This care plan audit checklist is designed for residential care settings to review the completeness and quality of resident documentation. It covers front sheet details, allergy status, consent and best interest records, GP summary, life history, evacuation plan, and personal belongings inventory. Key risk assessments include Barthel dependency, falls, MUST nutrition, Waterlow pressure risk, oral care, continence, moving and handling, bed rails, and self medication. Sections address DoLS, daily routines and meaningful activity, nutrition and hydration, mobility and falls risk, personal care and continence, rest and sleep, tissue viability, physical health, mental health, and future planning and end of life wishes. The checklist reinforces regular evaluation, accurate record keeping in person centered software, and timely action on issues to maintain compliance and care quality.
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