Title Page
-
Conducted on
-
Prepared by
-
Location
First impressions
-
Did you feel welcome?
-
Was the environment odourless/pleasant smelling?
-
Did the environment appear calm and well organised?
-
Did the area look clean?
-
Are staff interacting with residents/?
-
Did the work space look tidy?
Cleanliness and Infection Control
-
Are there housekeeping records in place?
-
Has the home bee cleaned at appropriate times?
-
Are staff wearing appropriate clothing (Name badges)
-
Are there gloves available for staff?
-
Are there handwashing signs in place?
-
Are there handwashing materials available?
-
Are there paper towels in the staff toilet?
-
Look in 3 rooms. room 1 of 3. document room number:
-
Is the room clean and tidy?
-
Is there fresh drinking water in reach of the resident/patient?
-
Look in 3 rooms. room 2 of 3. document room number:
-
Is the room clean and tidy?
-
Is there fresh drinking water in reach of the resident/patient?
-
Look in 3 rooms. room 3 of 3. Document room number:
-
Is the room clean and tidy?
-
Is there fresh drinking water in reach of the resident/patient?
Safety and Suitability of premises and equipment
-
Does the notice board look tidy with clear up to date information?
-
Are there any environmental issues that could lead to harm?
-
Are audits complete and accessible?
-
Are the fire exits clear of obstacles?
-
Is there any damaged equipment/broken furniture?
-
has this been reported?
Resident/patient feedback
-
Do you feel the food menus are personal and balanced?
-
Do you feel staff have a good attitude to working and engage with residents/patients?
-
Are there activities offered to residents/patients and are they person centred?
-
Do you know who to contact, or how to raise any concerns, ie safeguards or complaints?
-
Do you feel you are treated with dignity and respect?
-
Do you feel safe?
-
Is there anything else you wish to discuss, or any other feedback to add?
Staff feedback
-
Do you feel safe at work today?
-
Are there any staffing issues?
-
Is your mandatory training up to date?
-
Have you had supervision within the last month?
-
Do you know how to raise a safeguarding concern?
-
Is there anything else you wish to discuss, or any other feedback to add?