Maintenance and Environment

• Conducted on

  Date

• Conducted By

• Location

  Select

DIRECTIONS FOR READING THIS INSPECTION REPORT

• The last section of this part of the document " Care Home Audit Maintenance and Domestic" lists the associated documents that come with the complete document. All associated documents make up the completed Inspection Document. Please ensure you read all the associated documents.

Review

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

  Yes

  No

  N/A

General

• Is there a current Asbestos Register on site

  Yes

  No

  N/A

• Has the Maintenance book been filled out, signed and actioned

  Yes

  No

  N/A

Weekly Inspections

• Are Emergency Lighting Inspections up to date ?

  Yes

  No

  N/A

• Are Fire Alarm Tests up to date ?

  Yes

  No

  N/A

• Are Water Temperature Checks up to date ?

  Yes

  No

  N/A

Monthly Inspections

• Are Dorguard Inspections up to date ?

  Yes

  No

  N/A

• Are Emergency Lighting inspections up to date

  Yes

  No

  N/A

• Are Fire Equipment inspections up to date

  Yes

  No

  N/A

Are Service Certificates in date, Insert date of service as stated on the certificate.

• Five year electrical inspection certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Boiler Gas Safety Certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Kitchen Gas Safety Certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Laundry Equipment Gas Safety Certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Emergency Lighting Test Certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Fire Alarm / Panel Test Certificate

  Yes

  No

  N/A

• Date Certificate Issued

• Fire Extinguisher Inspection.

  Yes

  No

  N/A

• Date Certificate Issued

• PAT testing

  Yes

  No

  N/A

• Date Certificate Issued

• Legionella Testing Certificate

  Yes

  No

  N/A

• Date Certificate Issued

  Yes

  No

  N/A

• Legionella Risk assesment

  Yes

  No

  N/A

• Date inspection carried out

  Yes

  No

  N/A

First Aid

• Are cabinets and contents clean, orderly and in date

  Yes

  No

  N/A

• Are cabinets located in easy reach and easily recognised

  Yes

  No

  N/A

Fire Prevention

• Is the Fire Evacuation Plan displayed

  Yes

  No

  N/A

• Are Fire Extinguishers in place, secure and correctly marked

  Safe

  At Risk

  N/A

• Are Extinguishers accessible and free from obstruction.

  Safe

  At Risk

  N/A

• Are the Fire Escape Pictorials correctly located and directionals correct

  Safe

  At Risk

  N/A

• Are Fire Doors free to be opened in the event of Emergency

  Safe

  At Risk

  N/A

• Are Fire Escape Routes free from obstruction and kept clear

  Safe

  At Risk

  N/A

Company Health and Safety

• Is the company Insurance Certificate on public view

  Yes

  No

  N/A

• Is the Health and Safety at Work poster displayed and filled out correctly

  Yes

  No

  N/A

• Is the company Health and Safety Policy available for staff to read

  Yes

  No

  N/A

• Is the COSHH register available for reference to all members of staff

  Yes

  No

  N/A

Risk Assessments

• Is the Fire Risk Assessment up to date and current

  Yes

  No

  N/A

• ARE THE FOLLOWING RISK ASSESSMENTS IN PLACE

• Lone Workers

• Young Employees

• New and expectant mothers

• Hot surfaces

• COSHH

• Asbestos

• Manual handling

• Working at height

• LIST ANY OTHER RISK ASSESSMENTS FOUND

• undefined

Housekeeping

• Are the following in place and completed to date

  Yes

  No

• ALL MISSING ITEMS TO BE ADDRESSED AS A MATTER OF URGENCY

• COSHH data sheets

• COSHH Risk Assessments

• Bedroom cleaning schedules

• Communal areas cleaning schedules

Store Rooms and Cleaners Cupboards

• Are store rooms / cupboards clean and tidy

  Yes

  No

  N/A

• Do the lights in these areas function correctly

  Yes

  No

  N/A

Corridors and Reception Areas

• Are all areas clean and tidy

  Yes

  No

• Indicate Floor level

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Basement / Lower Ground floor

• What areas are dirty

• Are the areas free of bad odours ?

  Yes

  No

• Add media

  Media

• Ground floor

• What areas are dirty

• Are the areas free of bad odours ?

  Yes

  No

• Add media

  Media

• 1st floor

• What areas are dirty

• Are the areas free of bad odours ?

  Yes

  No

• Add media

  Media

• 2nd floor

• What areas are dirty

• Are the areas free of bad odours ?

  Yes

  No

• Add media

  Media

• 3rd floor

• What areas are dirty

• Are the areas free of bad odours ?

  Yes

  No

• Add media

  Media

• Condition of Furnishings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors, handles, hinges etc..

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are radiators covered and cool to the touch

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Which radiator/s are not covered

• Add media

  Media

• Are the corridors free from obstruction

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not free from obstruction

• Add media

  Media

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Lounge

• Are all areas clean and tidy

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty

• Add media

  Media

• Condition of Furnishings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are radiators covered and cool to the touch

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Which radiator/s are not covered

• Add media

  Media

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Position, location of fan.

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Position, location of fan.

• To be cleaned In House

• Is the TV safe and secure

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Can the problem be resolved In House ?<br><br>Or is a contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• Are fire places safe and secure

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• To be resolved In House

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Dining areas

• Are all areas clean and tidy

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty

• Add media

  Media

• Condition of General Furnishings ( excluding dining tables and chairs)

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Dining Tables and Chairs

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in good condition

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are radiators covered and cool to the touch

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Which radiator/s are not covered

• Add media

  Media

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Position, location of fan.

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Position, location of fan.

• To be cleaned In House

• Are the tables dressed with the all the following?

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• ALL MISSING ITEMS TO BE ADDRESSED AS A MATTER OF URGENCY

• Water Glasses

• Placemats

• Napkins

• Menus

• Condiments

• Cutlery

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

WC's, Bathrooms and Shower rooms.

• Cleanliness of areas

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the areas free of bad odours ?

  Yes

  No

• Which areas are not clean ? Identify the WC, Bathroom at Shower room.

• Add media

  Media

• Is the area clear of trolleys and stored goods.

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Staff to clear stored items as a matter of urgency.

• Identify WC, Bathroom or Shower room.

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, identify the WC, Bathroom or Shower room

• Add media

  Media

• Condition of wall tiles or cladding

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bathroom.

• What areas are not in Good Condition, identify the WC, Bathroom or Shower room

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, identify the WC, Bathroom or Shoer room

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, identify the WC, Bathroom or Shower room.

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Location of dirty light

• Add media

  Media

• Location of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are radiators covered and cool to the touch

  Yes

  No

  N/A

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Which radiator/s are not covered

• Add media

  Media

• Condition of Sanitary ware

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of rooms with issues.

• What are the issues ?

• Add media

  Media

• Can the problem be solved In House ? <br><br>Or is a Contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• Condition and type of WC seat

  Select Good Condition Poor Condition Plastic Wood

  • Good Condition
  • Poor Condition
  • Plastic
  • Wood

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Seat to be replaced

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Seat to be replaced

• Is the Wc Seat safe and secure

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Maintenance to rectify as a priority.

• Type and Condition of Bin

  Select Good Condition Poor Condition Open Bin Pedal Bin Swing Top

  • Good Condition
  • Poor Condition
  • Open Bin
  • Pedal Bin
  • Swing Top

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Add media

  Media

• Bin to be replaced with Pedal Bin

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Add media

  Media

• Bin to be replaced with Pedal Bin

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Location of WC, Shower Room, Bath Room ?

• To be cleaned In House

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Kitchen

• Are all areas clean and tidy

  Yes

  No

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty

• Add media

  Media

• Condition of tiled / cladding areas of walls

  Good

  Average

  Poor

• Are the areas tiled or clad or both ?

  Select Tiles Cladding

  • Tiles
  • Cladding

• What is the issue with the tiles ?

• Location of damaged tiling.

• Add media

  Media

• Can it be resolved In House ?

  Resolve in house

  Contractor required

• Resolve In House, Maintenance

• Contractor to contact

• Are materials required to repair or can it be easily rectified

  Select Simple Repair Materials

  • Simple Repair
  • Materials

• Maintenance to repair

• Materials required to carry out repair. Maintenance man to carry out repair.

• Location of damaged cladding.

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are windows protected with Fly Screens ?

  Yes

  No

• Size of Fly Screen required.

• Cleanliness of Fly Killer

  Clean

  Dirty

• Staff to clean as a matter of urgency

• Add media

  Media

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• To be cleaned In House

• Condition and Cleanliness of Hand Wash Facilities

  Select Good Con Poor Con Clean Dirty

  • Good Con
  • Poor Con
  • Clean
  • Dirty

• What are the issues ?

• Add media

  Media

• Can the problem be solved In House ? <br><br>Or is a Contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• Staff to clean the area as a matter of urgency

• Add media

  Media

• Are all the following in place and correctly completed ?

  Yes

  No

• ALL MISSING ITEMS TO BE ADDRESSED AS A MATTER OF URGENCY

• 'Better Foods Safer Business' correctly completed including temperatures ?

• Are Kitchen Hygiene schedules in operation ?

• Are Kitchen COSHH sheets in place ?

• Are Kitchen COSHH Risk Assessments in place ?

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Laundry

• Are all areas clean and tidy

  Yes

  No

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Are Chemicals stored in a safe manner and secure

  Yes

  No

• Laundry operative to resolve as a matter of urgency

• Add media

  Media

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• To be cleaned In House

• Condition of Sinks and Hand Washing Facilities

  Good

  Average

  Poor

• What are the issues ?

• Add media

  Media

• Can the problem be solved In House ? <br><br>Or is a Contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• Are all the following in place and correctly completed ?

  Yes

  No

• ALL MISSING ITEMS TO BE ADDRESSED AS A MATTER OF URGENCY

• Are Laundry COSHH sheets in place ?

• Are Laundry COSHH Risk Assessments in place ?

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Staff Areas

• Are all areas clean and tidy

  Yes

  No

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty

• Add media

  Media

• Are the storage areas tidy ?

  Yes

  No

• Add media

  Media

• Staff to tidy area with a matter of urgency.

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• What items are not in Good Condition

• Location of items

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• What areas are not in Good Condition

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light

• Add media

  Media

• Position of faulty light

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• To be cleaned In House

• Condition of tables and chairs / work surfaces

  Good

  Average

  Poor

• What are the issues ?

• Add media

  Media

• Can the problem be solved In House ? <br><br>Or is a Contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Medicine Rooms

• Are all areas clean and tidy

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the areas free of bad odours ?

  Yes

  No

• What areas are dirty, Identify Medicine Room

• Add media

  Media

• Are the storage areas tidy ?

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Staff to tidy area with a matter of urgency.

• Identify Medicine Room

• Add media

  Media

• Condition of wall and ceiling decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, Identify Medicine Room

• Add media

  Media

• Condition of Wood Work Decorations

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, Identify Medicine Room

• Add media

  Media

• Condition of Doors and Ironmongery

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What items are not in Good Condition

• Location of items. Identify Medicine Room

• Add media

  Media

• Condition and Cleanliness of Floor Coverings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What areas are not in Good Condition, Identify Medicine Room

• Add media

  Media

• Condition and Cleanliness of Light Fittings

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Are the lights working ? Are the fittings dirty or dusty ?

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Position of dirty light. Identify Medicine Room

• Add media

  Media

• Position of faulty light. Identify Medicine Room

• Add media

  Media

• Is the problem easy to solve or is a contractor required ?

  Resolve in house

  Contractor required

• Which contractor needs contacting ?

• Maintenance to resolve

• Cleanliness and condition of extractor fans

  Select Not Working Dirty or Dusty N/A OK Noisy

  • Not Working
  • Dirty or Dusty
  • N/A
  • OK
  • Noisy

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Can it be repaired - <br>A. In House<br>B. Contractor required

  Resolve in house

  Contractor required

• Maintenance to resolve

• Name of contractor to be contacted

• Identify Medicine Room

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Add signature

  Sign

• Identify Medicine Room

• To be cleaned In House

• Condition of desks / work surfaces

  Good

  Average

  Poor

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• What are the issues ? Identify Medicine Room

• Add media

  Media

• Can the problem be solved In House ? <br><br>Or is a Contractor required ?

  Resolve in house

  Contractor required

• To be resolved In House

• Contractor to be contacted

• Are secure cupboards locked ?

  Yes

  No

• Locations

  Select Basement floor Ground floor 1st floor 2nd floor 3rd floor

  • Basement floor
  • Ground floor
  • 1st floor
  • 2nd floor
  • 3rd floor

• Identify Medicine Room.

• Inform manager immediately.

• Add media

  Media

• ANY SAFETY ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

• ANY OTHER ISSUES TO NOTE

  Yes

  No

• List Issues found

• Add media

  Media

Documents used in inspection

• Home Audit ( this document)

  Yes

  No

  N/A

• Bedrooms 1-5

  Yes

  No

  N/A

• Bedrooms 6-10

  Yes

  No

  N/A

• External areas

  Yes

  No

  N/A