is the room free of trip hazards?
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Is the bathroom free of clutter?
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Is the equipment and furniture in good working order?
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Is the bed plugged in and switched on?
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Is the air mattress plugged in and on the right setting?
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Is the resident on a repositioning schedule? and is this being complete?