Title Page
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Care/Support Provider
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Property
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Date of visit
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Persons Undertaking
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Number of units
Reviews
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Are property risk assessments in place? Yes or no & date. Fire - Person centred FRA, Hot water, Building etc + notes
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When was the last formal review of the service by Auditor (CQC, SP or other)? + notes
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Are copied of licence/tenancy agreement on file at project/scheme
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Reviews: Overall Rating
Resident Satisfaction - Complaints & Compliments
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Number of Compliments
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Number of Complaints
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Number of Complaints current unresolved (note level currently at)
Safeguarding
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Number of safeguarding reports since last visit + notes
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Number of safeguarding reports upheld since last visit + notes
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Feedback from residents regarding the property
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Resident Satisfaction: Overall Rating
Maintenance
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Service reference guide in place for scheme and accurate
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Are void checks undertaken and recorded
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Are room checks undertaken and recorded where applicable
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Rate internal communal areas of scheme (furniture condition, flooring, kitchens & bathroom)
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Notes regarding internal communal areas of scheme
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Rate condition of internal decoration (walls, doors, skirting etc)
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Notes regarding internal internal decoration
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Rate condition of external decoration (windows, doors, lintels, external paintwork, roof verges etc)
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Notes regarding external decoration
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Rate condition of garden and externals (grass cutting, hedges trimmed, ivy and greenery cut back to avoid fence/building damage, fencing, hardstanding/paths clear of weeds/moss, windows clean)
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Notes regarding condition of garden and externals
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Outstanding maintenance repairs or issues: (refer to NG or connect 360 as well as staff) (please note if provider or MH responsibility, note in agreed actions at the end of the audit)
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Maintenance: Overall Rating
Health and safety - Compliance or Non-Compliance
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Housekeeping checklist completed & on file, Routes clear, Signage (fire signs - No smoking, Assembly point etc), Window-lock checks carried out
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Fire alarm tests recorded, Emergency light tests recorded (check contractor records as well as son site staff), Extinguishers in date and correctly placed, Smoke & CO2 alarms tested and recorded
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Evacuation plan known by staff, Assembly point known by staff, PEEP's in place (where required), Drills in place & recorded
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Electrical cables (no trip hazards, no overloading sockets, free from cracks and burns)
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Lighting (communal), Internal and external lights working
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Fire doors in order - (Andy issues in FRA?), Intumescent strips/smoke seals/gaps/closures/damage, close fully, fit into frame
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Gas servicing records in date & on file
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Gas cooker servicing records in date & on file (where appropriate)
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EICR paperwork in date (copy on site)
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PAT testing up to date where required (copy on site)
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Emergency/contingency planning in place by provider
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Hot water checks by IWS up to date
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Water temperature checks by provider in place and up to date (where appropriate)
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Are there any issues surrounding the building security
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Window restrictors checked by provider and recorded
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Pull cords checks recorded by provider (where fitted)
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Water flushing in voids, infrequently used outlets (carried out and recorded by provider)
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Passenger lift service (monthly & LOLER Bi annual) (where fitted), Certificate on site
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Outstanding Health & Safety issues (Please note if provider or MH responsibility (please note if provider or MH responsibility, note in agreed actions at the end of the audit)
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Health & Safety: Overall Rating
Agreed Actions
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Midland Heart targets/actions
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Provider targets/actions
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Manager or Officer Signature
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Provider Signature