REGULATION 10 INSPECTION AUDIT

• Location ID No:

• Regulation 10 Audit

• Name of Service being Inspected

• Conducted on

  Date

• Inspected by: Name & Designation

• Number of staff on shift

• Number of Service Users

Items from previous inspection

INSPECTION OF PREMISES *info: Yes = no issues found

• Reception / Entrance

  Yes

  No

  N/A

• Corridors

  Yes

  No

  N/A

• Communal Areas

• Signage

  Yes

  No

  N/A

• Lounges

  Yes

  No

  N/A

• Dining rooms

  Yes

  No

  N/A

• Service User Areas

• Bedrooms <br>Clean & tidy - furniture & decoration in good condition<br>At least 20% inspected - note bedroom numbers<br><br><br>

  Yes

  No

  N/A

• En-suite Bathrooms

  Yes

  No

  N/A

• Communal Bathrooms & Toilets

  Yes

  No

  N/A

• Staff Areas

• Officers <br>Managers - Nurses - Senior Carer - Nurses Station

  Yes

  No

  N/A

• Medication room

  Yes

  No

  N/A

• Storage rooms

  Yes

  No

  N/A

• Other Areas

• Kitchen

  Yes

  No

  N/A

• Laundry

  Yes

  No

  N/A

• COSHH storage

  Yes

  No

  N/A

• Heating & Hot water

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• External

• General

  Yes

  No

  N/A

• Gardens

  Yes

  No

  N/A

• Car Park

  Yes

  No

  N/A

• Disabled access

  Yes

  No

  N/A

• Other Inspected areas

• Overall Welcome

  Yes

  No

  N/A

• Staff Dress

  Yes

  No

  N/A

• Staff Attitude

  Yes

  No

  N/A

• Service User Appearance

  Yes

  No

  N/A

INSPECTION OF RECORDS

• Accident records

  Yes

  No

  N/A

• Incident records

  Yes

  No

  N/A

• Activities programme

  Yes

  No

  N/A

• Care Plans <br>Inspect at least 20%

  Yes

  No

  N/A

• Risk Assessments

  Yes

  No

  N/A

• Complaints / Safeguarding records

  Yes

  No

  N/A

• Fire records

  Yes

  No

  N/A

• Kitchen records

  Yes

  No

  N/A

• Service User Finanaces

  Yes

  No

  N/A

• Medication records<br>Inspect 25% of MARR sheets

  Yes

  No

  N/A

• Policy and Procedures

  Yes

  No

  N/A

• Staff files<br>Inspect at least 25%

  Yes

  No

  N/A

• Staff training files

  Yes

  No

  N/A

• Maintenance records

  Yes

  No

  N/A

• Is the service completing the required Quality Audits and saving to Drop box?

  Yes

  No

  N/A

• Others - Please specify

INTERVIEWS

• Service Users Must speak to at least 4

• Visitors Can be relatives / friends / advocates / professionals

• Staff Must speak to at least 3 staff members

REQUIREMENTS FOUND DURING INSPECTION

• Signature

  Sign

• Date

• Report sent to: