Title Page

  • Conducted on

  • Prepared by

  • Location
  • Month

  • Year

  • 0 = Standard Not Met

  • 1 = Standard Met

  • Scoring Criteria:

  • The audit score ratings must be populated by Graceland Nursing Home. These must be based on the local risks associated with this audit theme

  • An Action Plan to be completed for any section scoring 0

  • Audit Area

Personal Planing

  • The Service User was involved in the completion of the Personal Plan

  • There is evidence of consent from the Service User in relation to their care requirements

  • Where the Service User has been unable to participate, a decision has been made in line with the Adults with Incapacity Act and advocates/representatives have consented

  • The overall Personal Plan meets the current needs of the Service User

  • The Personal Plan has been fully completed

  • Robust individual Personal Plans are in place, that clearly highlight the requirements of the Service User

  • Robust individual risk assessments are in place, that clearly highlight the requirements of the Service User

  • Goals have been set for the Service User as part of the Personal Planning process

  • The goals are achievable and in line with the care requirements of the Service User

  • Supporting communication logs and MARs, where applicable, are in evidence with the Personal Plan

  • The Personal Plan is in date and has been reviewed regularly in line with policy requirements

  • Staff who have carried out the review are trained to complete this task

  • Staff receive regular update training in Personal Planning

Total Score

Action Plan

  • Audit Completed by:

  • Signed:

  • Date:

  • Verified By:

  • Signed:

  • Date:

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.