Falls Prevention and Post-Falls Review Audit - Care Homes

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  • Is there a falls prevention policy in place that reflects current best practice and is regularly reviewed?
  • Are individual falls risk assessments completed on admission and reviewed after any fall or change in condition?
  • Are falls risk factors (e.g., history of falls, mobility, medications, eyesight, cognition) clearly documented in care plans?
  • Are personal mobility aids (e.g., walking frames, wheelchairs) in good condition and used appropriately?
  • Are appropriate footwear and floor coverings promoted to reduce trip risks?
  • Is the home environment free of clutter, trip hazards, and poor lighting in resident areas?
  • Are call bells, rails, and grab bars appropriately placed and accessible to residents?
  • Are residents regularly monitored for signs of unsteadiness, dizziness, or increasing frailty?
  • Are physiotherapists, OTs, or falls prevention services involved for residents at high risk?
  • Is medication reviewed regularly (especially sedatives, diuretics, or hypotensives) for residents who fall frequently?
  • Is hydration and nutrition monitored and supported to reduce weakness or dizziness?
  • Are post-fall assessments completed promptly and thoroughly, including vital signs, observations, and head injury monitoring?
  • Are falls reported internally and externally (e.g., to relatives, safeguarding, CQC) when appropriate?
  • Are incident forms completed accurately, including witness accounts and environmental checks?
  • Are lessons learned from falls analysed in team meetings and used to improve practice?
  • Are trends in falls (e.g., location, time of day, specific residents) reviewed monthly for patterns?
  • Is there a system for tracking and reviewing multiple falls for the same resident to adjust care planning?
  • Are falls prevention strategies (e.g., sensor mats, hip protectors) tailored to individual needs and reviewed regularly?
  • Are staff trained in safe mobility assistance, observation, and falls response procedures?
  • Are residents and families involved in decisions around falls risk and positive risk-taking?
  • Are post-fall follow-ups (e.g., GP contact, injury reviews) completed and recorded appropriately?
  • Are falls rates monitored at governance level and included in quality improvement plans?
  • Is the effectiveness of interventions (e.g., reablement, environmental changes) reviewed following a fall?
  • Are fall-related injuries reviewed for severity, causes, and required safeguarding or clinical responses?
  • Are staff debriefed after serious falls to reinforce good practice and identify improvements?