Governance, Quality Assurance and Continuous Improvement Audit – Care Homes
Answered 0 / 32(0% complete)
Note: This is the "clipboard" version of the audit. Save as Draft keeps your changes here only. When the audit is complete and accurate, Save & Push to Calendar creates the final version for that month, where you can allocate tasks, upload evidence, and manage actions.
Audit workspace
Score
0%
N/A counts as Yes (full credit). Unanswered reduces the score until completed.
Breakdown
0 Yes •0 No •0 N/A •32 Unanswered
Answers Overview
Questions
0/32 answeredQ1 | Unanswered
Accountability: Are provider, Responsible Individual and manager responsibilities clearly recorded, with effective delegation, escalation and oversight arrangements?
Evidence to check
- • Governance structure, named responsibilities and delegated authority
- • Decision and escalation records showing effective provider, RI and manager oversight
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ2 | Unanswered
Service scope: Do current registration conditions and the statement of purpose match the care, staffing, facilities and accommodation actually provided, with changes managed appropriately?
Evidence to check
- • Current registration conditions and statement of purpose
- • Checks against actual service provision and records of managed changes
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ3 | Unanswered
Quality framework: Is there an organised system for monitoring quality and safety, with defined responsibilities, review frequency and evidence sources linked to residents' needs and outcomes?
Evidence to check
- • Quality monitoring framework with roles, review frequency and evidence sources
- • Completed reviews linked to resident needs and outcomes
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ4 | Unanswered
Risk oversight: Are significant care and service risks reviewed by appropriate leaders, with effective controls, named owners and timely escalation of unresolved concerns?
Evidence to check
- • Current risk register and leadership risk-review records
- • Control checks, named owners and escalation of unresolved concerns
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ5 | Unanswered
Audit programme: Does the audit schedule cover relevant care, safety, staffing, records and governance areas, with priorities adjusted for incidents, change and emerging risks?
Evidence to check
- • Risk-informed audit schedule covering relevant care and service areas
- • Changes to priorities following incidents, service changes or emerging concerns
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ6 | Unanswered
Audit quality: Are audits completed by suitably competent people using meaningful samples, observations and supporting evidence rather than unsupported checklist answers?
Evidence to check
- • Completed audits with sample details, observations and supporting evidence
- • Auditor competence and checks of audit quality
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ7 | Unanswered
Evidence checks: Are records, staff accounts, resident feedback and actual care compared to identify discrepancies and avoid relying on scores or paperwork alone?
Evidence to check
- • Reviews comparing care records, staff accounts, feedback and observations
- • Discrepancy findings and resulting investigation or corrective action
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ8 | Unanswered
Resident voice: Are residents' views gathered accessibly and regularly, including from people who communicate differently, with evidence their views influence decisions?
Evidence to check
- • Accessible resident consultation, feedback and observation records
- • Examples showing less-heard residents' views influenced decisions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ9 | Unanswered
Wider engagement: Are appropriate representatives, staff, commissioners and relevant professionals consulted about quality, with feedback analysed and responded to?
Evidence to check
- • Appropriate representative, staff, commissioner and professional feedback
- • Analysis, responses and resulting improvement decisions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ10 | Unanswered
Personal outcomes: Does quality monitoring consider residents' comfort, dignity, choice, relationships, independence and agreed outcomes, alongside safety and compliance?
Evidence to check
- • Personal-outcome reviews and resident experience measures
- • Observations and feedback covering dignity, choice, relationships and independence
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ11 | Unanswered
Equality and language: Are barriers linked to disability, communication, culture or preferred language, including Welsh, identified and addressed through quality improvement?
Evidence to check
- • Reviews of accessibility, equality and communication or language barriers
- • Actions and feedback showing improved access or Welsh-language support
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ12 | Unanswered
Incidents and trends: Are incidents and near misses reviewed for underlying causes and patterns, with findings linked to risks, care changes and service improvements?
Evidence to check
- • Incident and near-miss investigations and trend analysis
- • Actions addressing underlying causes and links to updated risks or care plans
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ13 | Unanswered
Complaints and concerns: Are complaints and concerns investigated and reviewed for recurring themes, with responses, actions and feedback to relevant people recorded?
Evidence to check
- • Complaint and concern reviews and recurring-theme analysis
- • Responses, improvement actions and communication with relevant people
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ14 | Unanswered
Safeguarding and speaking up: Do leaders review safeguarding and whistleblowing concerns, support people to raise issues safely and check that protective and learning actions are effective?
Evidence to check
- • Safeguarding and whistleblowing oversight records
- • Evidence of support for raising concerns and checks of protective actions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ15 | Unanswered
Openness: Are residents and appropriate representatives given clear, honest information when care goes wrong, with relevant duties of candour and follow-up reflected in practice?
Evidence to check
- • Relevant candour procedures and records of open communication after harm
- • Resident or representative feedback and documented follow-up
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ16 | Unanswered
Responsible Individual visits: Are statutory visits undertaken at least every three months, with required engagement and checks documented and identified actions followed up?
Evidence to check
- • Dated Responsible Individual visit records demonstrating at least quarterly visits
- • Required engagement, record checks and follow-up of findings
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ17 | Unanswered
Quality of care review: Is care and support reviewed as often as required and at least every six months, considering engagement, incidents, safeguarding, complaints and record-audit findings?
Evidence to check
- • Quality-of-care review dates showing at least six-monthly review
- • Evidence considered from engagement, incidents, safeguarding, complaints and record audits
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ18 | Unanswered
Review conclusions: Are the quality review's assessment and improvement recommendations recorded, with the required report to the provider and evidence conclusions reflect the information reviewed?
Evidence to check
- • Documented review assessment, recommendations and required provider report
- • Supporting evidence and provider decisions on resulting improvements
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ19 | Unanswered
Resources: Do leaders review whether staffing, skills, equipment, premises and other resources are sufficient, with required Responsible Individual reporting and action on shortfalls?
Evidence to check
- • Resource assessments and required Responsible Individual reports
- • Provider decisions and actions addressing staffing, equipment or premises shortfalls
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ20 | Unanswered
Workforce assurance: Are recruitment, competence, supervision, deployment and temporary staffing reviewed together to identify risks to safe care and continuity?
Evidence to check
- • Combined reviews of recruitment, skills, supervision and deployment information
- • Actions addressing workforce risks and continuity concerns
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ21 | Unanswered
Policies and change: Are policies current and understood, with service changes assessed and relevant staff supported to implement new requirements safely?
Evidence to check
- • Policy review register and change assessments
- • Staff briefings, implementation checks and action on outdated practice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ22 | Unanswered
Information governance: Are the accuracy, completeness, security and availability of care and service records checked, with gaps and information incidents addressed?
Evidence to check
- • Record accuracy, completeness, security and retrieval audits
- • Information incident reviews and completed corrective actions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ23 | Unanswered
Notifications: Are required regulatory and other notifications identified, made within applicable timescales and checked for accuracy and follow-up?
Evidence to check
- • Notification tracker and applicable reporting requirements
- • Sampled submissions, timestamps and follow-up matched to relevant events
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ24 | Unanswered
Annual return: Is the annual return accurate, supported by service evidence, submitted on time and published using the designated publication copy on the provider's website within current requirements?
Evidence to check
- • Annual return submission confirmation and supporting service data
- • Designated publication copy, provider website publication and applicable deadline checks
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ25 | Unanswered
External scrutiny: Are inspection, commissioner and other relevant external findings reviewed, with required actions prioritised and evidence of compliance or improvement retained?
Evidence to check
- • Inspection, commissioner and other relevant external reports
- • Action plans and verified evidence addressing required findings
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ26 | Unanswered
Improvement planning: Are findings translated into specific improvement actions with priorities, accountable owners, timescales, resources and clear measures of success?
Evidence to check
- • Improvement plan with priorities, owners, deadlines and resources
- • Defined success measures linked to identified findings and resident outcomes
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ27 | Unanswered
Immediate protection: Where findings indicate unsafe care or serious risk, are protective actions and escalation undertaken promptly rather than deferred to a routine improvement meeting?
Evidence to check
- • Records of urgent findings and immediate protection or escalation
- • Checks showing serious risks were addressed without waiting for routine meetings
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ28 | Unanswered
Action verification: Are completed actions checked through evidence and repeat review, with overdue or ineffective actions escalated and risks reconsidered?
Evidence to check
- • Action completion evidence and repeat audit or observation findings
- • Escalation of overdue or ineffective actions and reassessment of risks
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ29 | Unanswered
Learning and communication: Are learning and changes shared with relevant staff and residents, with understanding and application checked across shifts?
Evidence to check
- • Learning briefings and relevant resident communications
- • Staff knowledge and practice checks across shifts
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ30 | Unanswered
Sustained improvement: Do follow-up data, observations and resident feedback show whether improvements last and whether changes have unintended effects?
Evidence to check
- • Follow-up data, observations and resident feedback over time
- • Reviews of sustained benefit and any unintended consequences
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ31 | Unanswered
Continuity of oversight: Are management absence, Responsible Individual unavailability and major disruption covered by clear arrangements for safe decisions and continued quality monitoring?
Evidence to check
- • Management cover, RI unavailability and disruption plans
- • Records showing decision-making and quality monitoring continued during absence or disruption
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ32 | Unanswered
Reviewing the system: Do leaders periodically test whether the governance and assurance system detects problems, supports challenge and delivers better care, with its weaknesses addressed?
Evidence to check
- • Leadership evaluations of governance and assurance effectiveness
- • Examples of challenge, missed-problem reviews and improvements to the system
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCamera
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