Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Hand Hygiene
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Are all staff are instructed good hand hygiene training upon induction?
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Is liquid soap is available at all communal sinks?
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Are paper towels are available at all communal sinks?
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Are handwash areas are free from reusable towels?
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Are sinks in clinical areas free from cups and drinking facilities?
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Is the hand wash basin clear? E.g no equipment soaking in the sink?
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Is there alcohol hand rub available throughout the home?
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Are the mixer taps thermostatically controlled in clinical sinks? Is hot water available?
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Are the sinks in clinical areas free from nail brushes, clothes etc.?
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Are the hands of clinical staff free from jewellery? E.g watches, rings etc.
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Any other comments?
Sharps handling and disposal
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Is the sharps box available for use and conform to the British standard 7320 and UN 3291?
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Is the sharps box the appropriate size for the amount of use?
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Is the box is less than 3/4 full with no sharp objects protruding?
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Is the sharps box correctly assembled? Ensure that the lid is secure.
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Is the sharps box labelled with a point of source?
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Are all sharps disposed of directly into a sharps box following use?
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Is the sharps box locked when 3/4 full and not reused?
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Have you ensured that sharp objects have not been decanted from one receptacle to another?
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Are staff aware of procedures following a sharps injury/significant exposure?
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A sharps/significant exposure policy is available? (see needle stick)
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Full sharps boxes are stored in a designated locked area awaiting collection/disposal?
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Any other comments?
Waste disposal
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Is a clinical waste policy available?
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Is the clinical waste policy known to all staff?
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Do all clinical areas have foot operated waste bins?
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Are the foot operated waste bins in good working order?
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Are yellow waste bags used for the disposal of clinical waste?
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Are waste bags less than 3/4 full and securely tied when they are 3/4 full?
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Is all household waste stored in black bags and securely tied?
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Are clinical waste and domestic water correctly segregated?
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Is clinical waste stored in the designated area prior to disposal?
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Is the storage area of clinical waste locked and inaccessible to unauthorised persons?
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Is the storage area cleaned at lest weekly and immediately after a spill?
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Are bags labelled with source - in accordance with duty of care?
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Is appropriate protective clothing available for staff handling clinical waste bags?
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Is the collection of clinical waste undertaken by a registered company and disposed of by incineration?
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Any other comments?
Kitchen area
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Is the kitchen subject to regular inspection from the environmental health agency?
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Is the floor clean and dry?
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Is there evidence that the kitchen is free from infestation or animals?
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Are cleaning materials used in the kitchen identifiable and stored separately away from food?
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Does the separate dedicated hand wash sink have liquid soap and paper towels available?
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Are all fixtures and fittings in a good state of repair?
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Are all fixtures, surfaces and appliances clean and dry?
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Are all shelves, cupboards and drawers clean and free from dust and in a good state of repair?
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Are all cooking appliances visibly clean?
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Is the oven, and other cooking appliances, in good working order?
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Are refrigerators and freezers clean and free from ice build up?
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Is a thermometer present in all refrigerators and freezers?
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Is there evidence of daily temperatures being recorded?
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Is all of the milk stored in the refrigerator?
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Is the bread stored in a clean, dry container?
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Is the waste bin emptied as necessary with the bin liner tied? Is the bin liner disposed of properly?
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Any other comments?
Laundry facilities
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Is the laundry room clean and free from dust?
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Is the laundry room free from cleaning materials? *The laundry room should be free from all cleaning materials
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Are the mop buckets clean and free from embedded dirt or grime?
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Are there dedicated hand hygiene facilities available with liquid soap and paper towels?
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Is all equipment in the laundry room clean?
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Are the machines free from rust and in a good state of repair?
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Is there a bin in situ with a yellow bag for clinical waste?
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Is the door kept locked at all times?
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Any other comments?
Communal areas
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Is all furniture clean and in a good state of repair?
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Are all floor coverings clean and in a good state of repair?
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Are all high horizontal surfaces free from dust?
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Are all low level surfaces free from dust?
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Where extractor fans are in operation, are they clean and free from dust?
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Are all curtains and blinds in a good state of repair?
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Are the toilets free of extraneous items
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Are all fixtures and fittings in good repair throughout?
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Is liquid soap available at all hand washing sinks?
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Are disposable paper towels available at all wall mounted dispensers?
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Are waste disposal facilities appropriate? (see section 3 "waste disposal")
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Are toilet seats dry and are all toilet aids clean and dry?
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Any other comments?
Cleaning and disinfectant
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Is general purpose neutral detergent available?
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Are disinfectants used in accordance with manufacturers instructions?
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Is Impervious flooring such as vinyl is used whenever bodily fluid spillage is frequent and predictable?
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Are carpets impervious?
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Is all furniture and equipment capable of being cleaned and decontaminated?
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Are cleaning and disinfectant agents stored appropriately and immediately after use?
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Are spillages of blood and other bodily fluids appropriately cleaned and disinfected?
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Are all single patient use devices used only for an individual patient and destroyed on completion of treatment as appropriate?
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Any other comments?
Date and signature of person conducting audit
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Select date
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