Title Page

  • Care/Support Provider

  • Property

  • Date of visit

  • Persons Undertaking

  • Number of units

Reviews

  • Are property risk assessments in place? Yes or no & date. Fire - Person centred FRA, Hot water, Building etc + notes

  • When was the last formal review of the service by Auditor (CQC, SP or other)? + notes

  • Are copied of licence/tenancy agreement on file at project/scheme

  • Reviews: Overall Rating

Resident Satisfaction - Complaints & Compliments

  • Number of Compliments

  • Number of Complaints

  • Number of Complaints current unresolved (note level currently at)

Safeguarding

  • Number of safeguarding reports since last visit + notes

  • Number of safeguarding reports upheld since last visit + notes

  • Feedback from residents regarding the property

  • Resident Satisfaction: Overall Rating

Maintenance

  • Service reference guide in place for scheme and accurate

  • Are void checks undertaken and recorded

  • Are room checks undertaken and recorded where applicable

  • Rate internal communal areas of scheme (furniture condition, flooring, kitchens & bathroom)

  • Notes regarding internal communal areas of scheme

  • Rate condition of internal decoration (walls, doors, skirting etc)

  • Notes regarding internal internal decoration

  • Rate condition of external decoration (windows, doors, lintels, external paintwork, roof verges etc)

  • Notes regarding external decoration

  • 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)

  • Notes regarding condition of garden and externals

  • 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)

  • Maintenance: Overall Rating

Health and safety - Compliance or Non-Compliance

  • Housekeeping checklist completed & on file, Routes clear, Signage (fire signs - No smoking, Assembly point etc), Window-lock checks carried out

  • 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

  • Evacuation plan known by staff, Assembly point known by staff, PEEP's in place (where required), Drills in place & recorded

  • Electrical cables (no trip hazards, no overloading sockets, free from cracks and burns)

  • Lighting (communal), Internal and external lights working

  • Fire doors in order - (Andy issues in FRA?), Intumescent strips/smoke seals/gaps/closures/damage, close fully, fit into frame

  • Gas servicing records on file

  • Gas cooker servicing records on file (where appropriate)

  • EICR paperwork in date (copy on site)

  • PAT testing up to date where required (copy on site)

  • Emergency/contingency planning in place by provider

  • Hot water checks by IWS up to date

  • Water temperature checks by provider in place and up to date (where appropriate)

  • Building security

  • Window restrictors checked by provider and recorded

  • Pull cords checks recorded by provider (where fitted)

  • Water flushing in voids, infrequently used outlets (carried out and recorded by provider)

  • Passenger lift service (monthly & LOLER Bi annual) (where fitted), Certificate on site

  • 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)

  • Health & Safety: Overall Rating

Agreed Actions

  • Midland Heart targets/actions

  • Provider targets/actions

  • Manager or Officer Signature

  • Provider Signature

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.