Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Total Number of Available Beds

  • Total Number of Occupied Beds

  • Has the Audit from the Previous Month been Reviewed & Signed Off?

  • How many Corrective Actions were raised last month?

  • Have ALL Corrective Actions raised from last Month been completed?

STAFF

  • Are Staff suitably dressed? (Clothing / Footwear / Jewellery / False Nails etc)

  • Are Staff working in a Safe & Appropriate manner?

  • Are Staff showing Dignity & Respect to the Service Users? (Talk to Service Users)

  • Are Staff Supervisions on Up To Date?

FIRE SAFETY - Look for Gaps in the Records

  • Has the Fire Alarm Test Record been completed correctly? (Insert Date of last check)

  • Has the Fire Extinguisher Test Record been completed correctly? (Insert Date of last check)

  • Has the Emergency Lighting Test Record been completed correctly? (Insert Date of last check)

  • Has there been a Fire Drill in the last six months? (Insert date of Last Drill)

INFECTION CONTROL

  • Are Waste Bin 'Foot / Knee' pedals in working order?

  • Is the Service currently 'Clear' of 'Special' Infection Control Measures? If 'NO' record details of current status.

  • Are All Required PPE Items available for Staff? (Gloves, Aprons, Paper Towels, Hand Gels etc)

  • Are 'Hand Gels / Sanitisers' available throughout the premises? (check if empty)

ACCIDENT / INCIDENT / NEAR MISS REPORTING

  • Have all Accident Forms in the 'Accident File' been logged? (Note Date of Last Accident Report Sheet and Log Entry)

  • How many of the following have been reported over the past 30 days?

  • Accidents to STAFF

  • Accidents to SERVICE USERS

  • Accidents to OTHERS

  • Incidents to STAFF

  • Incidents to SERVICE USERS

  • Incidents to OTHERS

  • Near Miss to STAFF

  • Near Miss to SERVICE USERS

  • Near Miss to OTHERS

  • If reportable under 'RIDDOR' has this happened? (if 'YES', record details)

CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH)

  • Are ALL Substances stored as detailed in the COSHH Risk Assessment?

  • Is a Hazard Data Sheet available for all substances used?

  • Is suitable and sufficient Clothing and PPE available for the use of the substances?

MEDICATION - GENERAL

  • Is Medication Stored Safely and Appropriately? (Locked Cabinet / Trolley. Note: Trolley must be securely Stored also)

  • Is 'STOCK' medication Stored Correctly? (Locked Cupboard / Room - Internal Meds separate from External Meds)

  • Is 'ALL' Medication Received into the Service appropriately Checked & Signed for? (Check latest records)

  • Is a 'Medication Stock Check' carried out weekly?

  • Are Medicines that are No Longer Required / Out of Date, disposed of correctly and documented? (Check 'Disposal Records')

  • Does the Fridge Used for Medication Storage Have a 'Working' Lock Fitted?

  • Does the Fridge Used for Medication Storage have a 'Calibrated' Max. / Min. Thermometer?

  • Are Fridge Temperatures (Max & Min) Recorded Daily? (look for gaps in log - Should Read Between 2 & 8 Deg. C)

  • Are the contents of the Fridge Correct? If 'NO' record findings

  • Check selection of MAR sheets - Are they completed correctly (No gaps etc) if 'NO' Record Details

  • Are Medications given as 'PRN' Recorded Correctly?

  • How Many Medication Errors have been Reported this Month?

  • Do Staff have access to appropriate, up to date info about Medications they administer? e.g. British National Formula (BNF)

MEDICATION - CONTROLLED DRUGS

  • Are 'CD' Stored Safely and Appropriately? (Locked Wall Cupboard, Bolted to wall)

  • Is the 'CD Register' up to date? (look for gaps / missing drug info etc)

  • Is there an up to date 'Sample Staff Signatures' Record

  • On the 'CD'' MAR Sheet, have 'TWO' Staff Signed?

MANUAL HANDLING

  • Are there Risk Assessments for ALL Manual Handling Activities?

  • Do 'Care Plans' contain appropriate Risk Assessments for Moving and Handling? (Make a note of Sample Files Checked)

RISK ASSESSMENTS

  • Sample a Minimum of 3 Care Plans for Relevance and Updates / Reviews to Risk Assessments - Record Details Below

KITCHEN / UTILITY AREAS

  • Is there evidence of a 'Cleaning Schedule'?

  • Are Doorways 'Clear of Obstacles' that may hinder passage?

  • Are Floor Coverings in Good Condition and Clear of Obstructions?

  • Is there any evidence of 'Spillage' today?

  • Are all Work-Surfaces Clean, in Good Condition and Free from Clutter?

  • Do all 'Opening Windows' have Fly Screens Fitted?

  • Are 'Hot Water' Warning Signs displayed as required?

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

  • FOOD HYGIENE

  • Do all staff involved with the preparation of food have appropriate training and certificates? (List Staff Files Checked & Note Expiry Dates of certs)

  • Are Colour Coded Chopping Boards available?

  • Do staff Know the 'Colour Coding' of Chopping Boards?

  • Is there a 'Guide' to the Colour Coding? (WHITE- Bakery & Dairy, GREEN - Salad & Fruit, RED - Raw Meat, YELLOW - Cooked Meat, BROWN - Vegetables, BLUE - Raw Fish)

  • Are there any 'Out of Date' or 'Mouldy' Food items in cupboards etc?

  • Have all Fridge Temperatures Been Logged 'Daily' (Record last 3 dates and temperatures / Note: Temp should be 5C @ middle shelf)

  • Have all Freezer Temperatures Been Logged 'Daily' (Record last 3 dates and temperatures / Note: Temp should be -18 to -23)

  • Fridges

  • Are Raw and Cooked Meats Stored Separately?

  • Is Raw Meat Stored on the Bottom Shelf?

  • Is all food covered and stored in Plastic, Glass or EarthenWare containers? (Not in 'Tins")

  • Is all 'Opened' food labelled with the 'Opened & Use By' Date?

  • Are there any 'Out of Date' items?

  • If Staff use the fridge to store their own food items, are they clearly labelled to identify this?

  • Appliances

  • Are all Appliances, Kitchen Equipment and Cupboards Clean?

  • Have Appliances been Tested as required? (Check PAT Test Label & Log)

  • Is a Food Temperature Probe available?

  • Are Food Temperature Checks Recorded as required? (Record Date of last entry inc. Item & Temp.)

MAINTENANCE of EQUIPMENT

  • Are the Following in 'Good Working Order' & 'Free from Defects and Wear? If 'NO' record details

  • Note: Check for Evidence of: Maintenance and Regular Disinfection Cleaning Routines.

  • Mop Heads / Toilet Brushes / Cleaning Equipment

  • Hoists & Slings (Note any Clips & Rings for damage / ware)

  • Lift Chairs / Turning Aids?

  • Wheelchairs?

  • Frames & Other Moving / Stability Aids?

  • Handling Belts?

  • Slide Sheets / Transfer Boards?

  • Note the Location of ALL FIRST AID KITS and when their contents were last checked

  • Is a 'Burns Kit' Located in the Kitchen?

  • Is a 'Fire Blanket' available in the Kitchen and Secure?

HALLWAYS / STAIRS / LANDINGS

  • Are all Areas Free from 'Odour' problems?

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Clean?

  • Are Stair Carpets 'Free' from any Looseness / Wear?

  • Is there sufficient Contrast between Stair Case Elements? e.g. Steps & Risers

  • Are Stairs Clear of Obstacles and Equipment?

  • Are all Fittings Fixed Securely e.g. Handrails / Gates etc

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

LIVING ROOMS / DINING ROOMS

  • Are all Areas Free from 'Odour' problems?

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Free from Obstructions?

  • Are all items of Furniture / Equipment in Good condition and Clean?

  • Are All Electrical Cables Stored appropriately so as not to cause an Obstruction or Trip-Hazard?

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

BATHROOMS / TOILETS

  • Are Liquid Soap / Paper Towels / PPE / Hands-Free waste Bins available?

  • Are Bathmats available and 'Clean'? (check underside)

  • Are Emergency Call Points Operational?

  • Any 'Odour' problems?

  • Are 'Hot Water' Warning Signs displayed as required?

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Free from Obstructions?

  • Are all items of Bathroom Furniture / Equipment in Good condition and Clean?

  • Can Doors be Locked?

  • Can locked doors be opened from the outside in an emergency? (Test)

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

BEDROOM AREAS

  • Are all Areas Free from 'Odour' problems?

  • Where Required, are Mattress Covers in place and Clean?

  • Are Mattresses' and Pillows Clean and Stain Free?

  • Are 'Hot Water' Warning Signs displayed as required?

  • Are Emergency Call Points Operational?

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Free from Obstructions?

  • Are all items of Furniture / Equipment in Good condition and Clean?

  • Is positioning of Furniture suitable to allow easy movement within the room?

  • Are heating and ventillation arrangements suitable?

  • Are All Electrical Cables Stored appropriately so as not to cause an Obstruction or Trip-Hazard?

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

EXTERNAL CHECKS

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Can External Doors be opened easily when Un-Locked?

  • Do ALL the Locks on External Doors work correctly?

  • Are External Areas around doorways well lit?

  • Are any External Steps in Good Condition and Clear of Obstructions?

  • Are External Mats / Coverings in Good Condition?

  • Do External Mats / Coverings Prevent Slipping, especially when wet?

  • Are Pathways in Good Condition and Clear of Obstructions?

  • Are any Items of Garden Furniture and Equipment Safe and in Good Condition?

  • Are all Doors and Windows in a Good State of Repair?

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

Any Additional Comments:

  • Is there a requirement to make additional comments or raise concerns? (Concerns MUST be Reported to a Manager immediately and Corrective Action Plans completed)

  • How many Corrective Actions were raised from this audit?

  • Audit Completed By:

  • Audit Reviewed By:

  • Review Date:

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.