General observation

• Audit Title

• Conducted on

  Date

• Select date

  Date

Personal Details

• Name

• Service user

Arrival information

• Did the member of staff arrive on time?

  yes

  no

• Comments

• Did the staff member enter the property correctly as outlined in their support plan

  Select yes no

  • yes
  • no

• Comments

• Has the staff member checked the black care file on arrival

  Select yes no

  • yes
  • no

• Comments

Uniform and property

• Uniform - as directed in support plan

• No jewellery worn

• Flat sensible shoes

• Health and safety bag

• Comments

Care principles

• Is the carer a dignity champion

  yes

  no

• How did they demonstrate showing respect to the service user during the observation?

• We're choices offered.

• Give an example of choice offered.

• Was the service user encouraged to be independent where'd possible by the staff member

• Give an example of how

• Was the service user shown any privacy when required

  yes

  no

  n/a

• Comments/examples

• Was the service users rights promoted

  yes

  no

• Comments/examples

• Was confidentiality breached during the observation

  No

  Yes

• Comments

• Did the staff member listen to the service users during the observation

  yes

  no

• Was there good conversation between the service user and staff member

  yes

  no

Health

• Has the service user got any pressure areas which need treating

  yes

  no

  n/a

Infection control

• Does the staff member where PPE when appropriate

  yes

  no

• Is the PPE disposed off correctly

  yes

  no

• Did the staff member use anti bacterial gel

  yes

  no

• Did the staff member wash their hands

  yes

  no

Safety

• Whilst observing did an accident/incident occur.

  yes an accident occured

  no accidents occurred

• What procedure would you follow if an accident / incident occurred whilst you were with a service user.

• Did the staff member identify any new risks

  yes

  no

• Comments/examples

• Did the staff member use an RCD at anytime during the observation

  yes

  no

  n/a

• Did the staff member complete any specialised tasks which would require specialised training

  yes

  no

Communication

• Did the staff member communicate effectively with other members of staff

  yes

  no

  n/a

• Did the staff member communicate effectively with other professionals involved in the provision of care for the service user.

  yes

  no

  n/a

• Did the staff member communicate effectively with the office

  yes

  no

  n/a

Additional

• Did the staff member tidy up and empty bins if necessary before leaving

  yes

  no

• Did the staff member complete everything required in good time and followed a good pace

  yes

  no

• Relevant documents competed in care file

  yes

  no

• Did the staff member complete the daily log correctly

  yes

  no

• Was the service user left ins safe manner and the property left secure as started in care plan

  yes

  no

• Any further comments

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