Manager’s 2 Monthly Audit Tool

• Date:

  Date

• Completed By

• Location
  Address

General Management of the Service

• CQC Rating Certificate – is the home’s up-to-date CQC rating is on display and clearly visible.

  Yes

  No

• Food Hygiene Certificate – is this on display and clearly visible?

  Yes

  No

• Insurance Certificate - is this on display and clearly visible?

  Yes

  No

• Improvement Plan –Is there evidence of regular updates in the Improvement Plan?

  Yes

  No

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

  Yes

  No

• Complaints or compliments - is there information around the home so families or visitors are aware of how to do this?

  Yes

  No

  N/A

• Audits - Is there evidence of audits being complete monthly?

  Yes

  No

• Have all issues identified through audits been addressed through action plans?

  Yes

  No

• Accidents / Incidents – Is there evidence of monthly reviews?

  Yes

  No

• Are there are noticeable trends?

  Yes

  Sometimes

  Not Always

• DoLs Applications – Are there any expired DoLs?

  Yes

  No

  N/A

• Please state who....

• CQC Notifications - Is there evidence of Notifications being sent in a timely manner?

  Yes

  No

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

  Yes

  No

  N/A

Health and Safety

• Maintenance Checks – Is there evidence of appropriate checks being complete? This should include:<br>• Hot water checks<br>• Flushing<br>• Fire doors<br>Etc.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there appropriate documentation in the log book?

  Yes

  No

  N/A

• Has a fire drill been carried out recently?

  Yes

  No

  N/A

• State the date of the last one.

  Date

• Fire Extinguishers - are they accessible and in good order?

  Yes

  No

  N/A

Social Activities/Mealtimes

• Activities - is there an up to date activity plan displayed?

  Yes

  No

  N/A

• Activity choice - Are residents given choice over the type of activities offered?

  Yes

  No

  N/A

• Activity participation - Are residents encouraged and given the choice to participate in activities?

  Yes

  No

  N/A

• Is this documented in their care notes?

  Yes

  No

  N/A

• Mealtimes – 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

  No

  N/A

• Mealtimes - Is the food well-presented and appetising in appearance?

  Yes

  No

  N/A

• Mealtime choice - Are residents given choice over the food options?

  Yes

  No

  N/A

• Is there evidence of this documented in their care notes?

  Yes

  No

  N/A

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

• Supervisions - Percentage of supervisions completed last month? Please state:

• Appraisals - Percentage of appraisals complete this year? Please state:

• 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

• Have they complete their induction process within the given time scales?

  Yes

  No

  N/A

• Practice Observation – observe staff carrying out tasks. State your observations

• Management of Absence. Has there been any staff absence within the past month?

  yes

  no

• Has a "return to work" meeting been complete?

  Yes

  No

  N/A

• 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:

External Environment

• The home has a sign which is clearly legible from the road?

  Yes

  No

  N/A

• Car parking and communal pathways are free from pot holes, trip hazards, litter, wet leaves etc?

  Yes

  No

  N/A

• Clinical waste bins are closed and not overflowing?

  Yes

  No

  N/A

• Waste bins are closed and not overflowing?

  Yes

  No

  N/A

• Grounds/gardens are tidy, well maintained and free from hazards?

  Yes

  No

  N/A

• External lighting is in good working order

  Yes

  No

  N/A

• The external appearance of the home is well maintained?

  Yes

  No

  N/A

Internal Environment

• The entrance and reception area is clean, welcoming with appropriate signage?

  Yes

  No

  N/A

• Hand washing facilities are available for visitors and stocked appropriately

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there enough seating for the residents and staff?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Wheelchairs and walking frames are clean and well maintained?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Staff are well presented and welcoming?

  Yes

  No

  N/A

• Staff engage with and talk to residents respectfully

  Yes

  No

  N/A