Night Checks

• Name of managers conducting night check

• Conducted on

  Date
• Location
  Address

• Form Completed by

• Name of staff on duty

• Are the staff on duty also rostered to be working

  Yes

  No

  N/A

• Staff on duty located in communal areas

  Yes

  No

  N/A

• Staff on duty located in office

  Yes

  No

  N/A

• Staff on duty carrying out domestic duties

  Yes

  No

  N/A

• Night staff one aware of who is in and who is out

  Yes

  No

  N/A

• Night staff two aware of who is in and who is out

  Yes

  No

  N/A

• On arrival, was windows unusually open/closed

  Yes

  No

  N/A

• Lights on in entrance

  Yes

  No

  N/A

• Lights on in communal areas

  Yes

  No

  N/A

• Office door open/unlocked

• Lights on in office

  Yes

  No

  N/A

• Pre made bed or bedding found in communal area or office

  Yes

  No

  N/A

• Is the shift plan completed showing who is responsible for each task

  Yes

  No

  N/A

• On inspections, checks that have been signed for have been completed

  Yes

  No

  N/A

• Are garden doors open/closed according to the services house rules

  Yes

  No

  N/A

• Summary of inspection

Photo evidence

• Evidence

  Media

• Notification email inform of finding

  Date

• HR informed of findings (concerns only)

  Date

• Peninsula informed of findings (concerns only)

  Date

• Safeguarding concern to be raised with local authority (concerns only)

  Date

• Others informed

• Signed by person completing form

  Sign

• Signed by second Manager

  Sign