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Category
Audit title
Old reference number
New reference
number
Frequency of audit
Involvement and Info
Peer – Activities
7.1.1
1.1
6 monthly
Peer – Education
7.1.2
1.2
6 monthly
Emergency Consent
4.1.1
1.3
6 Monthly
General Consent
4.1.2
1.4
6 Monthly
Pool Use
4.4.6
1.5
6 monthly
Central Alerting – Drug Alerts
1.1.3
2.1
Quarterly
Catering
4.4.1-4.4.5
2.2
6 monthly
Referrals (x3)
5.2.1-5.2.3
2.3
6 monthly
Symptom Management
2.4
6 monthly
Care and Support of Family
2.5
6 monthly
3.1
3.2
3.3
3.4
3.5
3.5
3.5
3.5
3.6
3.7
3.8
Quarterly
Quarterly
6 monthly
Annual
Quarterly
Quarterly
Quarterly
Quarterly
6 monthly
Quarterly
Quarterly
3.9
Quarterly
Outcomes: 1, 2, 3
1.1
Personalized Care, treatment
and support
Outcomes: 4,5,6
2.1
Safeguarding and Safety
Outcomes: 7,8,9,10,11,
Infection Control – Known infections
Infection Control – Clinical waste
Infection Control Help the Hospice Tool
Infection control - Mattress Audit
Central Alerting – Medical Devices
Central Alerting – Patient Information
Central Alerting – Estates
Central Alerting - Central Alerting Management
Emergency Child transfers
Safeguarding
Prescription Chart Quality
1.3.4
1.3.3
2.4.2
1.1.2
4.2.0
1.2.2-1.2.3
1.4.3
Maintenance
Meds Management - Help the Hospice tools
1.4.2
3.10
Annual
Equipment Maintenance
Mandatory training
Induction Training
External Prescriptive Dev
Internal Prof Dev
Drug Calculations Tests
Competencies
1.6.2
2.1.2
2.1.1
2.1.3
2.1.4
1.4.2
2.1.5
3.11
3.12
3.13
3.14
3.15
3.16
3.17
6 monthly
Annual
Annual
Annual
Annual
Annual
Annual
Lone worker
Clinical Supervision
Volunteer Training x2
Doughnut time/Staff support
Post bereavement Support
Students
1.6.1
2.2.1
2.3.1
2.2.2
2.2.3
3.2.1
4.1
4.2
4.3
4.4
4.5
4.6
6 monthly
6 monthly
6 monthly
Annual
Annual
Annual
A&I
1.1.1-1.6.2
5.1
Quarterly
4.3
3.2.0
5.1.1
5.1.2
5.1.1
5.2
5.3
5.4
5.5
5.6
Quarterly
6 monthly
Bi-Annual
Bi-Annual
Bi-Annual
3.3.2
5.7
Annual
3.1
Suitability of staffing
Outcomes: 12, 13, 14
4.1
Quality of management
Complaints
Outcomes: 15, 16,17,18,19,20,21 Management and Standards of Family Records
Family Survey
Professionals Survey
Service specific survey (families)
Particpation in External Surveys
5.1
Suitability of management
Outcomes:22,23,24,25,26,27,28
6.1
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% Funding from different sources for Shooting Star Chase Care
Services
Contracted income
Non-contracted
using Standard NHS
Contract from CCG’s,
£37,200 , 1%
Income from CCG’s,
£289,553 , 4%
Income from NHS
England Children’s
Hospice Grant,
£632,000 , 9%
Income from
Local Authorities,
£177,708 , 2%
Fundraised income,
£5,913,539 , 84%
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