Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Hand Hygiene

  • Are all staff are instructed good hand hygiene training upon induction?

  • Is liquid soap is available at all communal sinks?

  • Are paper towels are available at all communal sinks?

  • Are handwash areas are free from reusable towels?

  • Are sinks in clinical areas free from cups and drinking facilities?

  • Is the hand wash basin clear? E.g no equipment soaking in the sink?

  • Is there alcohol hand rub available throughout the home?

  • Are the mixer taps thermostatically controlled in clinical sinks? Is hot water available?

  • Are the sinks in clinical areas free from nail brushes, clothes etc.?

  • Are the hands of clinical staff free from jewellery? E.g watches, rings etc.

  • Any other comments?

Sharps handling and disposal

  • Is the sharps box available for use and conform to the British standard 7320 and UN 3291?

  • Is the sharps box the appropriate size for the amount of use?

  • Is the box is less than 3/4 full with no sharp objects protruding?

  • Is the sharps box correctly assembled? Ensure that the lid is secure.

  • Is the sharps box labelled with a point of source?

  • Are all sharps disposed of directly into a sharps box following use?

  • Is the sharps box locked when 3/4 full and not reused?

  • Have you ensured that sharp objects have not been decanted from one receptacle to another?

  • Are staff aware of procedures following a sharps injury/significant exposure?

  • A sharps/significant exposure policy is available? (see needle stick)

  • Full sharps boxes are stored in a designated locked area awaiting collection/disposal?

  • Any other comments?

Waste disposal

  • Is a clinical waste policy available?

  • Is the clinical waste policy known to all staff?

  • Do all clinical areas have foot operated waste bins?

  • Are the foot operated waste bins in good working order?

  • Are yellow waste bags used for the disposal of clinical waste?

  • Are waste bags less than 3/4 full and securely tied when they are 3/4 full?

  • Is all household waste stored in black bags and securely tied?

  • Are clinical waste and domestic water correctly segregated?

  • Is clinical waste stored in the designated area prior to disposal?

  • Is the storage area of clinical waste locked and inaccessible to unauthorised persons?

  • Is the storage area cleaned at lest weekly and immediately after a spill?

  • Are bags labelled with source - in accordance with duty of care?

  • Is appropriate protective clothing available for staff handling clinical waste bags?

  • Is the collection of clinical waste undertaken by a registered company and disposed of by incineration?

  • Any other comments?

Kitchen area

  • Is the kitchen subject to regular inspection from the environmental health agency?

  • Is the floor clean and dry?

  • Is there evidence that the kitchen is free from infestation or animals?

  • Are cleaning materials used in the kitchen identifiable and stored separately away from food?

  • Does the separate dedicated hand wash sink have liquid soap and paper towels available?

  • Are all fixtures and fittings in a good state of repair?

  • Are all fixtures, surfaces and appliances clean and dry?

  • Are all shelves, cupboards and drawers clean and free from dust and in a good state of repair?

  • Are all cooking appliances visibly clean?

  • Is the oven, and other cooking appliances, in good working order?

  • Are refrigerators and freezers clean and free from ice build up?

  • Is a thermometer present in all refrigerators and freezers?

  • Is there evidence of daily temperatures being recorded?

  • Is all of the milk stored in the refrigerator?

  • Is the bread stored in a clean, dry container?

  • Is the waste bin emptied as necessary with the bin liner tied? Is the bin liner disposed of properly?

  • Any other comments?

Laundry facilities

  • Is the laundry room clean and free from dust?

  • Is the laundry room free from cleaning materials? *The laundry room should be free from all cleaning materials

  • Are the mop buckets clean and free from embedded dirt or grime?

  • Are there dedicated hand hygiene facilities available with liquid soap and paper towels?

  • Is all equipment in the laundry room clean?

  • Are the machines free from rust and in a good state of repair?

  • Is there a bin in situ with a yellow bag for clinical waste?

  • Is the door kept locked at all times?

  • Any other comments?

Communal areas

  • Is all furniture clean and in a good state of repair?

  • Are all floor coverings clean and in a good state of repair?

  • Are all high horizontal surfaces free from dust?

  • Are all low level surfaces free from dust?

  • Where extractor fans are in operation, are they clean and free from dust?

  • Are all curtains and blinds in a good state of repair?

  • Are the toilets free of extraneous items

  • Are all fixtures and fittings in good repair throughout?

  • Is liquid soap available at all hand washing sinks?

  • Are disposable paper towels available at all wall mounted dispensers?

  • Are waste disposal facilities appropriate? (see section 3 "waste disposal")

  • Are toilet seats dry and are all toilet aids clean and dry?

  • Any other comments?

Cleaning and disinfectant

  • Is general purpose neutral detergent available?

  • Are disinfectants used in accordance with manufacturers instructions?

  • Is Impervious flooring such as vinyl is used whenever bodily fluid spillage is frequent and predictable?

  • Are carpets impervious?

  • Is all furniture and equipment capable of being cleaned and decontaminated?

  • Are cleaning and disinfectant agents stored appropriately and immediately after use?

  • Are spillages of blood and other bodily fluids appropriately cleaned and disinfected?

  • Are all single patient use devices used only for an individual patient and destroyed on completion of treatment as appropriate?

  • Any other comments?

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