Information
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Audit Title
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Document No.
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HOME NAME
- CROSTON PARK
- THE HALLS
- MOORGATE CROFT
- MOORGATE HOLLOW
- MOORGATE LODGE
- MAGNOLIA HOUSE
- MANOR HOUSE
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Conducted on
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NUMBER OF STAFF ON SHIFT
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NUMBER OF SERVICE USERS
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Prepared by
Items from previous inspection
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ACTION / ITEMS FROM PREVIOUS INSPECTION
INSPECTION OF PREMISES
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INFORMATION GUIDE:
YES = No issues found
NO = Issue found feedback given
N/A = Either not applicable or not checked -
INTERNAL
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Reception / Entrance
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Corridors
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Stairways
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COMMUNAL SHARED AREAS
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Lounges
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Dining Room
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Bathrooms & Toilets
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INDIVIDUAL SERVICE USER AREAS
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Bedrooms
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En-suite bathrooms
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STAFF AREAS
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OFFICER'S<br>Managers - Nurses - Senior carers -Nurses / Carers Station
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Medication Room
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Storage Rooms
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OTHER AREAS
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Kitchen
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Laundry
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COSHH Storage
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Heating and Water
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Lighting
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EXTERNAL
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Building
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Gardens
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Car Park
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Disabled Access
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OTHER AREAS INSPECTED
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Overall Welcome
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Staff Appearance / Attitude
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Service User Appearance
INSPECTION OF RECORDS
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Accident Records
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Incident Records
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Activities Programme
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Care Files / Plans
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Risk Assessments<br>to include generic home Risk Assessments
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Complaints / Compliments / Safeguarding
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Fire Records <br>to include risk assessment and home evacuation plan
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Kitchen Records
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Service User Finances
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Medication Records<br>Inspect at least 25% of MAR Sheets
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Policy and Procedures
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Staff Files<br>Inspect at least 25% include any new starters
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Staff Training Files and Matrix
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Maintenance records
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Other Records Inspected
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Is the Home Completing the required Quality Audits, producing and/or updating the required Action Plan(s) and saving to Drop Box Account?
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Other please specify?
INTERVIEWS
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Service Users
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Staff
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Visitors to include professionals
REQUIREMENTS / ACTIONS TO BE ADDRESSED
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Actions / Requirements from this regulation 10 are on the Home Management Tool
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Signature
