Quality Monitoring Visit Audit - Care Homes

Q1 | Unanswered

Is there a documented record of the date of visit and previous visit for comparison and follow-up?

Q2 | Unanswered

Is the visit undertaken by an appropriately qualified person and recorded with their details?

Q3 | Unanswered

Are any outstanding action points from the previous visit reviewed, with evidence of completion or progress?

Q4 | Unanswered

Are residents and their families asked if they feel safe in the home, and is feedback documented?

Q5 | Unanswered

Are any current safeguarding issues identified, documented, and followed up appropriately?

Q6 | Unanswered

Are health and safety risk assessments in place for the environment, residents, and staff, with evidence of action on identified risks?

Q7 | Unanswered

Are communal areas and bedrooms clean, clutter-free, and well maintained, with equipment safely stored?

Q8 | Unanswered

Is there evidence of recent incidents (within the last three months) reviewed, investigated, and used for learning?

Q9 | Unanswered

Are fire risk assessments up to date, with evidence of the last fire drill and staff awareness of fire safety procedures?

Q10 | Unanswered

Are infection control practices compliant with guidance (e.g., PPE usage, cleaning audits, zoning practices)?

Q11 | Unanswered

Are hand washing facilities available, with clear hand washing procedures displayed for staff and visitors?

Q12 | Unanswered

Is the service’s continuity plan up to date, accessible, and known by staff, with evidence of training or briefing?

Q13 | Unanswered

Are bed rails and call bells safe and accessible, with bed rail bumpers used and risk assessments in place?

Q14 | Unanswered

Is there evidence of residents and relatives involved in care plan reviews and feeling safe in their environment?

Q15 | Unanswered

Is the medication management system audited for accuracy, missing signatures, stock balances, and record-keeping?

Q16 | Unanswered

Are maintenance checks (e.g., electrical, water, fire, equipment) up to date, with certificates and risk assessments documented?

Q17 | Unanswered

Are care plans reviewed on each floor for key areas (e.g., weight loss, epilepsy, diabetes, wounds, communication needs)?

Q18 | Unanswered

Are staff recruitment records and disciplinary procedures complete and up to date, with evidence of safe recruitment?

Q19 | Unanswered

Are staff rotas and agency usage reviewed for consistency, continuity, and staffing sufficiency?

Q20 | Unanswered

Are accidents and incidents documented and reviewed for patterns, safeguarding triggers, and appropriate responses?

Q21 | Unanswered

Are staff training records up to date, with evidence of completion for mandatory and role-specific courses?

Q22 | Unanswered

Are window restrictors and bed rails safety checks documented and current?

Q23 | Unanswered

Is there evidence of resident and relative feedback on staff conduct, communication, and overall experience?

Q24 | Unanswered

Are mealtimes observed for dignity, choice, and positive staff-resident interactions?

Q25 | Unanswered

Are new and agency staff inductions completed, documented, and regularly reviewed for effectiveness?

Q26 | Unanswered

Are GPs and external professionals (e.g., dietitians, SALT, mental health teams) involved and their input documented?

Q27 | Unanswered

Is communication and documentation (daily notes, charts, care plans) up to date and person-centred?

Q28 | Unanswered

Is there evidence of capacity assessments and best interest decisions being made in line with MCA principles?

Q29 | Unanswered

Are staff supervision and appraisal records up to date, with clear support for staff development and performance?

Q30 | Unanswered

Are staff observed to be caring, respectful, and engaged with residents and families?

Q31 | Unanswered

Are end-of-life care plans (e.g., GSF, advanced care plans) in place and tailored to individual preferences?

Q32 | Unanswered

Are privacy, dignity, independence, and advocacy actively promoted in care delivery and environment?

Q33 | Unanswered

Do staff understand and respect equality, diversity, and human rights in their daily practice?

Q34 | Unanswered

Is there a clear complaints policy, with evidence of actions taken and learning from complaints?

Q35 | Unanswered

Are staff confident in and understand the principles of confidentiality?

Q36 | Unanswered

Are pre-admission assessments and person-centred care plans in place and reviewed for effectiveness?

Q37 | Unanswered

Is resident and family involvement in care planning and communication consistently documented and acted upon?

Q38 | Unanswered

Is there evidence of meaningful activities and social opportunities for residents, including individual interests?

Q39 | Unanswered

Are resident bedrooms personalised, with names, photos, and personal items respected and celebrated?

Q40 | Unanswered

Is there a complaints folder or log, with actions clearly recorded and followed up by management?

Q41 | Unanswered

Do residents and families report positive experiences with home management and leadership?

Q42 | Unanswered

Is the home management team visible, approachable, and engaged in quality assurance processes?

Q43 | Unanswered

Are quality assurance systems robust, with evidence of regular reviews and action plans?

Q44 | Unanswered

Are surveys from residents and families completed, with analysis and responsive action documented?

Q45 | Unanswered

Are minutes from staff, resident, and relative meetings kept, shared, and used to improve care and culture?

Q46 | Unanswered

Are audits (e.g., monthly audits) completed on time, with actions clearly agreed and followed up?

Q47 | Unanswered

Is there a culture of transparency, learning, and proactive improvement evident in all areas of practice?