In-house inspection checklist

Adult Safeguarding audit

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ExcelCare Agency

In-house inspection checklist

Safeguarding & Rights

CQC key question: Safe · Reg 13 (safeguarding service users from abuse)

Adult Safeguarding audit

Confirms that concerns are recognised, reported and learned from, and that people are protected from abuse and improper treatment.

01Recognising and raising concerns

Met: 0Partially met: 0Not met: 0Not applicable: 0
  • 011Staff can describe at least six types of abuse (physical, financial, psychological, sexual, neglect, self-neglect, discriminatory, organisational).

  • 012Staff know how to raise a concern with the local authority safeguarding team and the registered manager.

  • 013Safeguarding concerns are reported to the local authority within 24 hours of being raised.

  • 014The registered manager is informed of every concern and decides on action with the safeguarding lead.

  • 015A safeguarding log is maintained, dated, and reviewed at least monthly.

  • 016Staff can describe 'making safeguarding personal' — outcomes decided with the person, not for them.

02Training and competency

Met: 0Partially met: 0Not met: 0Not applicable: 0
  • 021All staff completed safeguarding adults training at induction before working alone.

  • 022Annual safeguarding refresher training is in date for every staff member.

  • 023Records show training completion for agency and bank staff, not just permanent staff.

  • 024Staff understand the relationship between the Mental Capacity Act, DoLS and safeguarding.

  • 025Staff know that a safeguarding concern can be raised by anyone, including the person themselves or a relative.

03Person-centred protection

Met: 0Partially met: 0Not met: 0Not applicable: 0
  • 031Restrictive practice is minimised, documented, and only used in line with the MCA and best-interests process.

  • 032People's communication needs and preferred language are recorded and met.

  • 033Independent advocacy is offered where the person has substantial difficulty being involved.

  • 034People are supported to take positive risks and remain in control of their care.

  • 035Information is shared on a need-to-know basis and confidentiality is respected.

04Learning and improvement

Met: 0Partially met: 0Not met: 0Not applicable: 0
  • 041Each closed safeguarding concern has been reviewed for learning.

  • 042Lessons learned are shared with staff in team meetings or supervision.

  • 043Action plans from safeguarding reviews are completed and evidenced.

  • 044Themes and trends are discussed in the quality and governance meeting.

Overall finding

Select the outcome of this audit and record any actions required.

Inspector signature

Registered manager review

ExcelCare Agency · In-house inspection checklist · Adult Safeguarding audit · Controlled document set v6.0 · Retain the completed audit in the quality file and review at the next governance meeting.