Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Inspection Details

  • Facility Manager

  • Date of Last Aegis Internal Audit

General Requirements

  • % of Staff Mandatory Training Completed - ie: Manual handlind and Fire ( annual ) chemical safety ( 2 yearly )

  • Details of Training not completed:

Communication

  • How does the facility communicate the meeting minutes to cleaning and laundry staff ?

  • Does the facility have Staff , Resident, Infection Control , OSH , Quality meeting minutes and are they all up to date ?

  • Do cleaning and Laundry staff know they have access to Aegis Share Point and Aegis Cleaning / Laundry Handbook ?

Records

  • Weekly Cleaning Schedule Records are Completed with appropriate information and kept neat

  • Weekly Cleaning Audits are Completed

  • Vacant Room Clean Records are completed

  • Maintenance Log Book system in place?

  • Maintenance jobs are completed in a timely manner?

  • Record details

  • Electrical tagging of items are within date code?

  • Record details

  • Fire Service Equipment tagged and within date code?

  • Record details

  • MSDS records are in place; Main nurses station / First aid room & Main Chemical Storage Room

  • Record details

Admin / Reception / Foyer

  • Floors are clean and stain free?

  • Admin Staff are wearing an Aegis uniform with name badge?

  • Signage is displayed as per Aegis Signage Policy; signage template, font, logo, created date, laminated, no visible fixings?

  • Reception counter is neat, signing book displayed, Aegis brochures are on displayed and neat, Department of Health and Ageing brochures are displayed?

  • Is the front door glasses and windows clean with no visible marks ?

  • Curtains/blinds are clean, dust free and in good repaired?

  • Picture frames and light fittings are dust free and clean?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Area is odour free?

  • Archive room is organised and hazard free?

  • Maintenance requirements or any Additional information

Common Areas / Corridors

  • Common Area / Corridor

  • Common Area / Corridor
  • wing name and location

  • Floor coverings (Flotex, Carpet, Vinyl, Tiles) clean and stain free?

  • Area is odour free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Curtains/blinds are clean, dust free and in good repaired?

  • Picture frames, light fittings and air vents are dust free and clean?

  • Furniture is clean, stain/dust free and in good condition?

  • Shelving, ledges and window frames are dust free?

  • Internal windows are clean?

  • Hand basin is clean with hand wash and paper towels?

  • Bins are clean, not over flowing and garbage bag lined?

  • General good housekeeping practices observed?

  • Signage is displayed as per Aegis Signage Policy; signage template, font, logo, created date, laminated, no visible fixings?

  • Maintenance requirements or any Additional information

Dining Rooms

    Dining Room
  • Dining room name and location

  • Floor coverings (Flotex, Carpet, Vinyl, Tiles) clean and stain free?

  • Area is odour free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Curtains/blinds are clean, dust free and in good repaired?

  • Picture frames, light fittings and air vents are dust free and clean?

  • Furniture is clean, stain/dust free and in good condition?

  • Shelving, ledges and window frames are dust free?

  • Internal windows are clean?

  • General good housekeeping practices observed?

  • Signage is displayed as per Aegis Signage Policy; signage template, font, logo, created date, laminated, no visible fixings?

  • Maintenance requirements or any Additional information

Lounge Areas

  • Lounge Area

  • Lounge Room
  • Lounge name and Location

  • Floor coverings (Flotex, Carpet, Vinyl, Tiles) clean and stain free?

  • Area is odour free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Curtains/blinds are clean, dust free and in good repaired?

  • Picture frames, light fittings and air vents are dust free and clean?

  • Furniture is clean, stain/dust free and in good condition?

  • Furniture is placed in an orderly manner?

  • Shelving, ledges and window frames are dust free?

  • Internal windows are clean?

  • General good housekeeping practices observed?

  • Signage is displayed as per Aegis Signage Policy; signage template, font, logo, created date, laminated, no visible fixings?

  • Maintenance requirements or any Additional information

Resident Room

    Resident Room
  • Wing Name and Room No

  • Floor coverings (Flotex, Carpet, Vinyl, Tiles) clean and stain free?

  • Room is odour free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Curtains/blinds are clean, dust free and in good repaired?

  • Picture frames and light fittings are dust free and clean?

  • Furniture is clean, stain/dust free and in good condition?

  • Furniture is placed in an orderly manner?

  • Shelving, ledges and window frames are dust free?

  • Resident fridge is clean inside/outside and food items are within date code?

  • Internal windows are clean?

  • Bins are clean, not over flowing and garbage bag lined?

  • Maintenance requirements or any Additional information

  • Bathroom Type

  • Bathroom no or Location

  • Bathroom floor is clean and stain free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Air vents are clean?

  • Toilet is clean and stain free?

  • Behind the toilet , toilet base and tank is clean ?

  • Bathroom basin is clean, hand soap is available and paper towels are available?

  • Shower tiles are clean and stain free including the grout?

  • Shower head is clean and in good condition?

  • Shower curtains are clean and in good condition ?

  • Are tap ware and cisterns in good working condition ?

  • General good housekeeping practices observed? (No visible OSH risk items)

  • Maintenance requirements or any Additional information

Common Bathroom / Toilet

    Common Bathroom / Toilet
  • Name of the wing and Location

  • Floor Tiles clean and stain free?

  • Room is odour free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Shelving, ledges and window frames are dust free?

  • Internal windows are clean?

  • Bins are clean, not over flowing and garbage bag lined?

  • Light fittings are dust free, clean and in working order?

  • Air vents are dust free and clean?

  • Bathroom basin is clean, hand soap is available and paper towels are available?

  • Toilet is clean and stain free?

  • Shower tiles are clean and stain free including the grout?

  • Shower head is clean and in good condition?

  • Are tap ware and cisterns in good working condition ?

  • Signage is displayed as per Aegis Signage Policy; signage template, font, logo, created date, laminated, no visible fixings?

  • Maintenance requirements or any Additional information

Staff Room

  • Name of cleaner responsible for area:

  • Floor coverings (Vinyl, Tiles) clean and stain free?

  • Fridge is clean inside and out, frost free and food safe?

  • The notice board informations are current and displayed orderly

  • Sink is clean with hand wash and paper towels?

  • Bins are clean, not over flowing and garbage bag lined?

  • Dining tables and chairs are clean, stain/dust free and in good condition?

  • Picture frames, light fittings and air vents are dust free and clean?

  • Shelving, ledges and window frames are dust free?

  • Wall and furniture surfaces are clean and unmarked?

  • This is to be done by

  • Internal windows are clean?

  • Curtains/blinds are clean, dust free and in good repaired?

  • General good housekeeping practices observed?

  • Maintenance requirements or any Additional information

Cleaners Room and Equipment

  • Cleaners Trolley

  • Trolley
  • Name of the cleaner

  • Name of Wing

  • The staff is wearing an Aegis uniform with name badge?

  • Is the wing or facility Microfibre based ?

  • Cleaning trolley is set up correctly as suitable for Microfibre cleaning method ?

  • Only spray bottle with clean water , Crew or Go getter , R7 or Diversol Cx , Perdium or CCS spotter are stored in the trolley ?

  • Microfiber cleaning clothes are stored correctly and the cleaners know the correct way of using the microfiber ?

  • Correct colour coded mops and clothes are used for correct areas ?

  • Only minimal and correct chemicals are placed within the locked compartment?

  • Cleaning Schedule record is on a clip board on the trolley?

  • Does the staff member have their own handbook within easy access ?

  • Maintenance requirements or any Additional information

  • Cleaner's Room

  • Room
  • Wing

  • Cleaner

  • Cleaning equipment are in good condition?

  • Equipment electrical cords are in good condition and tagged?

  • Room is clean, neat and hazard free?

  • Minimal chemicals only are stored within cleaners room?

  • Chemicals are all labelled?

  • Only Aegis approved chemicals are used?

  • Cleaners room is locked when not attended?

  • Maintenance requirements or any Additional information

Laundry

  • Laundry Room

  • Laundry
  • Area is odour free?

  • Laundry room layout has a clean and dirty area?

  • Room is clean, neat and hazard free?

  • Dirty linen bags are stored correctly on trolleys?

  • Chemicals are placed within the locked compartment or the room is lockable?

  • Chemicals are all labelled?

  • Laundry Equipment is clean?

  • Cleaning equipment are in good condition?

  • Equipment electrical cords are in good condition and tagged?

  • Dryer filters are lint free and cleaned daily?

  • Laundry Cleaning Schedule Records are completed

  • Resident Lost Clothing system in place

  • Is the lost property form filled correctly and required feed back is given to the residents or family member about the lost item ?

  • Maintenance requirements or any Additional information

Chemical Storage Room

  • General design and construction of premises appropriate

  • Premise has adequate storage facilities for storage of chemicals

  • Premises has sufficient lighting

  • Floors are able to be effectively cleaned

  • Walls and ceilings are able to be effectively cleaned

  • Adequate ventilation provided within the room

  • MSDS Register is available within the room and is it up to date ?

  • PPE kit available in the room?

  • Chemical room is lockable and locked when not attended?

  • Fire extinguisher is located close by and in date?

  • Maintenance requirements or any Additional information

Maintenance Room

  • Room has adequate storage facilities for items?

  • Room has sufficient lighting?

  • Floors are able to be effectively cleaned?

  • Adequate ventilation provided within the room?

  • Room is clean, neat and hazard free?

  • PPE kit available in the room?

  • MSDS Register is available within the room ?

  • Maintenance cleaning schedule completed ?

  • Maintenance room is locked when not attended?

  • Maintenance requirements or any Additional information

Waste Management

  • Waste area has adequate storage facilities for number of bins?

  • Floors are able to be effectively cleaned?

  • Adequate ventilation provided within the room?

  • Room is clean, neat and hazard free?

  • Have waste bins been kept clean by regular washing?

  • Area is odour free?

  • Waste bins are numbered?

  • Correct bins are used for appropriate waste?

  • Cardboard boxes are flatten before placing in bin?

  • Maintenance requirements or any Additional information

Animal and Pests

  • Practical measures to eradicate and prevent harbourage of pests used (eg good housekeeping, no stock stored on floors, not over stocked, pest controller)

  • No signs of insect infestation or rodent activity in premises

  • Additional information

Health and Hygiene

    Cleaner
  • Name of the Cleaner

  • Ask the cleaning staff when do they wash their hands and the answer they say is correct ?

  • Cleaning and Laundry staff should wash hands before commencing/recommencing work and after using the toilet, coughing, sneezing, smoking, handling cleaning equipment, after/before tasks etc.

  • Cleaning and Laundry staff understand the risk of Viral Gastro-enteritis within the workplace (vomiting, gastro); facility has system in place for staff to report illness ?

  • Does the staff member know what they should do if feeling ill with gastro and/or vomiting before work and/or at work?

  • Ask a cleaning staff member how they would carry out their duties within an Outbreak and if they understand the risk of outbreak fully ?

Additional Information

  • Photos of other items

  • Additional Notes/Comments

  • Re-inspection Required

  • Time before next inspection

  • DECLARATION: I have read this report and understand the contents

  • Central Office signature

  • NOTE: assessment report contains findings from date/time of inspection only

Contact Details

  • Aegis Aged Care Group

  • Address: 90 Goodwood Pde Burswood Perth WA 6103

  • Telephone: (08) 6254 8200

  • Fax: (08) 6254 8299

  • Email: operations@aegiscare.com.au

  • Web: www.aegiscare.com.au


    www.aegiscare.com.au

  • ABN: 97 377 986 723

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