Falls Prevention and Post-Falls Review Audit - Care Homes
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- Q1: Is there a falls prevention policy in place that reflects current best practice and is regularly reviewed?
- Q2: Are individual falls risk assessments completed on admission and reviewed after any fall or change in condition?
- Q3: Are falls risk factors (e.g., history of falls, mobility, medications, eyesight, cognition) clearly documented in care plans?
- Q4: Are personal mobility aids (e.g., walking frames, wheelchairs) in good condition and used appropriately?
- Q5: Are appropriate footwear and floor coverings promoted to reduce trip risks?
- Q6: Is the home environment free of clutter, trip hazards, and poor lighting in resident areas?
- Q7: Are call bells, rails, and grab bars appropriately placed and accessible to residents?
- Q8: Are residents regularly monitored for signs of unsteadiness, dizziness, or increasing frailty?
- Q9: Are physiotherapists, OTs, or falls prevention services involved for residents at high risk?
- Q10: Is medication reviewed regularly (especially sedatives, diuretics, or hypotensives) for residents who fall frequently?
- Q11: Is hydration and nutrition monitored and supported to reduce weakness or dizziness?
- Q12: Are post-fall assessments completed promptly and thoroughly, including vital signs, observations, and head injury monitoring?
- Q13: Are falls reported internally and externally (e.g., to relatives, safeguarding, CQC) when appropriate?
- Q14: Are incident forms completed accurately, including witness accounts and environmental checks?
- Q15: Are lessons learned from falls analysed in team meetings and used to improve practice?
- Q16: Are trends in falls (e.g., location, time of day, specific residents) reviewed monthly for patterns?
- Q17: Is there a system for tracking and reviewing multiple falls for the same resident to adjust care planning?
- Q18: Are falls prevention strategies (e.g., sensor mats, hip protectors) tailored to individual needs and reviewed regularly?
- Q19: Are staff trained in safe mobility assistance, observation, and falls response procedures?
- Q20: Are residents and families involved in decisions around falls risk and positive risk-taking?
- Q21: Are post-fall follow-ups (e.g., GP contact, injury reviews) completed and recorded appropriately?
- Q22: Are falls rates monitored at governance level and included in quality improvement plans?
- Q23: Is the effectiveness of interventions (e.g., reablement, environmental changes) reviewed following a fall?
- Q24: Are fall-related injuries reviewed for severity, causes, and required safeguarding or clinical responses?
- Q25: Are staff debriefed after serious falls to reinforce good practice and identify improvements?