Graceland Nursing Home Main Building GFOU

• Audit Title

• Conducted on

  Date

Review

• Has the last inspection been reviewed. List any outstanding issues below.

  Yes

  No

  N/A

First Aid

• Are first aid boxes located in easy reach and easily recognised

  Yes

  No

  N/A

• Are first aid boxes and contents clean, orderly and in date

  Yes

  No

  N/A

• Is the current list of first adders displayed in a prominent position

  Yes

  No

  N/A

Mobile Phone and Torch

• Is the mobile phone present and charged and in good condition

  Yes

  No

  N/A

• Is the torch in good condition and in working order

  Yes

  No

  N/A

Fire Precautions

• Is the Fire Routine Notice displayed

  Yes

  No

  N/A

• Are Fire Extinguishers in place, secure and correctly marked

  Yes

  No

  N/A

• Are Extinguishers accessible and free from obstruction.

  Yes

  No

  N/A

• Are the Fire Signage notices in place e.g. exit notices, push bar notices

  Yes

  No

  N/A

• Are Fire Escape Routes free from obstruction and kept clear e.g. Stairways

  Yes

  No

  N/A

• Are Fire exit doors unobstructed and able to be opened in the event of an emergency

  Yes

  No

  N/A

Store Room

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean with an energy saving bulb

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Corridors and Reception Areas

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are there any obstructions in the corridors which restrict safe egress

  Yes

  No

  N/A

• Are any chairs and other furnishings clean and tidy and in good condition

  Yes

  No

  N/A

• Are any electrical items present in good condition e.g. Hoists, chargers,fans etc

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Are hand rails in good condition and good decoration and clean

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Bedrooms - four bedrooms should be checked as a sample - if these are in an unsatisfactory condition ALL bedrooms must be checked - mark in the next box below the bedrooms inspected e.g. 2,6,7,9

• Bedrooms:

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are any beds, wardrobe, chairs and other furnishings clean and tidy and in good condition

  Yes

  No

  N/A

• Are any electrical items present in good condition e.g. Table lamps, televisions, air mattresses etc

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• Are curtains and fixings in good condition and clean

  Yes

  No

  N/A

• Are windows closing correctly and security devices in working order

  Yes

  No

  N/A

• Are Nurses call points working and do all cords reach floor level

  Yes

  No

  N/A

• En-Suite

• Is sanitary ware clean and in good condition

  Yes

  No

  N/A

• Is the toilet seat and any adaptations clean and in good condition

  Yes

  No

  N/A

• Are taps etc in working order and clean

  Yes

  No

  N/A

• Is the extraction fan working

  Yes

  No

  N/A

• Is the under sink cupboard clean and tidy

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Lounge

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are any chairs and other furnishings clean and tidy and in good condition

  Yes

  No

  N/A

• Are any electrical items present in good condition e.g. Table lamps, televisions,etc

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• Are curtains, blinds and fixings in good condition and clean

  Yes

  No

  N/A

• Are windows closing correctly and security devices in working order

  Yes

  No

  N/A

• Are Nurses call points working and do all cords reach floor level

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Lounge Kitchen

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are worksurfaces and cupboards clean and tidy and in good condition

  Yes

  No

  N/A

• Are any electrical items present in good condition e.g. Microwave, kettle etc

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is waste segregation being carried out correctly

  Yes

  No

  N/A

• Are potentially hazardous substances being stored securely

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

WC's, ShowerRoom and Bathroom

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are sanitary wares clean and tidy and in good condition

  Yes

  No

  N/A

• Are water outlets in working order and clean and in good condition

  Yes

  No

  N/A

• Are safety signs for hot water present and in good condition

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• Are windows closing correctly and security devices in working order

  Yes

  No

  N/A

• Are Nurses call points working and do all cords reach floor level

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Hair Salon

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are sanitary wares clean and tidy and in good condition

  Yes

  No

  N/A

• Are electrical appliances in good condition

  Yes

  No

  N/A

• Are water outlets in working order and clean and in good condition

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• Are Nurses call points working and do all cords reach floor level

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Sluice

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are sanitary wares clean and tidy and in good condition

  Yes

  No

  N/A

• Are electrical appliances in good condition

  Yes

  No

  N/A

• Are water outlets in working order and clean and in good condition

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Are any potential hazardous substances stored securely

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Nurses Station

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are any chairs and work surfaces clean and tidy and in good condition

  Yes

  No

  N/A

• Are any electrical items present in good condition e.g. Computers, printers etc

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Medication Cupboard

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are work surfaces clean and tidy and in good condition

  Yes

  No

  N/A

• Is the refrigerator at the correct temperature and clean and tidy

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

Controlled Drug Room

• Are these areas tidy and kept in a clean condition

  Yes

  No

  N/A

• Are work surfaces clean and tidy and in good condition

  Yes

  No

  N/A

• Is the controlled drug area secured with a lock and is it in good condition

  Yes

  No

  N/A

• Are oxygen cylinders secured and a notice provided on the outside of the door

  Yes

  No

  N/A

• Are ceiling and walls clean and in good decoration

  Yes

  No

  N/A

• Is woodwork in good condition and good decoration and clean

  Yes

  No

  N/A

• Are doors including any kick plates in good condition and clean

  Yes

  No

  N/A

• Is lighting in good condition and clean

  Yes

  No

  N/A

• Are floor coverings in good condition and clean

  Yes

  No

  N/A

• ANY SAFETY ISSUES NOTED

  Yes

  No

  N/A

• ANY OTHER FINDINGS IN THESE AREAS

  Yes

  No

  N/A

• Select date

  Date

• Add signature

  Sign