Manager’s 2 Monthly Audit Tool

• Name of the Home

• Date:

  Date

• Completed By

• Signed

  Sign
• Location
  Address

People Information

• Client files. Check 10% of people on the MedeCare system. This should include all sections of the system

• Tap "+"

File

• Name:

• Risk assessment

  Yes

  No

  N/A

• Care Plan

• Intervention

• Evaluation

• Overall quality of the information stored on the system?

  Good

  Requires Improvement

• General Comments

Social Activities/Mealtimes

• Activity. <br>Check the activities rota have all the people living in the home been engaged in activities, both in and outside of the home?

  Yes

  No

  N/A

• Activity Choice. <br>Have they been given a choice of the activities they wish to undertake?<br>Is this choice reflected in their care plans?

  Yes

  No

  N/A

• Mealtimes – Observe meals twice during the month. Are mealtimes relaxed and unhurried? Is the food well-presented and appetising in appearance? I<br>Are the people being given choice? Is this recorded?

  Yes

  Sometimes

  Not Always

Medication Management and Administration

• Medication Audit – Use audit tool to check sample of residents’ medications and general medication management / administration and attach the audit to this report.

  Pass

  Fail

  N/A

General Management of the Service

• CQC Rating Certificate – ensure the home’s CQC rating is on display and clearly visible. – check link on website

  Pass

  Fail

  N/A

• Food Hygiene Certificate – ensure the Food Hygiene Certificate is on display and clearly visible.

  Pass

  Fail

  N/A

• Insurance Certificate. Ensure this is on display in a prominent place.

  Pass

  Fail

  N/A

• Handover – Run 2 random Shift handover reports from the system and attach. Are this of a good quality?

  Yes

  No

  N/A

• Improvement Plan – Has the Home Improvement Action Plan been devised?

  Yes

  No

  N/A

• Have all issues identified through Inspections, audits (CQC, EHO, etc) been included.

  Yes

  No

  N/A

• Accidents / Incidents – review accident and incident reports to identify any trends and required actions, this must include an analysis of falls – please attach

• Safeguarding – random sample 10% of staff – do they know what to do if concerned about possible abuse?

  Yes

  No

  N/A

• Is information for residents / staff / visitors clearly visible around the home?

  Yes

  No

  N/A

• (In Appendix 1 list any safeguarding’s reported for this month and action taken)

• DoLs Applications – Check all DoLs all in date and any conditions are included in a care plan.

  Yes

  No

  N/A

• Have any further DoLs applications been made this month.

  Yes

  No

  N/A

• Please list the details.

• CQC Notifications. Have there been any events that require the home to report the matter to the CQC?

  Yes

  No

  N/A

• State What?

• Compliments and Complaints – have any compliments and complaints been logged with a record of actions taken?

  Yes

  No

  N/A

• Check that information about how to make a complement or complaint is clearly visible around the home.

  Yes

  No

  N/A

• Occupancy – does the home currently have any vacancies? Has any action been taken to fill the bed spaces, if so, please list.

Premises and Equipment

• Maintenance Checks – Check that the Handypersons has carried out all the checks and completed the documentation. This should include:<br>• Hot water checks<br>• Flushing<br>• Fire doors<br>Etc., <br>Are all sections completed?<br>Random check the fire doors to see if this is correct.

  Yes

  No

  N/A

• Residents alarm calls bells.
  Randomly sample 10% of all call bells to ensure they are:
  • Accessible
  • In place and if not a risk assessment has been completed

• Tap "+"

• Room No.

• Status

  Pass

  Fail

  N/A

• The Fire alarm system<br>Has this been checked this month?

  Yes

  No

  N/A

• Is the service in date?

  Yes

  No

  N/A

• Have all the PEEPS for all the people living in the home been completed?

  Yes

  No

  N/A

• Is there a fire pack at the designated exit point?

  Yes

  No

  N/A

• Has a fire drill been carried out recently?

  Yes

  No

  N/A

• State the date of the last one.

  Date

Safe Working Practices

• Infection Control – check that Covid requirements and infection control are being maintained to an acceptable standard.

  Yes

  No

  N/A

• COSHH – check storage of COSHH substances and that data sheets are in place.

  Yes

  No

  N/A

• First Aid – Check the first aid boxes are filled correctly

  Yes

  No

  N/A

• Catering – check catering records (e.g. Safer Food Better Business) completed correctly

  Yes

  No

  N/A

Staffing Issues

• Appraisals/Supervisions. Check all staff are in date in their supervisions or appraisals. If not please list

  Pass

  Fail

  N/A

• How many supervisions completed this month? Please state:

• Induction. Check all staff have completed the induction process within the given time scales

  Yes

  No

  N/A

• Recruitment – Have any staff been employed during the last month? If so check that the following have been obtained:<br>• Completed application form<br>• 2 professional references<br>• Satisfactory DBS (or risk assessment in place)<br>• Eligibility to work in UK<br>• Qualification Certificates<br>• Proof of address<br>• Registration with professional body (e.g. NMC)

  Yes

  No

  N/A

• Practice Observation – observe 10% of all staff carrying out tasks for 5 minutes. State your observations

• Management of Absence. How many staff and how many days were lost.

• Agency Staff. Have Agency staff been used this month,<br>Do you have profiles for these staff.

  Yes

  No

  N/A

• Training. Check the training matrix and ensure all staff are up to date in their training.

  Yes

  No

  N/A

Meetings

• People Meetings. Has a meeting taken place this month?

  Yes

  No

  N/A

• Was the content of the meeting recorded?

  Yes

  No

  N/A

• State briefly what was discussed

• Relative Meetings. Has a relative meeting taken place this month?

  Yes

  No

  N/A

• When was the last one and is one scheduled?

  Date

• Staff Meetings. Has there been a meeting this month?

  Yes

  No

  N/A

• State the date of the last meeting and the next planned meeting:

The Building

• Is the overall décor of a good standard? If not has the Nominated Individual been notified

  Yes

  No

  N/A

• Are the communal areas warm and welcoming with pictures on the walls?

  Yes

  No

  N/A

• Is the floor covering throughout the home to an acceptable standard?

  Yes

  No

  N/A

• Is the furniture in the communal areas in good condition?

  Yes

  No

  N/A

• Are there enough seating for the residents and staff?

  Yes

  No

  N/A

• Are there grab handles in all the toilets and bathrooms?

  Yes

  No

  N/A

• Do the TV work in all rooms throughout the home?

  Yes

  No

  N/A

• Are there sufficient coverage at the windows in all the bedrooms?

  Yes

  No

  N/A

• If blinds are in use, do they have anti-ligature fixtures?

  Yes

  No

  N/A

• Are the bedrooms decorating to an acceptable standard?

  Yes

  No

  N/A

• Have the bedrooms been personalised?

  Yes

  No

  N/A

• Is the bedroom furniture in good condition and is there an easy chair for the person to sit on?

  Yes

  No

  N/A

Please Note: Carry this information forward each month

• Tap "+"

Service/Test/Inspection

• Select Service/Test/Inspection

  Select PAT testing (annual) Gas safety check (annual) 5 year electrical inspection Boiler Inspection (annual) Legionella (annual) Hoist/Standaid/Sling LOLER checks (bi-annual) Fire equipment Test ( annual) Fire Risk Assessment (annual) Kitchen Canopy (annual)

  • PAT testing (annual)
  • Gas safety check (annual)
  • 5 year electrical inspection
  • Boiler Inspection (annual)
  • Legionella (annual)
  • Hoist/Standaid/Sling LOLER checks (bi-annual)
  • Fire equipment Test ( annual)
  • Fire Risk Assessment (annual)
  • Kitchen Canopy (annual)

• Date Due

  Date

• Date Serviced

  Date

• Findings/Action Required

• Comments