Bi-Annual Residents Survey Audit

Use this Bi-Annual Residents Survey Audit Checklist to evaluate resident satisfaction with care, including food, activities, staff, etc. biannually. References: CQC Regulation 9 (Person-Centred Care), Regulation 17 (Good Governance), Legislation: Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Local Authority: Performance Assessment Measures (PAMs), NICHE Care Home Guidance, NICE Guidelines on Quality Care in Residential Settings.

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Bi-Annual Residents Survey Audit

General Information

Bi-Annual Residents Survey Audit Template

How Do You Feel About The Following?

Good Food

Having A Good Night's Sleep

Peace & Quiet

Watching TV

Listening To Music

Having Lots Of Different Activities, I May Like

Having A Few Activities, I Enjoy Most

Having My Friends And Family Visit Me

Able To Receive My Visitors In Private

Sitting With Who I Like At Mealtimes

Being Able To Access A Telephone

Being Able To Sit Out In The Garden

If You Have Any Specific Religious Needs, Are These Being Adequately Met?

Most Important Item #1

Most Important Item #2

Most Important Item #3

Feedback Sheet

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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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Bi-Annual Residents Survey Audit

1. Survey Overview

2. Home

3. Survey Period

1. How happy or unhappy are you with the home where you live?

2. How do you feel about how the manager runs things?

3. Do you like the staff in the home?

4. What do you like the most about the home that you live in?

5. If you could change one thing about the home that you live in, what would it be?

1. I feel that I can have a say about things in the home

2. I like the people I live with

3. I like the food I am provided with all of the time

4. I feel safe in the home during the daytime

5. I feel safe in the home at nighttime

6. I think staff are very caring all of the time

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. Importance

2. Happiness

1. How it can be better

1. How it can be better

1. How it can be better

1. Resident Name (Optional):

2. Feedback