Title Page

  • Central Dales Practice

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  • Location

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Safe management of the care environment Audit Tool for General Practice

  • Standard: The environment should be clean, free from dust, dirt and body fluid stains and spillages

  • 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

  • National Standards of Healthcare Cleanliness 2021

  • In the event of non-compliance, action plans should be produced and reviewed regularly

  • Completed audit tools should be kept locally for good practice assurance and as evidence for CQC inspections

  • Audit completed by

  • Premises audited

  • Job title

  • Date

Contents

1. Overview of the environment

2. Consultation/therapy rooms

3. Clinical rooms/treatment/minor surgery rooms

  • 4. Sluice/dirty utility

5. Toilets

  • 6. Cleaner’s room

7. Kitchen areas

  • References

  • 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

Page

  • Comments m

  • (Please circle the answer)

  • Walls and wall tiles are good state of repair

  • Light fittings and shades are clean, e.g. free from

  • The floor covering is washable (clinical areas made)

  • The floor is in good doors

NA e

  • NA t

  • NA d

  • NA s

  • NA t

  • NA i

  • NA o

  • NA o

  • NA h

  • 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

  • 1. (Please circle the answer)

  • To facilitate floor containers

  • Fixtures and fittings, e.g. condition and clean

10. Furniture, including /

NA e

  • NA t

  • NA d

  • NA s

  • NA t

  • NA i

  • NA o

  • NA o

  • NA h

  • NA m

  • Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust

Page 3 of 8 l

  • 1. (Please circle the answer)

  • 12. The area is free from /

  • After completing the above ‘Overview of the environment’, please complete the additional questions below

Environment

2. Consultation/therapy rooms

  • A laminated ‘Hand hygiene technique for staff’ poster is displayed

  • Access to the handwash basin is clear

  • Yes No NA Comments see Resource No. 3.7

  • 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

  • The handwash basin is free from clutter, e.g. used items

  • 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

  • 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

  • A laminated ‘Hand hygiene technique for staff’ poster is displayed

  • Access to the handwash basin is clear

  • The handwash basin is free from clutter, e.g. used items

  • 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

  • There is appropriate storage of sterile/clean items, e.g. off the floor in a dust free environment (cupboard/ wipeable lidded container)

  • 4. Sluice/dirty utility

  • 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

  • A laminated ‘Hand hygiene technique for staff’ poster is displayed

  • Access to the handwash basin is clear

  • The handwash basin is free from clutter, e.g. used items

  • A dedicated sink is available for decontamination of equipment. see Resource No. 3.7

  • 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

  • Sanitary ware and fittings are in good condition, clean and free from lime scale and stains

  • 8. pH neutral detergent, disinfectant wipes and disinfectants are available

  • There is a facility for offensive waste, e.g. continence pads, disposal

  • A ‘Stop the spread of germs – please wash your hands’ poster is displayed. see Resource No. 3.12

  • Access to the handwash basin is clear

  • The handwash basin is free from clutter, e.g. used items

  • Sanitary ware and fittings are in good condition, clean and free from lime scale and stains

  • All surfaces of toilets are clean, e.g. seats, lids, hinges, handles and rails

  • All surfaces of raised toilet seats, e.g. risers, support frame, are clean

  • Supplies of toilet roll, waste bags, etc, are minimal and items are not stored on open surfaces

  • 6. Cleaner’s room

  • A laminated ‘Hand hygiene technique for staff’ poster is displayed

  • The handwash basin is free from clutter, e.g. used items and access to the handwash basin is clear. see Resource No. 3.7

  • 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

  • A separate decontamination sink is available, in good condition and clean

  • A slop hopper/bucket sink (stand alone or part of a space saving janitorial unit) is available, in good condition and clean

  • A laminated poster identifying the ‘National colour coding for cleaning materials’ is displayed. see Resource No. 3.9

  • Cleaning equipment is colour coded in accordance with National guidance

  • Cleaning and nursing staff can describe the National colour coding for cleaning materials and equipment:

  • RED for sanitary areas including sinks in sanitary areas

  • BLUE for general areas, e.g. waiting rooms and consulting rooms (including sinks in general areas)

  • GREEN for kitchens

  • YELLOW for treatment and minor operation rooms

  • A cleaning schedule is available

  • 11. PPE is available; colour coded, e.g. aprons in red, blue, green and yellow

  • 12. Disposable cloths are disposed of daily and when visibly soiled

  • 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

  • 14. Disposable mop heads are disposed of after use

  • 15. Reusable mop heads are replaced regularly depending on the frequency of use

  • 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

  • 17. Buckets are clean and free from dirt/grime

7. Kitchen areas

  • All appliances, work surfaces, sink, taps, are in a good condition, clean and free from food and beverage stains

  • 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

  • Cupboards and cutlery drawers/container are clean and free from dust and debris

Environment

  • 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

  • Department of Health (2013) Health Building Note 00-09: Infection control in the built environment

  • 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

  • Loveday HP et al (January 2014) epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England Journal of

  • Hospital Infection Volume 86 Supplement 1, Pages S1-S70

  • National Institute for Health and Care Excellence (2012) Healthcare-associated infections: prevention and control in primary and community care Clinical Guidelines 139

  • National Patient Safety Agency (2008) Clean Hands Save Lives, Service user Safety Alert Second Edition 2nd September 2008

  • National Patient Safety Agency (2007) National Colour Coding Scheme for cleaning materials and equipment

  • NHS England and NHS Improvement (2021) National Standards of Healthcare Cleanliness 2021

  • NHS England and NHS Improvement (2019) Standard infection control precautions: national hand hygiene and personal protective equipment policy

  • Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust Version 2.00 November 2021 © Harrogate and District NHS Foundation Trust

Page 8 of 8

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