Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Residents

  • Number of Current Residents

  • Number of Private Residents

  • Number of Social Services Residents

  • Number of Unavailable Rooms due to Refurbishment

  • Number of New Residents This Month

Admission Checklist for New Residents

  • Pre-admissions paperwork

  • Contract/IFA

  • Completed triplicate

  • Personal Profile

  • Risk Assessments

  • Care Plan

  • PEEPS, MEDS and Consents obtained

Care Plan (check 3 residents' full care plan)

  • Names of Residents' Care Plans Audited

  • Pre-admissions paperwork

  • Contract/IFA

  • Completed triplicate

  • Personal Profile

  • Risk Assessments

  • Care Plan

  • PEEPS, MEDS and Consents obtained

  • Daily Logs

  • Medication MARS sheets

  • Audit Check Sheet

  • Notes on Care Plans

  • Activities Schedule Available?

  • Evidence of Activities Taking Place?

  • Evidence of Meal Audit?

  • Evidence of Residents Input into Care (Including questionnaires)?

  • Number of Complaints Logged

  • Evidence of DOLS procedure

Staff

  • Number of Current Staff in Care

  • Number of Current Staff in Kitchen

  • Number of Current Staff in Domestic

  • Number of Current Staff in Maintenance

  • Number of Sickness Absence

  • Evidence of Sickness Absence (i.e. sick note)

  • Evidence of Return to Work Interview

  • Evidence of Staff Development Plan

  • Has the Training |Matrix been updated?

  • Have Staff Supervisions and Appraisals been completed? Check 3 staff members

  • Do staff understand process regarding Safeguarding?

  • Check staff member's appearance. Are they wearing appropriate uniform?

  • Do staff understand process regarding CQC notifications?

Property and Maintenance

  • Are there Risk Assessments for the building?

  • Are there Personal Emergency Evacuation Plans available?

  • Is the Maintenance Book and Works completed?

Servicing of Equipment

  • Lifts and Hoists

  • Emergency Lights

  • Electrical

  • Fire Fighting Equipment

  • Gas

  • Legionella

  • PAT Testing

  • Vents and Ducts

  • Equipment Services

Property Observations (choose 3 areas) Are the areas safe? Are the areas clean/tidy? Are the areas maintained and free from maintenance issues?

  • Reception Area

  • Corridors

  • Bedrooms

  • Kitchen

  • Staff Room

  • Communal Areas (garden and lounges)

  • Is the signage correct around the home?

  • Notes on Audit

  • Add signature

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.