Title Page

  • Site conducted

  • Conducted on:

  • Prepared by:

  • Location:

Planned/Spot-check

  • Property:

  • Name of Member/Members:

  • Team Manager:

  • Date of Audit:

Section 1 - People that we support

  • Does the Individual have a completed Key information sheet

  • Does the Individual have up to date essential tasks that reflect how they are supported each session

  • Does the individual have an up to date Health Action Plan? Is it completed to a satisfactory standard?

  • If needed does the Individual have an intimate care plan

  • Date of last review

  • Does the Individual have a Jewish care plan which reflects their religious and cultural desires

  • Where capacity is in question have capacity assessments taken place

  • Where applicable has DOLs been raised with local authority

  • Does the individuals have a consent agreement in place

  • Does the Individual have a work/college timetable in place

  • Does the individual have a support agreement in place

  • Where applicable does the individual have communication plan in place

  • Does the Individual have a personised 1 page profile in place

  • Are all individual risk assessments in place, within their review date and signed off by the Service Manager

  • Are daily monitoring logs completed & checked

  • Where applicable is there a positive behaviour support plan in place

  • Where applicable is there a moving and handling plan in place

  • Where applicable is the individual supported by monitoring and accurately recording all positive behaviour charts. e.g ABC forms

  • Where applicable is the individual supported by monitoring and accurately recording all health information, e.g. epilepsy chart, weight chart, BP chart, diabetes

  • Where applicable is the individual supported by monitoring and accurately recording all medication

  • Is there evidence that the individual is been supported to achieve their desired goals

  • Does the Individual have a signed tenancy & support agreement

  • Does the Individual have a regular key worker session agreed frequency

  • Is the individual involved in planning meals and going shopping

  • Are all individuals actively involved with the cleaning and tidying of areas of the house

  • Is the Individual registered with Dentist, Optician, Doctor and other support agencies

  • Are all health appointments recorded appropriately in the diary

  • Is the communication book being used effectively and appropriately

  • Is handover sheet completed (if applicable)

  • Personal files are stored safely with recognition of need of confidentiality

  • Is there a Kashrut statement in place

  • Are Parent contact logs being completed

Section 2 – Medication Management

  • Has the Individual MARS sheet been implemented accurately and in full?

  • Are MARS sheets initialled accurately and in full (no unexplained gaps?)

  • Are there any errors on MARS sheet if so please detail

  • Have all staff signed Medication Administration Record sheet - List of initials and signatures

  • Have all staff read and signed the Medication Policy

  • Where applicable is there a current self-medicating risk assessment in place

  • Has the Lead Support Worker signed off the Medication Administration Record (MAR) Sheet Audit Form (monthly) have all actions been completed

  • Is there a medication signing out form in place

  • Is there a Medicines disposal form in place?

  • Does the Individual have a medication risk assessment in place

  • If applicable does the individual have a PRN protocol in place?

  • Is all Medication stored safety in line with policy including controlled medication

  • Is all medication within its expiry date

  • If Applicable is a Controlled drugs protocol in place. Has it been followed? Has there been any errors

Section 3 - Financial management

  • Does the individual have a signed financial declaration in place?

  • Are all transactions recorded fully with in the Persons’ budget book/financial record sheet and signed by staff and individual

  • Are all money’s locked in a safety box or safe to which the Individual has access to and held in an appropriate place?

  • Is the Individual encouraged to sign for all transactions within their financial records

  • Are receipts provided for purchases (where appropriate)

  • Have all staff read and signed relevant financial policies and procedures?

  • Is all financial paperwork orderly, legible and available for external audit?

  • Do finance sheets and books balance with the record of expenditure and the receipts attached and their corresponding finance tin

  • There is evidence that a Lead Support Worker has carried out spot checks of the individuals finances

  • Is the Lead Support Worker reconciling and signing off individuals finances monthly

Section 4- File Audit

  • Is each person’s Person Centred file accessible to the individual?

  • Is each person's Person Centred file inclusive and reflective of their needs and wishes?

  • Are all files clearly labelled with a picture of the member included?

  • Do all files have clear contents lists and dividers that match the index and information in the file are in accordance with this?

  • Is there any duplication of information in files

Section 5- Food Hygiene

  • Have fridge temperatures (no higher than 5c) and freezer temperatures (minimum -18c) been checked daily and adjusted to ensure they are with in appropriate range

  • Are all open foods labelled from the date of opening

  • Are all frozen food labelled with a use by date

  • Are all foods in date

  • Are all other foods stored appropriately and stored in clean locations

  • Are knives and cutting boards clearly marked for vegetable and meat use

Section 6 -Staffing

  • Has there been a team meeting in the last 3 months. Has the meeting been recorded and any actions carried out

  • Have all staff working within the team had supervision in the 2 month’s? Add in initials of who’s notes you reviewed

  • Has the supervisions data base been updated

  • Have all staff working within the team had an appraisal in the last 12 months? List any outstanding appraisals

  • Have any new staff joined the team in the last 3 months

  • Staff induction been signed off and documents sent to HR

  • Teams probation period been signed off and documents sent to HR

  • Are you staffed sufficiently?

  • Are staff receiving resident specific inductions

Section 7 – Training

  • Check all staff members training records. Any training outstanding? If so nominate identified staff to undertake training immediately

  • Is there a need for specialist training within the team?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.