Falls Prevention and Management Audit – Care Homes

Answered 0 / 32(0% complete)

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Score

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N/A counts as Yes (full credit). Unanswered reduces the score until completed.

Breakdown

0 Yes •0 No •0 N/A •32 Unanswered

0%100%

Answers Overview

0%Score (Yes + N/A)
Yes
0
No
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N/A
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32

Questions

0/32 answered
  • Q1 | Unanswered

    Governance: Is there a current falls-prevention and post-fall policy with clear responsibilities, clinical referral routes and emergency response arrangements?

    Evidence to check

    • • Current falls-prevention and post-fall policy and named responsibilities
    • • Clinical referral and emergency pathways and checks of staff understanding
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q2 | Unanswered

    Admission and history: Are previous falls, injuries, near misses, mobility needs and relevant professional advice gathered on admission or return to the home and reflected in initial support?

    Evidence to check

    • • Admission or return assessments and previous falls or injury information
    • • Initial care instructions reflecting relevant history and professional advice
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q3 | Unanswered

    Comprehensive assessment: Are residents offered an appropriate comprehensive falls assessment and individual management, with competent clinical input and consideration of current guidance for their age and needs?

    Evidence to check

    • • Comprehensive falls assessments or records of offers and referrals
    • • Competent professional input and individual management recommendations
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q4 | Unanswered

    Assessment quality: Do assessments identify individual contributing factors rather than rely on a prediction score to decide who receives prevention or support?

    Evidence to check

    • • Sampled assessments identifying individual contributing factors
    • • Checks showing prevention and support are not determined solely by prediction scores
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q5 | Unanswered

    Resident involvement: Are prevention decisions discussed accessibly with the person, respecting their preferences, confidence and independence and involving relevant others appropriately?

    Evidence to check

    • • Accessible discussions, resident preferences and relevant representative involvement
    • • Examples showing agreed measures support choice, confidence and independence
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q6 | Unanswered

    Individual plan: Does the personal plan describe practical measures for the person's identified risks, including assistance, equipment, activities and actions when circumstances change?

    Evidence to check

    • • Current individual falls-prevention plans with practical instructions
    • • Care observations and staff knowledge checks matched to assessed needs
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q7 | Unanswered

    Review triggers: Are assessments and plans reviewed after falls, near misses, illness, medicine changes or changes in mobility, cognition or the environment?

    Evidence to check

    • • Assessment and plan review histories
    • • Reviews triggered by incidents, illness, medicine changes or other relevant changes
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q8 | Unanswered

    Mobility and balance: Are gait, balance, strength, transfers and required assistance assessed appropriately, with therapy or specialist advice obtained and recommendations implemented?

    Evidence to check

    • • Mobility, balance and transfer assessments and relevant therapy advice
    • • Evidence recommended assistance, equipment or interventions are implemented
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q9 | Unanswered

    Activity and exercise: Are people supported to remain active and, where suitable, offered tailored falls-prevention exercise through appropriately qualified support, with progress and tolerance reviewed?

    Evidence to check

    • • Individual activity or appropriately assessed exercise arrangements
    • • Participation, tolerance and progress reviews and relevant qualified support
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q10 | Unanswered

    Medicines review: Are medicines that may contribute to falls reviewed by an appropriate prescriber or pharmacist, with agreed changes, monitoring and outcomes followed through?

    Evidence to check

    • • Prescriber or pharmacist medicines reviews addressing falls-related concerns
    • • Agreed changes, monitoring and documented follow-up
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q11 | Unanswered

    Dizziness and collapse: Are dizziness, postural symptoms or possible loss of consciousness referred for appropriate clinical assessment, with resulting instructions incorporated into care?

    Evidence to check

    • • Records of dizziness, postural symptoms or suspected loss of consciousness
    • • Clinical referrals, assessments and resulting care instructions
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q12 | Unanswered

    Cognition and illness: Are confusion, delirium, distress or acute illness recognised as possible contributors to falls, with timely assessment and adapted support?

    Evidence to check

    • • Records of changes in cognition, distress or acute illness
    • • Timely clinical advice and adjustments to support
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q13 | Unanswered

    Vision, hearing and footwear: Are relevant sensory, foot and footwear needs addressed, with suitable aids accessible and professional advice sought when needed?

    Evidence to check

    • • Relevant sensory, foot and footwear assessments or professional recommendations
    • • Checks showing suitable aids and footwear are available and used
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q14 | Unanswered

    Toileting: Are continence and toileting needs supported promptly, including at night, to reduce unsafe rushing or attempts to mobilise without required help?

    Evidence to check

    • • Individual continence and toileting support instructions
    • • Day and night care records and follow-up on delayed or unavailable assistance
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q15 | Unanswered

    Nutrition and hydration: Are poor intake, weight loss or dehydration concerns identified and addressed, with appropriate advice and monitoring?

    Evidence to check

    • • Nutrition and hydration assessments and relevant monitoring
    • • Advice, support and follow-up addressing poor intake or dehydration concerns
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q16 | Unanswered

    Bone health: Where relevant, are fracture and bone-health concerns referred for appropriate assessment, with prescribed or recommended measures followed through?

    Evidence to check

    • • Relevant bone-health or fracture-risk referrals and clinical recommendations
    • • Records showing prescribed or recommended measures are followed through
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q17 | Unanswered

    Environment: Are bedrooms, bathrooms, shared areas and outdoor routes checked for trip hazards, slippery floors, unsuitable lighting and barriers to safe movement?

    Evidence to check

    • • Environmental checks covering floors, lighting, routes and bathrooms
    • • Hazard reports, corrective actions and rechecks
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q18 | Unanswered

    Equipment and transfers: Are mobility aids, seating, beds and transfer equipment suitable, maintained and used according to individual assessments and instructions?

    Evidence to check

    • • Individual equipment and transfer assessments and maintenance records
    • • Consented observations showing aids and equipment are used appropriately
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q19 | Unanswered

    Access to help: Can people reach and use appropriate call facilities, with suitable alternatives and timely assistance for those who cannot use the usual system?

    Evidence to check

    • • Individual call-system access assessments and function checks
    • • Response records or observations and suitable alternative assistance arrangements
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q20 | Unanswered

    Proportionate measures: Are sensors, observation arrangements, bed rails or other restrictive measures individually assessed, lawful and reviewed, with alternatives considered?

    Evidence to check

    • • Individual assessments and relevant lawful decision records for monitoring or restrictions
    • • Alternatives considered and reviews of safety, effectiveness and freedom
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q21 | Unanswered

    Staff readiness: Are staff trained and competent in prevention, safe assistance and post-fall response, with assessed support available across all shifts?

    Evidence to check

    • • Prevention, handling and post-fall competency or training records
    • • Shift arrangements and staff discussions confirming readiness and available assistance
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q22 | Unanswered

    Immediate response: After a fall, do staff promptly assess within their competence, obtain appropriate help and avoid unsafe movement while following the agreed post-fall pathway?

    Evidence to check

    • • Post-fall pathway and role-specific assessment guidance
    • • Incident records showing prompt assessment, appropriate help and safe movement decisions
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q23 | Unanswered

    Urgent escalation: Are suspected serious injury, possible head injury, loss of consciousness or other concerning findings escalated urgently through the appropriate clinical or emergency pathway?

    Evidence to check

    • • Staff knowledge checks of urgent injury and deterioration escalation routes
    • • Relevant incident timelines, emergency calls or urgent clinical advice
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q24 | Unanswered

    Unwitnessed falls and medicines: For unwitnessed falls or people taking anticoagulant or antiplatelet medicines, do staff seek appropriate clinical advice on injury risk and follow the resulting instructions?

    Evidence to check

    • • Unwitnessed-fall records and current relevant medicine information
    • • Clinical advice on injury risk and evidence instructions were followed
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q25 | Unanswered

    Safe recovery: Where movement is assessed as safe, is assistance from the floor provided using the assessed staff and suitable equipment, with comfort and dignity maintained?

    Evidence to check

    • • Recorded decisions about safe recovery from the floor
    • • Assessed handling arrangements, suitable equipment and competent staff assistance
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q26 | Unanswered

    Post-fall monitoring: Are observations, pain checks and follow-up delivered by competent staff according to clinical advice, with delayed deterioration recognised and escalated?

    Evidence to check

    • • Clinical observation instructions and post-fall monitoring records
    • • Escalation of changed findings and documented outcomes
    Supporting Notes
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  • Q27 | Unanswered

    Communication: Are the person and relevant representatives kept informed appropriately, with clinical advice and updated instructions communicated securely during handover or transfer?

    Evidence to check

    • • Records of appropriate communication with residents and representatives
    • • Handovers or transfer information containing current clinical advice and follow-up needs
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q28 | Unanswered

    Incident records: Are falls and near misses recorded accurately, including circumstances, injuries, actions, advice, monitoring and outcomes, with required notifications and reporting considered?

    Evidence to check

    • • Falls and near-miss records matched to care and monitoring entries
    • • Reporting decisions, required notifications and recorded outcomes
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q29 | Unanswered

    Post-fall review: Is each fall reviewed for contributing factors and preventable harm, with recurrent falls prompting further assessment and any safeguarding concerns addressed?

    Evidence to check

    • • Individual post-fall reviews and further assessment for recurrent falls
    • • Updated plans and relevant safeguarding decisions or referrals
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q30 | Unanswered

    Confidence and recovery: After a fall, are fear, loss of confidence and reduced activity addressed through reassurance, appropriate rehabilitation and review of the person's goals?

    Evidence to check

    • • Resident feedback and assessments of confidence or activity after falls
    • • Rehabilitation advice, agreed goals and reviews of recovery support
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q31 | Unanswered

    Patterns and improvement: Are falls, injuries, near misses and missed support analysed for patterns, with prioritised actions and checks that changes improve outcomes?

    Evidence to check

    • • Falls and injury trend analysis including timing, location and support factors
    • • Prioritised actions and follow-up showing whether outcomes improved
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q32 | Unanswered

    Leadership assurance: Do managers and the Responsible Individual review prevention practice, post-fall response and resource needs, with findings informing the quality of care review?

    Evidence to check

    • • Management and Responsible Individual reviews and quality-of-care findings
    • • Resource decisions and tracked improvements to prevention and post-fall care
    Supporting Notes
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    Photographic Evidence

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