Manager Oversight/Governance Audit (Weekly)

Use this Weekly Manager Oversight checklist to review tasks, assess team performance, and ensure adherence to organisational goals and standards. References: The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation 9: Person-Centred Care - Ensuring that care is tailored to the individual needs of residents. Regulation 10: Dignity and Respect - Providing care that upholds the dignity of all service users. Regulation 12: Safe Care and Treatment - Ensuring the health, safety, and welfare of service users. Regulation 15: Premises and Equipment - Ensuring that the environment is safe, clean, and suitable for purpose. Regulation 17: Good Governance - Effective oversight and audit of care services to ensure quality. CQC Fundamental Standards. Care Act 2014: Section 1: Promoting well-being, ensuring that the care provided supports the well-being of service users. Section 42: Safeguarding Adults at Risk - Protecting vulnerable adults from abuse or neglect. Mental Capacity Act 2005: Ensuring that individuals who may lack capacity are treated with respect and that decisions are made in their best interests. Health and Safety at Work Act 1974: Ensuring that health and safety risks are managed effectively within care settings. Equality Act 2010: Preventing discrimination and ensuring equal access to care services for all individuals. Data Protection Act 2018 and GDPR: Safeguarding personal information and ensuring that data handling practices comply with legal standards. Fire Safety Regulatory Reform (Fire Safety) Order 2005: Ensuring fire safety measures are in place and that all staff are trained in fire safety procedures. Control of Substances Hazardous to Health (COSHH) Regulations 2002. NICE Guidelines: Providing evidence-based guidance on health and social care practices, including standards for dementia care and safeguarding.

Manager Oversight/Governance Audit (Weekly)



Home Presentation

1. Is the Statement of Purpose on display? 


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2. Is the Service Users' Guide on display? 


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3. Is the complaints procedure on display and up to date with local Commission contact? 


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4. Is the Care Centre Registration Certificate on display? 


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5. Are menus displayed? 


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6. Is there a colourful, up-to-date activities display? 


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7. Are staff well-presented and wearing uniforms correctly? 


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8. Are Service Users well-presented? 


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9. Are any unpleasant odours present? 


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10. Is the atmosphere welcoming? 


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11. Are the minutes of Relatives Meetings available? 


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12. Are Staff Details (Who’s Who) present? 


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13. Is there evidence of staff training? 


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14. Is there a Care Centre Newsletter available? 


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15. Are brochures on display? 


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16. Are details of Relatives Surgery available? 


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17. Are all communal areas, including reception, clean and tidy? 


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18. Are all bedrooms clean and tidy? 


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19. Are bedrooms personalised? 


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20. Are all bathrooms clean and tidy with no evidence of communal toiletries? 


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21. Are all sluice rooms clean and tidy? 


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22. Is the kitchen clean and tidy? 


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23. Are all statutory records and logbooks up to date? 


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24. Is the laundry clean and tidy with no evidence of communal clothing? 


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25. Is the Dining Room conducive to the dining experience? 


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26. Are showrooms reflective of company policy? 


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Exterior Of Building

1. Are the exterior, gardens, and pots neat and tidy? 


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2. Is the general refuse bin area tidy? 


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3. Are windows and doors in good order? 


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4. Is there exterior lighting, and is it working? 


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5. What is the condition of the brickwork? 


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6. What is the condition of the paintwork? 


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7. What is the condition of the roof? 


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Enquiry Management

1. Are records kept of all enquiries? 


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2. Are admissions pending well managed? 


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3. Are all enquiries followed up, and is this recorded? 


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4. Is there evidence of the conversion of enquiries to the sale of beds?


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Medications

1. Is the Controlled Drugs Register up to date? 


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2. Is storage compliant with policy? 


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3. Is receipt compliance with policy? 


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4. Is disposal compliance with policy? 


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5. Are drug fridge and room temperatures recorded daily? 


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6. Are drug rooms, fridges, and trolleys clean, tidy, and secure? 


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7. Are all PRN protocols in place and up to date? 


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8. Are correct authorisations in place for any covert medication administrations? 


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Medication Audit

1. What is the standard of documentation? 


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2. Date of last audit by Home Manager: 


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3. Date of last audit by Pharmacist: 


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4. Sample: Four Service Users’ drugs against MAR Charts 


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Care Documentation

1. Pre-Admission Assessment: 


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2. Physical and Social Assessment: 


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3. Social Profile – Life History: 


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4. Pressure Ulcer Risk Assessment (Waterlow): 


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5. Moving and Handling Assessment: 


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6. Nutritional Assessment and MUST: 


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7. Weight Chart: 


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8. Falls Risk Assessment: 


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9. Individual Risk Assessments: 


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10. Care plans correspond with assessed risks & identified needs


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11. Monthly Review of Plan of Care & Assessment Evaluations: 


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12. Personal care (hair/nails/teeth/clothing): 


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13. Professional Visitors records: 


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14. DOLS in place: 


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15. MCAs in place and in date: 


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16. Best interest decisions in place and in date: 


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17. Evidence from OPG where PoA may be in place: 


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18. Resident of the Day completed: 


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19. Evidence of Service User participation: 


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20. All resident photos on care and medication records are in place and dated within the last six months: 


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Complaints Management

1. Is the Complaints Procedure clearly displayed? 


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2. Has the home been complaint-free since the last audit? 


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3. Have all complaints been resolved? 


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4. Are records of outcomes for all complaints available, including those that are "closed"? 


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5. Is the Complaint Tracker & File up to date?


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Statutory Records

1. Is the Service User Register correct? 


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2. Is the signing in & out book up to date? 


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3. Is the staff register up to date? 


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4. Is the visitors register up to date? 


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5. Is the staff rota up to date? 


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6. Is the HACCP and Safer Food Better Business up to date? 


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7. Is the maintenance book up to date? 


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8. Is the Insurance Certificate on display and in date? 


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9. Is the Registration Certificate on display? 


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10. Is the complaints procedure on display? 


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11. Is the Fire Risk Assessment in place and in date? 


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12. Is the Gas Safety Certificate in place and in date? 


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13. Is the LOLER Certification in place and in date? 


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14. Is the EICR in place and in date? 


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15. Is the Lift Safety / Maintenance certification in place and in date? 


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16. Is the PAT Testing in place and in date? 


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17. Is the Legionella Testing Certificate in place and in date?


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Human Resources (Personal Files)

1. Number of Vacancies


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2. Recruitment measures taken


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3. Absence


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4. Number on long-term sick


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5. Number on Suspension


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6. Number of Disciplinary & Counselling Sessions


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Personnel Files

1. Application Form: 


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2. Signed declaration: 


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3. Interview Notes: 


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4. Contract: 


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5. References x2 written (including previous employer): 


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6. Full Explanation of Gaps in Employment: 


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7. DBS Check: 


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8. Health Declaration (signed): 


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9. Job Description (signed): 


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10. Supervision Records: 


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11. Disciplinary & Grievance Policy: 


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12. Identification (e.g., Birth Certificate): 


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13. Induction Program: 


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14. Photograph: 




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15. Work Permit (If Applicable): 


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16. Training Records (Moving/Handling, Fire, Food Hygiene, Prevention of Abuse):


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Administration & Finance Audit

1. Personal Allowances up to date


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2. Service Users' pocket money is managed per Company policy


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3. Money in the safe balances with records


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4. Petty cash reconciles


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5. Safe is secure


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6. Action from last financial audit


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7. £200 Insurance Liability is Clearly Noted


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Maintenance & Domestic Services

1. COSHH Records up to date


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2. Data Sheet available


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3. Risk Assessments up to date


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4. Storage Janitorial Supplies


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5. Storage of Chemicals


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6. Maintenance Water Temperature Checks


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7. Mattress Audit


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8. Domestic Cleaning Schedule in place


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9. Maintenance of window restrictors


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10. Maintenance of fire records checks


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11. Records of Fire drills


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12. Records of fire incidents


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13. Records of Nurse call checks


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14. Record of Emergency lighting


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15. Decoration status


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16. Furniture status


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17. Hoists serviced


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18. Pressure relieving mattresses serviced


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19. Wheelchairs serviced


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20. Refurbishment Programme


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Health And Safety

1. Is the Health and Safety Checklist up to date?


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2. There is evidence that alternatives to bedrails are being used in the Care Centre?


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3. All windows accessible to vulnerable Service Users are restricted to 100mm


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4. The actions to rectify observed defects to the window restrictors have been completed?


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5. Water from all baths and sinks accessible to Service Users does not exceed 43°C. Showers do not exceed 41°C


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6. All chemicals and other hazardous substances are stored in a locked cupboard


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7. Shower Pipes cannot be immersed in standing water


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8. Sharps are disposed of into containers which meet British and European standards (BS7320 and UN3291)


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9. All radiators accessible to Service Users are protected by a radiator cover in good repair


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10. Fire drills are up to date and recorded


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11. All fire equipment e.g. smoke detectors, fire extinguishers are in working order


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12. All maintenance records are complete, up to date, and signed


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13. Are furnishings fit for purpose?


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14. Is the maintenance book being fully utilised?


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Staff Supervision And Communication

1. Evidence of supervision planning schedule


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2. Bi-monthly supervision (All Staff)


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3. Evidence of volunteers


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4. Is there evidence that all staff are appraised annually?


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5. Are Company policies accessible for staff?


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6. Staff Meetings


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Social Activities

1. Displayed Programme/Posters


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2. Evidence of activities


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3. Evidence of service user choice


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4. Evidence of PR/Media Coverage


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5. Observed Activity During Audit


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6. Records up to Date


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Privacy And Dignity

1. Do Staff Members knock before entering Service Users' rooms and bathrooms?


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2. Are Service Users addressed respectfully using their preferred name?


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3. Can Service Users use a telephone in private?


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4. Are eating aids available e.g. non-slip mats, plate guards, etc.?


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5. Have all staff received training in Prevention of Abuse?


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6. Is there evidence of service user participation in decision-making?


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7. Is there evidence of menu choice?


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8. Are service user opinion surveys available?


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9. Are service users' views actively sought?


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Accidents

1. Review of Accidents (Last Three Months)


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4. Service Users


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5. Staff/Other


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6. Can any pattern or similarities be established?


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7. Total number of Accidents that have not resulted in injury (Within the last quarter):


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8. Total number of Accidents reported to RIDDOR (Within the last quarter):


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9. Total number of Accidents resulting in hospital admissions (Within the last quarter):


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10. Is there evidence of lessons learned and cascade of this information across the staff team which relates to audit outcomes, analysis of incidents/accidents/safeguarding concerns/external feedback from complaints & concerns?


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11. Are all managers' audits in place and completed as per timetabled dates?


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Quarterly To-Do Lists

1. When Last Inspected


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3. Is Report/Certificate Available?


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4. Any Issues Outstanding Requiring Attention


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5. Comments - Electrical Periodical Installation 5 Yearly


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6. Comments - Inspection Test of Electrical Equipment


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7. Comments - Asbestos Management (if applicable)


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8. Comments - Fire Risk Assessment


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9. Comments - Water Hygiene (Legionella Risk Assessment)


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10. Comments - LPG Installation Test (if applicable)


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11. Comments - Pressure Vessel Test (if applicable)


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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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