Policies & Procedures Audit - Care Homes

Answered 0 / 48(0% complete)

Score

0%

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

Breakdown

0 Yes •0 No •0 N/A •48 Unanswered

0%100%

Answers Overview

0%Score (Yes + N/A)
Yes
0
No
0
N/A
0
Unanswered
48

Questions

0/48 answered

  • Q1 | Unanswered

    Is there a formal document control system in place for all policies and procedures (version control, approval, review, distribution)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q2 | Unanswered

    Is there a master Policy Register that lists every policy/procedure, owner (responsible person), version number, approval date, and next review date?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q3 | Unanswered

    Are policies assigned to named ‘owners’ with clear accountability for review, updates, and implementation?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q4 | Unanswered

    Are review dates realistic and adhered to (e.g., annual/biannual), and are overdue policies identified and escalated?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q5 | Unanswered

    Is there a process to trigger out-of-cycle reviews after incidents, complaints, audits, legislative/regulatory changes, or CQC feedback?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q6 | Unanswered

    Are policies aligned to current legislation, regulations, and recognised guidance relevant to care homes (England)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q7 | Unanswered

    Is there evidence of senior sign-off (Registered Manager/Provider) and governance approval for new/updated policies?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q8 | Unanswered

    Are policies written in clear, usable language with practical steps for staff (not just generic statements)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q9 | Unanswered

    Are policies easily accessible to all staff at point of need (digital system, intranet, policy folder, QR access) across all shifts?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q10 | Unanswered

    Do night staff and weekend staff have the same access to policies as day staff?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q11 | Unanswered

    Are critical policies available in key locations (e.g., safeguarding, emergency procedures, meds, IPC) for immediate reference?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q12 | Unanswered

    Are staff aware where to find policies and how to access them quickly in an emergency?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q13 | Unanswered

    Are policies available in accessible formats for staff needs (plain English, translated summaries where required)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q14 | Unanswered

    Is there a process to ensure only the current version is in circulation and obsolete versions are removed promptly?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q15 | Unanswered

    When policies are updated, are staff informed promptly and consistently (briefings, memos, handover updates, digital notifications)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q16 | Unanswered

    Is there evidence staff have read and understood key policies (read-and-sign, electronic acknowledgements, quizzes, competency checks)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q17 | Unanswered

    Are policy updates included in supervision, team meetings, or training sessions where relevant?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q18 | Unanswered

    Do staff demonstrate awareness of key procedures in practice (not just signatures), evidenced through observations/spot checks?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q19 | Unanswered

    Can staff accurately describe what to do for high-risk procedures (safeguarding, whistleblowing, medication errors, fire, missing person, choking)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q20 | Unanswered

    Are policy breaches identified and managed through coaching, retraining, supervision, and (where needed) formal processes?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q21 | Unanswered

    Are agency/bank staff briefed on essential local policies during induction (safeguarding, IPC, meds boundaries, emergency procedures)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q22 | Unanswered

    Are policies clearly linked to training requirements (e.g., IPC policy ↔ IPC training; MCA policy ↔ MCA training) and competency frameworks?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q23 | Unanswered

    Is there a training matrix that maps mandatory and role-specific training to relevant policies and procedures?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q24 | Unanswered

    Are competence assessments used for high-risk policies (meds, moving & handling, safeguarding, catheter care) rather than ‘read only’ sign-off?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q25 | Unanswered

    Are policy-driven competencies refreshed at appropriate intervals and recorded?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q26 | Unanswered

    Is there evidence that learning from incidents/audits results in policy updates and refreshed staff training?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q27 | Unanswered

    Are policies tailored to the home’s actual environment and pathways (local safeguarding contacts, local escalation numbers, local forms)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q28 | Unanswered

    Do policies include clear roles/responsibilities (who does what) and step-by-step processes that staff can follow?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q29 | Unanswered

    Do policies include clear reporting and escalation routes, including out-of-hours arrangements?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q30 | Unanswered

    Do policies include templates/checklists/forms where useful (e.g., incident forms, body maps, audit tools, referral forms)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q31 | Unanswered

    Are policies consistent with each other (e.g., meds policy aligns with MAR process; safeguarding aligns with complaints and whistleblowing)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q32 | Unanswered

    Are equality, diversity, and human rights considerations embedded across policies (reasonable adjustments, non-discrimination)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q33 | Unanswered

    Are policies reviewed for readability and usability (staff feedback, testing in practice) rather than only compliance language?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q34 | Unanswered

    Are policy audits carried out (spot checks of awareness and compliance) and are results recorded with improvement actions?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q35 | Unanswered

    Are audits triangulated with incidents/complaints (e.g., repeat medication errors ↔ meds policy compliance) to identify implementation gaps?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q36 | Unanswered

    Are ‘policy champions’ or leads used for key areas (IPC lead, safeguarding lead, meds lead) to support implementation?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q37 | Unanswered

    Is there evidence of staff meetings/toolbox talks focused on specific policies and practice scenarios?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q38 | Unanswered

    Are lessons learned from safeguarding, complaints, and incidents reflected in policy revisions and staff communications?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q39 | Unanswered

    Is there a system for staff to suggest improvements or raise concerns about policies (feedback loop)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q40 | Unanswered

    Can the home produce the Policy Register and show current versions with approval and review dates for inspector/auditor request?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q41 | Unanswered

    Can the home evidence a sample policy update trail (old version retired, new version approved, staff informed, staff acknowledgement recorded)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q42 | Unanswered

    Are policy files complete with author, reviewer, approver, version history, and review schedule?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q43 | Unanswered

    Is there evidence that policy awareness is tested (spot questions, competency checks) and recorded?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q44 | Unanswered

    Are there any high-risk policies overdue (safeguarding, meds, IPC, MCA/DoLS), and if so, is there a documented risk assessment and completion plan?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q45 | Unanswered

    Can staff on different shifts describe where to find the safeguarding policy and the steps to report a concern?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q46 | Unanswered

    Can staff explain what changed in the most recent key policy update (e.g., IPC, meds) and how they were informed?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q47 | Unanswered

    Can managers demonstrate how they ensure staff awareness moves beyond signatures (observations, audits, supervisions)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

  • Q48 | Unanswered

    Can the home show evidence of policy review responsibilities being actively managed (owner accountability, reminders, governance tracking)?

    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

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