Safeguarding Audit - Care Homes
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- Q1: Is there a safeguarding policy in place that is up to date and aligned with local authority and CQC guidance?
- Q2: Are all staff trained in safeguarding adults at risk, including how to recognise and report abuse?
- Q3: Is safeguarding training refreshed regularly and recorded accurately in staff training logs?
- Q4: Do staff understand the different types of abuse (e.g., physical, emotional, financial, sexual, neglect, discriminatory, institutional)?
- Q5: Are staff confident in raising safeguarding concerns and do they know the reporting procedure?
- Q6: Is there a designated safeguarding lead (DSL) who is trained and easily accessible to staff?
- Q7: Are all safeguarding concerns documented and reported promptly to the appropriate authority?
- Q8: Are safeguarding referrals tracked with records of actions taken and outcomes achieved?
- Q9: Are residents aware of how to report concerns or abuse and do they feel safe doing so?
- Q10: Are families and visitors informed about safeguarding policies and reporting procedures?
- Q11: Are incidents involving peer-to-peer abuse (e.g., resident-to-resident aggression) properly identified, investigated, and managed?
- Q12: Are patterns of repeated low-level concerns reviewed for escalation and learning?
- Q13: Are safeguarding investigations handled with sensitivity, confidentiality, and timeliness?
- Q14: Are outcomes of safeguarding incidents reviewed with lessons learned embedded into practice?
- Q15: Are people with cognitive impairments or communication difficulties supported to raise concerns?
- Q16: Are Deprivation of Liberty Safeguards (DoLS) applications made when necessary and reviewed regularly?
- Q17: Are there clear records of mental capacity assessments for decisions relating to safety and safeguarding?
- Q18: Are allegations or concerns about staff behaviour taken seriously and investigated in line with disciplinary procedures?
- Q19: Are recruitment checks (e.g., DBS, references) robust enough to prevent unsuitable individuals from being employed?
- Q20: Are whistleblowing procedures accessible and are staff confident they will be protected when using them?
- Q21: Is there a log of safeguarding incidents and concerns that is regularly reviewed by management?
- Q22: Is safeguarding discussed during supervisions, appraisals, or team meetings?
- Q23: Are safeguarding themes and trends reported in governance and quality monitoring processes?
- Q24: Is financial abuse considered as part of care planning and resident support (e.g., money handling, access to accounts)?
- Q25: Are restrictive practices or physical interventions monitored, reviewed, and reported appropriately?
- Q26: Are staff aware of professional boundaries and how to manage relationships appropriately with residents and families?
- Q27: Are visitors monitored, and are there controls to prevent unauthorised access or risky behaviour from external individuals?
- Q28: Are staff trained in supporting residents who may disclose historical abuse or trauma?
- Q29: Are environmental risks (e.g., lack of supervision, locked doors, blind spots) assessed as potential safeguarding hazards?
- Q30: Is there a contingency plan in place to manage safeguarding during major disruptions (e.g., pandemics, staff shortages)?
- Q31: Are complaints linked to safeguarding concerns reviewed and categorised appropriately?
- Q32: Is information shared with external professionals (GPs, social workers, police) when required under safeguarding duties?
- Q33: Are safeguarding outcomes communicated and explained to residents and families where appropriate?
- Q34: Is there a review of whether actions taken in response to safeguarding concerns led to sustained improvement?
- Q35: Are staff trained to recognise signs of grooming, coercion, or undue influence—especially in vulnerable residents?
- Q36: Are care plans reviewed after safeguarding incidents to reflect changes in risk or required protections?
- Q37: Do safeguarding audits include the perspective of residents, families, and advocates where possible?