Use the editable CSV available below. The standard fields are:
- Site or service reference. Use a non-sensitive organisational label.
- Essential activity supported. For example, 'communal alarm' or 'out-of-hours phone'.
- Device or service owner.
- Communications provider, where known.
- Alarm receiving centre or response owner, where relevant.
- Current understanding of the connection.
- Status: Confirmed with evidence / Action agreed / Awaiting confirmation / Not applicable.
- Evidence reference. A document name or secure internal link is enough.
- One next action.
- Action owner.
- Date agreed.
- Date last checked.
The record should not ask for names of residents, care diagnoses or clinical notes. If the operational team needs personal information for an approved care or incident process, keep it in the appropriate secured system rather than the programme's general working sheet.
A worked example, not a finding about any real provider:
- Site: Example Home A
- Activity: Staff emergency telephone
- Owner: Facilities manager
- Communications provider: To be confirmed
- ARC/response: Internal out-of-hours rota
- Connection: Unknown
- Status: Awaiting confirmation
- Next action: Ask account owner to identify product and migration plan
- Owner: Service manager
- Due date: Locally agreed
Remember that a question sent to a supplier has not become 'verified' merely because it was sent. Keep the answer and its source.
Take this into your next conversation.
Download the printable guide (PDF) ↓
Download editable text (TXT) ↓ · Download the blank record (CSV) ↓
Complete working records locally. Keep resident information in your approved systems.