Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Registered Manager
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Date of last report
Summary & Feedback
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Condition of environment / decoration and cleanliness.<br><br>(Comment on any planned / scheduled building works).<br>
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Discussion with service users and summary of their views on the quality of support being provided
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Discussion with staff and summary of their views on quality of support being provided.
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Discussion with relatives / visitors and summary of their views on quality of support being provided.
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Scheduling - comment on staffing (for date of visit) numbers / mix of staff / sickness levels.
Documentation
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is the registration certificate displayed
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is the inspection report rating displayed
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What is the current CQC rating
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Visitors Book, is the recording accurate
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is the public Liability Insurance certificate displayed
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Date of Public Liability Insurance renewal
Health & Safety :Fire
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Date of last fire alarm test
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Date & time of last fire evacuation
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Date of last night time fire evacuation
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Date of last fire fighting equipment servicing (annual)
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Date of last fire detection equipment service (annual)
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Date of last emergency lighting test
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Date of last fire risk assessment
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Have fire risk assessment actions been completed
Health & Safety: Food
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Fridge & Freezer checks completed without omissions ?
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Date of last Fridge & Freezer Check
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Is the food appropriately covered and dated in fridge
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Are work surfaces cleaned regularly
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Comment on food hygiene practice within the home
Health & Safety : Water
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Date of last Legionella survey
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Have all actions from Legionella survey been completed
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Water temperature checks completed without omission?
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Date of last water temperature check
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Date of last shower head descaling
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Date of Last TMV service
Health & Safety Equipment , Appliances , Vehicles
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Date of last boiler (Gas safe inspection)
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Date of asbestos risk assessment
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Have all actions been completed
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Date of last PAT testing
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Date of last 5 yearly wiring test
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Car 1 Date of MOT
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Car 1 Date of Last service
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Car 1(add VRN) is the vehicle clean and functional
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Car 1(Add VRN) : Mileage
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Car 2 Date of Last MOT
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Car 2 Date of last service
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Car 2 (add VRN) is the vehicle clean and functional
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Car 2 (Add VRN): Mileage
Registered Managers Governance
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Have all monthly Audits and spot checks been completed by RM
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Financial audit completed
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Health & Safety audit
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Infection control audit
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Medication audit
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Staff file Audit
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Date of last spot check
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Date of last night time spot check
Complaints / compliments / surveys
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Number of complaints
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Has the complaint been responded to appropriately
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Number of compliments
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Progress of compliments
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date of last staff survey
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Themes of last staff survey
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Date of last Service User survey
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Themes of last Service User survey
Safer Recruitment / Staffing
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Staff Name
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Photo ID
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Date of DBS
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Date of last supervision
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Have Supervisions taken place Bi-monthly
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Date of Last appraisal
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Have Appraisals taken place annually
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Application form on file
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Are two references on file ?
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Reference 1
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Reference 2
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Has medication competency taking place in the last 12 months ?
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Medication Competency
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Interview questions on file
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is Working time directive on file ?
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Date of Signing: Working Time Directive
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Is the Right to Work check on file
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Date of Check: Right to work
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Is The Job offer letter on file
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Date of Signing: Job offer / Acceptance
Meetings
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Has a team meeting taken place ?
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Date of last RM Weekly meeting
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Date of last RM Monthly meeting
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Date of last Team Leader meeting
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Date of last Service user meeting if applicable
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Relatives meetings if applicable
GDPR
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Do staff understand their responsibility towards data security
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Are staff are aware of data protection policy
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Have staff completed training on data protection
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Do staff know what to do in the event of a data breach
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All offices , files and cabinets are locked when not in use
Service user file audit
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Initials of Service User
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Date of formal review
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Has the care plan been reviewed monthly ?
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Date of care plan last review (monthly)
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Does the care plan meet the identified needs of the service user
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Do MCA assessments underpin the care plan
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DOLS date of authorisation
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Is the service able to demonstrate how targets and goals of the individual have been met.
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Is the service able to demonstrate how the service user is consulted about their views wishes and feelings.
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Is the Service able to evidence multi agency involvement in the individuals care and support.
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Is the service engaging the service user in engaging in meaningful activities
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Is the service encouraging positive risk taking
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Is the care plan person centred
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has the risk assessment been reviewed monthly
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Date of Risk assessment review
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Date of PEEP review
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Has the Service User's health needs been met eg had checkups with Doctors / Dentists/ Optician within the agreed time frames?
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Date of Last optician visit
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Date of last health assessment / GP / DN
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Date of last dentist visit
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Date of last health action plan review
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Date of last hospital passport review
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Date of last communication passport review
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Has all old material been safely archived
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Is the file in an organised state
Medication
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Initial of service user
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Date and time of last medication administration
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Is MAR sheet countersigned for the above administration
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Is guidance in place for homely remedies
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Is there appropriate protocols for the use of PRN medication
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Medication stock check completed
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Is all liquid medication dated (when opened)
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Are all creams / ointments dated (when opened) and display disposal date
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Are all eye drops dated (when opened) and display disposal date
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Are any alterations to MAR sheet - clear and countersigned?
Incident / accidents
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Number of incidents (add detail in notes)
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Number of accidents (add details in notes)
Medication Errors
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Number of medication errors (add detail in notes)
Regulation 40 Notifications / Safeguarding referrals
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Number of Regulation 40 notifications (add detail in notes)
Safeguarding
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Number of safeguarding referrals (add detail in notes)
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comment on services effectiveness in managing safeguarding matters
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Have all SOVA and A&I forms been completed and signed by Manager
Audit Summary
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Is the Service safe
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Safeguarding and protection from abuse Managing risks Suitable staff and staff cover Medicines management Infection control Learning when things go wrong
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Is the service effective
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Assessing needs and delivering evidence-based treatment Staff skills and knowledge Nutrition and hydration How staff, teams and services work together Supporting people to live healthier lives Accessible premises Consent to care and treatment
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Is the service caring
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Kindness, respect and compassion Involving people in decisions about their care Privacy and dignity
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is the service responsive
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Person-centred care Concerns and complaints End of life care
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Is the service well led
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Vision and strategy Governance and management Engagement and involvement Learning, improvement and innovation Working in partnership
