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
011Staff can describe at least six types of abuse (physical, financial, psychological, sexual, neglect, self-neglect, discriminatory, organisational).
Not assessed012Staff know how to raise a concern with the local authority safeguarding team and the registered manager.
Not assessed013Safeguarding concerns are reported to the local authority within 24 hours of being raised.
Not assessed014The registered manager is informed of every concern and decides on action with the safeguarding lead.
Not assessed015A safeguarding log is maintained, dated, and reviewed at least monthly.
Not assessed016Staff can describe 'making safeguarding personal' — outcomes decided with the person, not for them.
Not assessed
02Training and competency
021All staff completed safeguarding adults training at induction before working alone.
Not assessed022Annual safeguarding refresher training is in date for every staff member.
Not assessed023Records show training completion for agency and bank staff, not just permanent staff.
Not assessed024Staff understand the relationship between the Mental Capacity Act, DoLS and safeguarding.
Not assessed025Staff know that a safeguarding concern can be raised by anyone, including the person themselves or a relative.
Not assessed
03Person-centred protection
031Restrictive practice is minimised, documented, and only used in line with the MCA and best-interests process.
Not assessed032People's communication needs and preferred language are recorded and met.
Not assessed033Independent advocacy is offered where the person has substantial difficulty being involved.
Not assessed034People are supported to take positive risks and remain in control of their care.
Not assessed035Information is shared on a need-to-know basis and confidentiality is respected.
Not assessed
04Learning and improvement
041Each closed safeguarding concern has been reviewed for learning.
Not assessed042Lessons learned are shared with staff in team meetings or supervision.
Not assessed043Action plans from safeguarding reviews are completed and evidenced.
Not assessed044Themes and trends are discussed in the quality and governance meeting.
Not assessed
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.