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Central Dales Practice
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Safe management of the care environment Audit Tool for General Practice
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Standard: The environment should be clean, free from dust, dirt and body fluid stains and spillages
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This audit tool should be completed weekly by the Lead person for Infection Prevention and Control or other nominated individual and is in addition to the
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National Standards of Healthcare Cleanliness 2021
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In the event of non-compliance, action plans should be produced and reviewed regularly
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Completed audit tools should be kept locally for good practice assurance and as evidence for CQC inspections
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Audit completed by
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Premises audited
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Job title
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Date
Contents
1. Overview of the environment
2. Consultation/therapy rooms
3. Clinical rooms/treatment/minor surgery rooms
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4. Sluice/dirty utility
5. Toilets
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6. Cleaner’s room
7. Kitchen areas
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References
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 1 of 8
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Comments m
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(Please circle the answer)
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Walls and wall tiles are good state of repair
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Light fittings and shades are clean, e.g. free from
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The floor covering is washable (clinical areas made)
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The floor is in good doors
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 2 of 8
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1. (Please circle the answer)
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To facilitate floor containers
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Fixtures and fittings, e.g. condition and clean
10. Furniture, including /
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
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1. (Please circle the answer)
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12. The area is free from /
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After completing the above ‘Overview of the environment’, please complete the additional questions below
Environment
2. Consultation/therapy rooms
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A laminated ‘Hand hygiene technique for staff’ poster is displayed
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Access to the handwash basin is clear
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Yes No NA Comments see Resource No. 3.7
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 4 of 8
Environment
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The handwash basin is free from clutter, e.g. used items
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Items identified as single use (by the wording ‘single use’ or the symbol 2 ) are always disposed of after use and not reused, e.g. instruments, scissors, medicine pots. Check drawers, cupboards to verify
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There is appropriate storage of sterile/clean items, e.g. off the floor in a dust free environment (cupboard/ wipeable lidded container)
3. Clinical rooms/treatment/minor surgery rooms
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A laminated ‘Hand hygiene technique for staff’ poster is displayed
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Access to the handwash basin is clear
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The handwash basin is free from clutter, e.g. used items
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Items identified as single use (by the wording ‘single use’ or the symbol 2 ) are always disposed of after use and not reused, e.g. instruments, scissors, medicine pots. Check drawers, cupboards to verify
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There is appropriate storage of sterile/clean items, e.g. off the floor in a dust free environment (cupboard/ wipeable lidded container)
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4. Sluice/dirty utility
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The room is free from inappropriate items and clutter, e.g. sterile items, unused equipment, medical equipment that has been cleaned/decontaminated, general equipment storage
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A laminated ‘Hand hygiene technique for staff’ poster is displayed
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Access to the handwash basin is clear
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The handwash basin is free from clutter, e.g. used items
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A dedicated sink is available for decontamination of equipment. see Resource No. 3.7
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 5 of 8
Environment
5. Toilets
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Sanitary ware and fittings are in good condition, clean and free from lime scale and stains
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8. pH neutral detergent, disinfectant wipes and disinfectants are available
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There is a facility for offensive waste, e.g. continence pads, disposal
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A ‘Stop the spread of germs – please wash your hands’ poster is displayed. see Resource No. 3.12
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Access to the handwash basin is clear
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The handwash basin is free from clutter, e.g. used items
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Sanitary ware and fittings are in good condition, clean and free from lime scale and stains
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All surfaces of toilets are clean, e.g. seats, lids, hinges, handles and rails
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All surfaces of raised toilet seats, e.g. risers, support frame, are clean
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Supplies of toilet roll, waste bags, etc, are minimal and items are not stored on open surfaces
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6. Cleaner’s room
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A laminated ‘Hand hygiene technique for staff’ poster is displayed
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The handwash basin is free from clutter, e.g. used items and access to the handwash basin is clear. see Resource No. 3.7
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 6 of 8
Environment
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A separate decontamination sink is available, in good condition and clean
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A slop hopper/bucket sink (stand alone or part of a space saving janitorial unit) is available, in good condition and clean
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A laminated poster identifying the ‘National colour coding for cleaning materials’ is displayed. see Resource No. 3.9
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Cleaning equipment is colour coded in accordance with National guidance
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Cleaning and nursing staff can describe the National colour coding for cleaning materials and equipment:
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RED for sanitary areas including sinks in sanitary areas
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BLUE for general areas, e.g. waiting rooms and consulting rooms (including sinks in general areas)
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GREEN for kitchens
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YELLOW for treatment and minor operation rooms
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A cleaning schedule is available
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11. PPE is available; colour coded, e.g. aprons in red, blue, green and yellow
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12. Disposable cloths are disposed of daily and when visibly soiled
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13. Used mops are washed in detergent and warm water and rinsed after use (then disinfected and rinsed if required), excess moisture removed and stored upright to air dry
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14. Disposable mop heads are disposed of after use
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15. Reusable mop heads are replaced regularly depending on the frequency of use
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16. Mop buckets should be washed in detergent and warm water and rinsed after use (then disinfected if required), and stored upside down to air dry
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17. Buckets are clean and free from dirt/grime
7. Kitchen areas
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All appliances, work surfaces, sink, taps, are in a good condition, clean and free from food and beverage stains
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust
Page 7 of 8
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Cupboards and cutlery drawers/container are clean and free from dust and debris
Environment
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References
Department of Health (July 2015) The Health and Social Care Act 2008: Code of Practice on the prevention and control of infections and related guidance
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Department of Health (2013) Health Building Note 00-09: Infection control in the built environment
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Department of Health (2007) Essential Steps to Safe Clean Care. Inter–healthcare service user infection risk assessment form
Infection Control Nurses Association (2004) Audit Tools for Monitoring Infection Control Standards
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Loveday HP et al (January 2014) epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England Journal of
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Hospital Infection Volume 86 Supplement 1, Pages S1-S70
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National Institute for Health and Care Excellence (2012) Healthcare-associated infections: prevention and control in primary and community care Clinical Guidelines 139
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National Patient Safety Agency (2008) Clean Hands Save Lives, Service user Safety Alert Second Edition 2nd September 2008
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National Patient Safety Agency (2007) National Colour Coding Scheme for cleaning materials and equipment
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NHS England and NHS Improvement (2021) National Standards of Healthcare Cleanliness 2021
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NHS England and NHS Improvement (2019) Standard infection control precautions: national hand hygiene and personal protective equipment policy
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Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust