Title Page
-
Site conducted
-
Conducted on
-
Jason Woodcock/Teresa Passmore
-
Add location
Furniture And Electrical Equipment
-
Are the radiator covers clean and free from damage
-
Is the bedside table visibly clean inclusive of underside, frame and<br>castors?
-
Is the patient wardrobe/drawer unit visibly clean inside and out and free<br>from damage?
-
Is the air conditioning unit visibly clean and in good condition?
-
Is the TV unit including wiring, screens and arms in good condition and<br>visibly clean?
-
Is the recliner chair visibly clean and free from damage?
-
Is the bed frame in good condition and visibly clean?
-
Is the ceiling visibly clean?
-
Is the power source panel (rear of the bed) visibly clean?
-
Are all light fittings visibly clean, free from dust and in good condition?
-
Are the hoist rails clean, functional and free from damage
Flooring,Walls,Windows,Furnishings and Doors
-
In terms of cleanliness and condition, what is the current state of the<br>flooring?
-
In terms of cleanliness and condition, what is the current state of the<br>doors?
-
In terms of cleanliness and condition, what is the current state of the<br>windows and windowsills?
-
In terms of cleanliness and condition, what is the current state of the<br>walls?
-
In terms of cleanliness and condition, what is the current state of the<br>skirting boards?
-
In terms of cleanliness and condition what is the current state of the<br>blinds?
-
In terms of cleanliness and condition what is the current state of the medication pod?
Bathroom/WC
-
Is the toilet visibly clean and in good condition?
-
Are all soap dispensers and sanitiser dispensers visibly clean, well stocked<br>and in working order?
-
Is all pipework in good condition and visibly clean?
-
Is the shower visibly clean? Including flooring, shower heads and hoses?
-
Have the shower heads been removed, clean and descaled in the last 3<br>months?
-
Is there a sufficient amount of toilet roll and hand towels?
-
Are the hand towel dispensers visibly clean?
-
Are the sinks and taps in good condition, free from leaks and visibly clean?
-
Is the bathroom flooring visibly clean and dry?
Waste Management
-
Are all waste bins visibly clean and emptied daily?
Health and Safety
-
Are all hazardous chemicals stored out of patient areas? (Check individual<br>rooms/bathrooms)
-
Is the room free from trip hazards?
-
Is all electrical wiring in good condition with no visible damage?
-
In terms of health and safety, what is the overall state of the patient<br>room/bathroom?
Documentation
-
Has all recorded cleaning procedures been recorded for the last 4 weeks?
Overall
-
In terms of cleanliness, what is the general state/condition of the patient<br>bathroom/WC?
-
In terms of cleanliness, what is the general state/condition of the patient<br>room?