Title Page

  • Date

  • Shift

  • Any residents away on social leave

  • Residents Away

  • Any Additional Information

  • Who

  • Details

Tasks

  • Accident & Incident/ IRIS or F&S forms

  • Who

  • Forms completed

  • Notes

  • Any Epileptic Activity

  • Who

  • Type

  • Notes

  • Medication administration

  • Any Issues / changes

  • Notes

  • Health and safety checks

  • Any issues

  • Notes

  • Medication cabinet key

  • Waking night checklist

  • Security

  • Any Issues

  • Notes

  • Communication book/Diary

  • Cleaning Issues

  • Notes

  • Laundry Complete

  • Any Issues

  • Notes

  • Visitors

  • Who

  • Staff absence

  • Who, when called has it been covered

Shift Specifics

  • Bedroom cleaning checks (AM Shift)

  • Residents car and or house keys returned (AM Shift)

  • Food temperature recorded (AM & PM Shift)

  • Fridge freezer temperatures recorded (AM & PM Shift)

  • Sleep in staff support required (Waking night)

  • Times required

  • Out of hours contact (Waking night)

  • Who

Person Specific

  • Correct records completed for all residents

  • Notes

  • Completed By

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.