Monthly Inspection Report v.003

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Total Number of Available Beds

• Total Number of Occupied Beds

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

  Yes

  No

  N/A

• How many Corrective Actions were raised last month?

  0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10,

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

  Yes

  No

  N/A

STAFF

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

  Yes

  No

  N/A

• Are Staff working in a Safe & Appropriate manner?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Staff Supervisions on Up To Date?

  Yes

  No

  N/A

FIRE SAFETY - Look for Gaps in the Records

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

  Date

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

  Date

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

  Date

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

  Date

INFECTION CONTROL

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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)

  Yes

  No

  N/A

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

• Accidents to STAFF

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Accidents to SERVICE USERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Accidents to OTHERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Incidents to STAFF

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Incidents to SERVICE USERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Incidents to OTHERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Near Miss to STAFF

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Near Miss to SERVICE USERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

• Near Miss to OTHERS

  Select 0 1 2 3 4 5 6 7 8 9 10+

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10+

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

  Yes

  No

  N/A

CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH)

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

MEDICATION - GENERAL

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Medications given as 'PRN' Recorded Correctly?

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

MEDICATION - CONTROLLED DRUGS

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

MANUAL HANDLING

• Are there Risk Assessments for ALL Manual Handling Activities?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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'?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there any evidence of 'Spillage' today?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• Are Colour Coded Chopping Boards available?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Fridges

• Are Raw and Cooked Meats Stored Separately?

  Yes

  No

  N/A

• Is Raw Meat Stored on the Bottom Shelf?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there any 'Out of Date' items?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Appliances

• Are all Appliances, Kitchen Equipment and Cupboards Clean?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a Food Temperature Probe available?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Lift Chairs / Turning Aids?

  Yes

  No

  N/A

• Wheelchairs?

  Yes

  No

  N/A

• Frames & Other Moving / Stability Aids?

  Yes

  No

  N/A

• Handling Belts?

  Yes

  No

  N/A

• Slide Sheets / Transfer Boards?

  Yes

  No

  N/A

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

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

HALLWAYS / STAIRS / LANDINGS

• Are all Areas Free from 'Odour' problems?

  Yes

  No

  N/A

• Are Doorways Clear of Obstacles that may hinder passage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Stairs Clear of Obstacles and Equipment?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

LIVING ROOMS / DINING ROOMS

• Are all Areas Free from 'Odour' problems?

  Yes

  No

  N/A

• Are Doorways Clear of Obstacles that may hinder passage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

BATHROOMS / TOILETS

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Emergency Call Points Operational?

  Yes

  No

  N/A

• Any 'Odour' problems?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Doorways Clear of Obstacles that may hinder passage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Can Doors be Locked?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

BEDROOM AREAS

• Are all Areas Free from 'Odour' problems?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Mattresses' and Pillows Clean and Stain Free?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Emergency Call Points Operational?

  Yes

  No

  N/A

• Are Doorways Clear of Obstacles that may hinder passage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are heating and ventillation arrangements suitable?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

EXTERNAL CHECKS

• Are Doorways Clear of Obstacles that may hinder passage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do ALL the Locks on External Doors work correctly?

  Yes

  No

  N/A

• Are External Areas around doorways well lit?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are External Mats / Coverings in Good Condition?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are Pathways in Good Condition and Clear of Obstructions?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  Yes

  No

  N/A

• How many Corrective Actions were raised from this audit?

  0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10,

• Audit Completed By:

  Sign

• Audit Reviewed By:

  Sign

• Review Date:

  Date