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Responsible for Completion-
Senior staff on shift, Senior Support Workers, Team Leaders
Reviewed by Deputy Manager with Team Leaders in planned meeting.
Deputy Managers to participate in opposite house
If issues identified-
Remedial Action taken must be documented. Report to Manager
Initial when any section audited.
Golden Rules
(Guide copy)
Quality Assurance
Weekly Assessment
House number:
Week Beginning: / /
Week ending: / /
,,,,,,,,,,,, Understood and able to carry out:
Name
Initial
Daily Reports Complete and Accurate and represent residents’ lives accurately
Date Comments Action Taken Init
M Shift leader for A.M check and sign as complete on QA, pm shift leader complete same on pm
QA
To be completed each shift by Senior on duty for previous day (fail safe in case missed on day)
Check all required information is present including dates, staff on shift, Sign off the week.
Shift leader for any shift is responsible for ensuring documents are relevant and contain
content that is a meaningful overview of residents’ day and timings are clear.
Spot check reports and tracking documents.
Check all is clear and legible, all areas complete.
Ensure all entries signed by author.
Be aware experience level of previous shift leaders, extra checks may be required.
Action Taken
Any issues arising from checks- Address with individual staff if present
Address through Supervision/ Communication Book, log on H/O
Record action taken- Document on relevant section
Record who shift leader for shift where paperwork incomplete- Report to Management/ Team Leader
T
W
T
F
S
S
Understood and able to carry out:
Name
Initial
Evaluation sheets completed- provide adequate feedback for key-workers.
Date Comments Action Taken Init
M
Shift leader for A.M check and sign as complete on QA, pm shift leader complete same on pm
QA
To be completed each shift by Senior on duty for previous day.(fail safe in case missed on day)
Check all required information is present including dates and staff on shift.
All sections are completed with meaningful information which would help key-workers gather and
collate information.
Any concerns noted will need to be addressed appropriately with relevant staff and reported.
Record all action taken.
As necessary- notes in communication book or email to relevant staff to flag concerns.
Record who shift leader for shift where paperwork incomplete- Report to Management/ Team Leader
T
W
T
F
S
S
@17
Reviewing Sunday- MJR/XX (on Monday)
Reviewing Monday- XXX/XX (on Tuesday)
Reviewing Tuesday- XX/XXM (on Wednesday)
Reviewing Wed- XX/MJR (on Thursday)
Reviewing Thurs- MJR/XX (on Friday)
Reviewing Fri- XXX/XX (on Saturday)
Reviewing Sat- XX/XX (on Sunday)
@41
Reviewing Sunday- XX/XX (on Monday)
Reviewing Monday- XXX (on Tuesday)
Reviewing Tuesday- XX/XX (on Wednesday)
Reviewing Wed- XX/XX/XX (on Thursday)
Reviewing Thurs- XX (on Friday)
Reviewing Fri- XX (on Saturday)
Reviewing Sat- MJR/XX (on Sunday)
Tracking documents :- provide adequate feedback for key-workers (senior/TL to check previous
days paperwork and action immediately)
Date Comments Action Taken
Followed
up by: Init
M
T
W
T
F
S
S
Issues for keyworkers to be made aware of:
Notes from daily reports/comms book
Checked/Actioned
by
Understood and able to carry out:
Name
Initial
Document totals of each below:
Res. Initials Incidents Accidents Restraints SAAR
TOTALS
Incident Reports clear and represent accurate portrayal of events.
Check each resident’s incident folder and incidents in H/O.
All Incident and injury reports must be read, signed off and filed in individual incident folders by the end of the
week.
Tiered system for review of incidents
1. QA check- Ensure quality of reporting, appropriate language, clear sequence to behaviours and support,
clear picture presented, legible. Confirm all signed off –
Completed by Senior on shift- every shift or for previous day
2. Incident review (Staff support- Pg 3)- Recommendations, improving practice, development issues with
staff. Carried out by team members, Confirm majority carried out/ complete as necessary
Completed by Senior on shift- every shift or for previous day
3. CPI review carried out on Tuesday, identifying development issues, training needs, action.
CPI Trainers, meet Tuesday, Document action point, discuss in QA review.
M T W TH FR SA SU Action taken
QA
checks
(Init)
Incident
Reviews
(Init)
CPI
Review
(Init)
SAAR incidents documented and reported (also check for entries into accident book for
reporting to HSE/RIDDOR)
Init Date reference/ Issues Identified Action Taken Inits
Senior staff on shift
Complete on Sunday
Review all paperwork and document any feedback. If no
SAaR, document none
Understood and able to carry out:
Name
Initial
Observations highlighted
This information will be gathered from all available sources including: handovers, daily reports, incidents and
reportable events.
Collating information in the section with regard to health issues, complaints, behavioural issues and areas of
concerns will ensure quality monitoring with regard to all events over the last week.
This section will be the main focus for the QA meeting (on a Tues).
All these areas must be monitored, discussed and actioned weekly.
Areas of
concern? SENIOR STAFF TO DOCUMENT AS RELEVANT
Behavioural
Patterns CPI, INFO FROM KEY WORKERS, SENIOR STAFF
Complaints? SENIOR STAFF- DOCUMENTED IN WEEKLYMEETING WITH DEPUTY
MANAGERS
Health
issues? SENIOR STAFF ON DUTY
Other
Comments
Understood and able to carry out:
Name
Initial
Daily QA: Completed and accurate.
Date Issues Identified Issues identified on task log Action Taken FUB Init.
M Senior/TL on shift
check previous
days paperwork
as well asat end
of each shift
(am/pm)
Check all required
information is
present, all QA
tasks must be
completed daily –
the weekly QA is to
ensure the quality is
monitored. Spot
check tasks on
daily QA to ensure
follow up and
monitoring is
evident. Take
action to rectify any
areas that need
attention and report
action taken.
Senior/TL to check task log, is it
being used, are jobs signed off
as completed and checked,
follow up if not with W/N staff
and shift leader who should
have checked.
T
W
T
F
S
S
Tuesday
Understood and able to carry out:
Name
Initial
Finances (checked and audited by admin) Audited
Resident monies audited and correct
Issues Identified
Senior/ TeamLeader on shift (should be checked at beginning and end of each shift for H/O)
Confirm individual resident’s finances audited.(to their spend sheet not to previous H/O or QA)
Ensure monies stored in the office against financial records.
Spot check monies totals and audits in daily folders,
Check against daily QA to ensure checks are accurate and completed daily.
Wednesday
Understood and able to carry out:
Name
Initial
(checks usually happen on a Wednesday and checked on a Thursday as completed) XX
completes on Wednesday PM at XX + XX staff to complete Wednesday PM. XX/XX shift
leaders to allocate to Wednesday AM/PM staff.
Thursday (check that checks took place on a Wednesday)
Understood and able to carry out:
Name
Initial
Vehicles Audited
Checks carried out and documented
Vehicles clean, in good condition
Senior staff on shift
Check paperwork and spot check against a vehicle
Action taken
Any discrepancies noted must be addressed immediately.
Address any issues immediately. Report action taken- inform management.
Petty Cash audited and correct
Issues Identified
Check and confirm date of last Admin audit.
Action taken
Document discrepancies
Medication Audit (to be completed by senior/TL) currentlyXX Audited
M.A.R. sheets completed accurately/correctly (checked at end of week on a Sunday by shiftleader)
Medication order completed. (For Wednesday Week 2)
Sufficient stock (including analgesics)
Shortfall identified, replacements ordered and handed over to staff team.
Control drug stock check
Control Drug book audited
Oxygen check (reordered) Y / N
Issues Identified/disrepencies
Senior staff members on shift
Can be completed whilst meds administered- ‘over the shoulder’ check of staff administering
Check all MARR charts have been completed accurately.
Cross reference with daily QA as errors should be highlighted daily.
Confirm if reorder needs completing – complete as necessary.
Visual check of stock in both safes. Handover any noted shortfalls. XX takes the lead with regard to medication
ordering.
Audit controlled drugs and controlled drugs book – any discrepancies must be addressed immediately. Reported
action taken.
Phone call made to boots week 3 to check progress, deliveryweek 4?
Check vehicle check folder to ensure weekly checks have been completed. Spot check vehicles to ensure
paperwork is accurate. Complete visual check for any damage. Check mileage log to monitor mileage. check fuel
levels
Friday
Understood and able to carry out:
Name
Initial
(completed by night staff on a Friday/XXX)+ stock check forms to act as requisition forms
for each house. XXX to lead and report to Deputies.
COSHH Audited
Storage appropriate
Stock Check undertaken
Senior staff member on shift
Visually check storage to ensure stock room is tidy and well stocked. Check COSHH paperwork to monitor stock.
Check e-mail has been passed to XX for stock reorder.(pass to night staff/XXX to complete)
Understood and able to carry out:
Name
Initial
Completed by XX/fire marshalls/shift leaders to allocate to Friday AM/PM staff to complete
Fire Safety Audited
Fire safety checks- test sounders, monthly evacuation
Documentation accurate.
Check fire folder to ensure all checks are up to date. Visual inspection of fire equipment. Carry out any
outstanding fire checks for the week. Complete paperwork. Report action taken.
(Checks to be carried out throughout each week currently no specified day/time)
Understood and able to carry out:
Name
Initial
Could we get XXXXX to fill out this weekly ?) Completed by XXXX (after him completing
Health & safety training) Note all staff responsible for H&S reporting.
Health and Safety Audited
Maintenance Book in use and audited
Walk-around carried out
Senior staff on shift
Currently no allocated day
Check daily QA for H&S issues, address and report as necessary. Check maintenance book to ensure it is
being used appropriately – audit and highlight any issues. Document action taken. Complete a walk around,
visually inspecting property inside and out.
Address or allocate any issues that can be dealt with immediately.
Document action taken.
Understood and able to carry out:
Name
Initial
(Senior to check all of daily QA to ensure this has been consistently completed for each
shift and maintained)
Infection Control Audited
Walk-around
Issues Identified
Check daily QA for I/C issues.
Visually check property and staff throughout shifts. Is good hygiene being observed? Do staff have access to
hand washing equipment? Are soaps, sanitizers and hand towels stocked? Are bodily fluid spills promptly and
appropriately dealt with? Are residents supported to ensure IC? Address issues identified and document action
taken.
Understood and able to carry out:
Name
Initial
XX to monitor wastage/appropriate stock ordering at No 17
Food and Groceries Audited
Stored appropriately Y /N
Clean/ Hygienic Y /N
Sufficient stock for menus and choice Y /N
Stock rotated Y /N
Sufficient for Backup Y /N Any issues around food discarded/wastage? (over ordering?)
Senior staff member on shift
Spot check food storage (including fridges and freezers).
Check for stock and cleanliness. Check back up quantities. Report findings to appropriate people. Action any
identified tasks (such as cupboards need tidying, freezer needs organising). Report action taken.
Understood and able to carry out:
Name
Initial
Staffing Checked by admin/DM/TL/Seniors
Rota complete for next 7 days
Staffing issues from previous 7 days
Attendance issues
Issues Identified
Spot Check- Senior staff member
This will be monitored throughout the week, Staffing is a team concern. In regard to the weekly QA you will be
quality monitoring and reporting necessary action taken.
If rota is not complete then document action that is being taken – who is leading shift cover? How is this being
communicated?
Weekly QA in both houses must be completed by Sunday end of shift, This will then be reviewed on Monday at
no.17 and Tuesday at No.41. This will be followed by the QA meeting on Tuesday to review weekly QA and
complete an action plan for the following week/month etc.
Action Taken/ Any issues to take to supervision (make supervisors aware cc manager)
Understood and able to carry out:
Name
Initial
Action addressed from Previous QA (needs to be reviewed)
Issues Identified Action Taken
Meeting booked with Deputy manager/ Team Leader Date:
Time:
SIGNED: _____________________________ Date _______________
Action Points from meeting with Team Leader/ Deputy Manager
Date of Meeting/ discussion:
Issue Action Point Responsibility Timescale
Signed : Date:
Signed:

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QA Weekly Golden Rules revised 24.04.14 MJR wip

  • 1. Responsible for Completion- Senior staff on shift, Senior Support Workers, Team Leaders Reviewed by Deputy Manager with Team Leaders in planned meeting. Deputy Managers to participate in opposite house If issues identified- Remedial Action taken must be documented. Report to Manager Initial when any section audited. Golden Rules (Guide copy) Quality Assurance Weekly Assessment House number: Week Beginning: / / Week ending: / /
  • 2. ,,,,,,,,,,,, Understood and able to carry out: Name Initial Daily Reports Complete and Accurate and represent residents’ lives accurately Date Comments Action Taken Init M Shift leader for A.M check and sign as complete on QA, pm shift leader complete same on pm QA To be completed each shift by Senior on duty for previous day (fail safe in case missed on day) Check all required information is present including dates, staff on shift, Sign off the week. Shift leader for any shift is responsible for ensuring documents are relevant and contain content that is a meaningful overview of residents’ day and timings are clear. Spot check reports and tracking documents. Check all is clear and legible, all areas complete. Ensure all entries signed by author. Be aware experience level of previous shift leaders, extra checks may be required. Action Taken Any issues arising from checks- Address with individual staff if present Address through Supervision/ Communication Book, log on H/O Record action taken- Document on relevant section Record who shift leader for shift where paperwork incomplete- Report to Management/ Team Leader T W T F S S Understood and able to carry out: Name Initial Evaluation sheets completed- provide adequate feedback for key-workers. Date Comments Action Taken Init M Shift leader for A.M check and sign as complete on QA, pm shift leader complete same on pm QA To be completed each shift by Senior on duty for previous day.(fail safe in case missed on day) Check all required information is present including dates and staff on shift. All sections are completed with meaningful information which would help key-workers gather and collate information. Any concerns noted will need to be addressed appropriately with relevant staff and reported. Record all action taken. As necessary- notes in communication book or email to relevant staff to flag concerns. Record who shift leader for shift where paperwork incomplete- Report to Management/ Team Leader T W T F S S @17 Reviewing Sunday- MJR/XX (on Monday) Reviewing Monday- XXX/XX (on Tuesday) Reviewing Tuesday- XX/XXM (on Wednesday) Reviewing Wed- XX/MJR (on Thursday) Reviewing Thurs- MJR/XX (on Friday) Reviewing Fri- XXX/XX (on Saturday) Reviewing Sat- XX/XX (on Sunday) @41 Reviewing Sunday- XX/XX (on Monday) Reviewing Monday- XXX (on Tuesday) Reviewing Tuesday- XX/XX (on Wednesday) Reviewing Wed- XX/XX/XX (on Thursday) Reviewing Thurs- XX (on Friday) Reviewing Fri- XX (on Saturday) Reviewing Sat- MJR/XX (on Sunday)
  • 3. Tracking documents :- provide adequate feedback for key-workers (senior/TL to check previous days paperwork and action immediately) Date Comments Action Taken Followed up by: Init M T W T F S S Issues for keyworkers to be made aware of: Notes from daily reports/comms book Checked/Actioned by Understood and able to carry out: Name Initial Document totals of each below: Res. Initials Incidents Accidents Restraints SAAR TOTALS Incident Reports clear and represent accurate portrayal of events. Check each resident’s incident folder and incidents in H/O. All Incident and injury reports must be read, signed off and filed in individual incident folders by the end of the week. Tiered system for review of incidents 1. QA check- Ensure quality of reporting, appropriate language, clear sequence to behaviours and support, clear picture presented, legible. Confirm all signed off – Completed by Senior on shift- every shift or for previous day 2. Incident review (Staff support- Pg 3)- Recommendations, improving practice, development issues with staff. Carried out by team members, Confirm majority carried out/ complete as necessary Completed by Senior on shift- every shift or for previous day
  • 4. 3. CPI review carried out on Tuesday, identifying development issues, training needs, action. CPI Trainers, meet Tuesday, Document action point, discuss in QA review. M T W TH FR SA SU Action taken QA checks (Init) Incident Reviews (Init) CPI Review (Init) SAAR incidents documented and reported (also check for entries into accident book for reporting to HSE/RIDDOR) Init Date reference/ Issues Identified Action Taken Inits Senior staff on shift Complete on Sunday Review all paperwork and document any feedback. If no SAaR, document none Understood and able to carry out: Name Initial Observations highlighted This information will be gathered from all available sources including: handovers, daily reports, incidents and reportable events. Collating information in the section with regard to health issues, complaints, behavioural issues and areas of concerns will ensure quality monitoring with regard to all events over the last week. This section will be the main focus for the QA meeting (on a Tues). All these areas must be monitored, discussed and actioned weekly. Areas of concern? SENIOR STAFF TO DOCUMENT AS RELEVANT Behavioural Patterns CPI, INFO FROM KEY WORKERS, SENIOR STAFF
  • 5. Complaints? SENIOR STAFF- DOCUMENTED IN WEEKLYMEETING WITH DEPUTY MANAGERS Health issues? SENIOR STAFF ON DUTY Other Comments Understood and able to carry out: Name Initial Daily QA: Completed and accurate. Date Issues Identified Issues identified on task log Action Taken FUB Init. M Senior/TL on shift check previous days paperwork as well asat end of each shift (am/pm) Check all required information is present, all QA tasks must be completed daily – the weekly QA is to ensure the quality is monitored. Spot check tasks on daily QA to ensure follow up and monitoring is evident. Take action to rectify any areas that need attention and report action taken. Senior/TL to check task log, is it being used, are jobs signed off as completed and checked, follow up if not with W/N staff and shift leader who should have checked. T W T F S S Tuesday Understood and able to carry out: Name Initial Finances (checked and audited by admin) Audited Resident monies audited and correct Issues Identified Senior/ TeamLeader on shift (should be checked at beginning and end of each shift for H/O) Confirm individual resident’s finances audited.(to their spend sheet not to previous H/O or QA) Ensure monies stored in the office against financial records. Spot check monies totals and audits in daily folders, Check against daily QA to ensure checks are accurate and completed daily.
  • 6. Wednesday Understood and able to carry out: Name Initial (checks usually happen on a Wednesday and checked on a Thursday as completed) XX completes on Wednesday PM at XX + XX staff to complete Wednesday PM. XX/XX shift leaders to allocate to Wednesday AM/PM staff. Thursday (check that checks took place on a Wednesday) Understood and able to carry out: Name Initial Vehicles Audited Checks carried out and documented Vehicles clean, in good condition Senior staff on shift Check paperwork and spot check against a vehicle Action taken Any discrepancies noted must be addressed immediately. Address any issues immediately. Report action taken- inform management. Petty Cash audited and correct Issues Identified Check and confirm date of last Admin audit. Action taken Document discrepancies Medication Audit (to be completed by senior/TL) currentlyXX Audited M.A.R. sheets completed accurately/correctly (checked at end of week on a Sunday by shiftleader) Medication order completed. (For Wednesday Week 2) Sufficient stock (including analgesics) Shortfall identified, replacements ordered and handed over to staff team. Control drug stock check Control Drug book audited Oxygen check (reordered) Y / N Issues Identified/disrepencies Senior staff members on shift Can be completed whilst meds administered- ‘over the shoulder’ check of staff administering Check all MARR charts have been completed accurately. Cross reference with daily QA as errors should be highlighted daily. Confirm if reorder needs completing – complete as necessary. Visual check of stock in both safes. Handover any noted shortfalls. XX takes the lead with regard to medication ordering. Audit controlled drugs and controlled drugs book – any discrepancies must be addressed immediately. Reported action taken. Phone call made to boots week 3 to check progress, deliveryweek 4?
  • 7. Check vehicle check folder to ensure weekly checks have been completed. Spot check vehicles to ensure paperwork is accurate. Complete visual check for any damage. Check mileage log to monitor mileage. check fuel levels Friday Understood and able to carry out: Name Initial (completed by night staff on a Friday/XXX)+ stock check forms to act as requisition forms for each house. XXX to lead and report to Deputies. COSHH Audited Storage appropriate Stock Check undertaken Senior staff member on shift Visually check storage to ensure stock room is tidy and well stocked. Check COSHH paperwork to monitor stock. Check e-mail has been passed to XX for stock reorder.(pass to night staff/XXX to complete) Understood and able to carry out: Name Initial Completed by XX/fire marshalls/shift leaders to allocate to Friday AM/PM staff to complete Fire Safety Audited Fire safety checks- test sounders, monthly evacuation Documentation accurate. Check fire folder to ensure all checks are up to date. Visual inspection of fire equipment. Carry out any outstanding fire checks for the week. Complete paperwork. Report action taken. (Checks to be carried out throughout each week currently no specified day/time) Understood and able to carry out: Name Initial Could we get XXXXX to fill out this weekly ?) Completed by XXXX (after him completing Health & safety training) Note all staff responsible for H&S reporting. Health and Safety Audited Maintenance Book in use and audited Walk-around carried out Senior staff on shift Currently no allocated day Check daily QA for H&S issues, address and report as necessary. Check maintenance book to ensure it is being used appropriately – audit and highlight any issues. Document action taken. Complete a walk around, visually inspecting property inside and out. Address or allocate any issues that can be dealt with immediately. Document action taken.
  • 8. Understood and able to carry out: Name Initial (Senior to check all of daily QA to ensure this has been consistently completed for each shift and maintained) Infection Control Audited Walk-around Issues Identified Check daily QA for I/C issues. Visually check property and staff throughout shifts. Is good hygiene being observed? Do staff have access to hand washing equipment? Are soaps, sanitizers and hand towels stocked? Are bodily fluid spills promptly and appropriately dealt with? Are residents supported to ensure IC? Address issues identified and document action taken. Understood and able to carry out: Name Initial XX to monitor wastage/appropriate stock ordering at No 17 Food and Groceries Audited Stored appropriately Y /N Clean/ Hygienic Y /N Sufficient stock for menus and choice Y /N Stock rotated Y /N Sufficient for Backup Y /N Any issues around food discarded/wastage? (over ordering?) Senior staff member on shift Spot check food storage (including fridges and freezers). Check for stock and cleanliness. Check back up quantities. Report findings to appropriate people. Action any identified tasks (such as cupboards need tidying, freezer needs organising). Report action taken. Understood and able to carry out: Name Initial Staffing Checked by admin/DM/TL/Seniors Rota complete for next 7 days Staffing issues from previous 7 days Attendance issues Issues Identified Spot Check- Senior staff member This will be monitored throughout the week, Staffing is a team concern. In regard to the weekly QA you will be quality monitoring and reporting necessary action taken. If rota is not complete then document action that is being taken – who is leading shift cover? How is this being communicated? Weekly QA in both houses must be completed by Sunday end of shift, This will then be reviewed on Monday at no.17 and Tuesday at No.41. This will be followed by the QA meeting on Tuesday to review weekly QA and complete an action plan for the following week/month etc. Action Taken/ Any issues to take to supervision (make supervisors aware cc manager)
  • 9. Understood and able to carry out: Name Initial Action addressed from Previous QA (needs to be reviewed) Issues Identified Action Taken Meeting booked with Deputy manager/ Team Leader Date: Time: SIGNED: _____________________________ Date _______________ Action Points from meeting with Team Leader/ Deputy Manager Date of Meeting/ discussion: Issue Action Point Responsibility Timescale Signed : Date: Signed: