Morris Care Audit

Title Page

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Admin office/Documentation

1)Are internal Emergency Lights tests completed and recorded monthly
2)Emergency Lighting - Have external tests been completed including documentation
3)Emergency lighting - Have remedial items been completed and a compliance certificate issued
4)Cross corridor doors - Have internal records been completed and recorded
5)Fire exit doors - Have internal records been completed and recorded
6)Are PTA testing records available and current
Has a fixed wire test been carried out in the last five years
8)Fixed wire testing - Have all fixed wire remedial items been completed
9)Fixed wire testing - Has a compliance certification been issued
10)Are there records in place for fire extinguisher monthly checks and annual inspection.
11)Are weekly sprinkler tests completed and recorded
12)Are internal water temperatures being recorded (Residential and Communal) and complaint
13)Is there evidence that empty rooms/show/communal room suites are being flushed monthly
14)Is there a current Water risk assessment available (clear water)
15)Have the recommendations been carried out
16)External Check Compliance : Domestic Hot Water Temperature > 60 Deg C
17)External check compliance : Cold Water Storage Temperature < 20 Deg C
18)Are temperatures feeding the blending valve >50 Deg C
19)Are point of use temperatures in the range 41 to 44 depending on outlet type
20)Is there evidence that the appointed water treatment company have visited site in the last year
21)Have a sample of shower heads been cleaned (aprox x 12)
22)Have annual water samples been taken
23)Is there a ladder asset list available and have checks been completed
24)Have monthly wheelchair checks been carried out and documented
25) Are window restrictor checks completed and recorded - (frequently)
26) Are six monthly Nurse Call systems checks available (maintenance schedule)
27) Is the furniture treatment asset register available (Compliant/None Compliant)
28)Has the annual fire treatment of furniture been carried out
29)Are the kitchenette refrigerator checks records available
30) Can the home produce a blank contractor to work permit
31) Are LOLER certs available for baths and hoists
32) Are the house keeping staff clear on the procedure for using Flametech
33) Does the flametech come out the bottle as mist
34) Are gas safety check certification certificates available (Kitchen/Laundry/Boilers)
35) Is there a valid lift insurance report available i.e last six months
36) Have lift insurance defects been completed

Fire

1) Is there a current FRA in place
2) Is the FRA well ordered/managed
3) Are the significant items signed off
4) Have the weekly fire panel tests been carried out and recorded
5)Are printouts available and neatly presented
6) Have drills been carried out covering the following shifts and documented : Day
7) Have drills been carried out covering the following shifts and documented : Afternoon
8) Have drills been carried out covering the following shifts and documented : Night
9) Are the admins advised of new starters
10) Has familiarity/walk about training be provided/recorded Induction checklist for agency staff
11) What percentage of Morris care personal have received refresher training in the last 6 months (85%) extinguisher
12) Are regular refresher fire training sessions held (6 monthly required) 85% evacuation
13)Are training records available (admins to print out)

Plant Office

1) Is the plant room door locked
2)Is the main control panel indicating healthy lights
3) Are escape routes clearly defined and free from hazard
4)Are the storage practices in the plant room acceptable
5)Have Calorifer temperatures been recorded and acceptable (>60 Deg C) Including monthly temperature checks
6) Are sprinkler valves secured
7) Are correct fire extinguishers available

Main Kitchen

1) Is the environment clean and tidy
2) Are light levels adequate
3)Are windows and doors fitted with fly screens
4)Is the heated trolly protected by an RCCD
5) Are fire extinguishers and a fire blanket available
6) Is the kitchen COSHH store neat and tidy with data sheets/risk assessments available
7) Is PPE available and worn by team members
8) Are first aid and eye wash stations available in date and fully stocked
9)Are kitchen staff aware of checks in accordance to the Morris Care Policy
10)Is food stored correctly (raw and cooked separated/covered and dated etc)
11) Are hand washing sinks clean and usable with adequate soap/paper towels
12) Is the servery area free from hazards
13) Is kitchen equipment clean and in good working order
14) Are emergency shut off buttons clearly labelled and unobstructed

Laundries

1) Is Main laundry First aid and eye wash stocked and in date
2)Are doors fitted with working closers and are unrestricted
3)Have lint filter checks been carried out and recorded daily.
4) Are fire extinguishers available
5) Is the laundry area tidy and well organised
6)Does the laundry appear to be electrically compliant
7) Has the equipment been serviced and is fit for its use (admins office)
8) Are emergency buttons clearly labelled and unrestricted
9)Is flooring in a good state of repair
10) Are chemicals safely locked away
11) Are free swing door closers available and operational
12) Is the correct PPE available
13) Is the staff member aware of the correct PPE to be worn?

Bathrooms

Bathroom 1 Ground floor to the left of reception

1) Is the room clean and tidy
2) Is there evidence of cleaning
3) Is there evidence of temperature recording
4) Are the cleaning chemicals locked away
5) Are the shower heads clear from limescale inc cleaning devices
6) Is the spa bath left in the correct position (seat lowered into the bath)

Bathroom 2 Upstairs to the right of reception

7) Is the room clean and tidy
8) Is there evidence of cleaning
9) Is there evidence of temperature recording
10) Are the cleaning chemicals locked away
11) Are the shower heads clear from limescale inc cleaning devices
12) Is the spa bath left in the correct position (seat lowered into the bath)

Grounds

1) Are the grounds/walkways free from trip hazards
2) Is the furniture safe and compliant
3) Are external contractors operating in a compliant manner according to policy
4) Are planting practices suitable and hazard free
5) Are smoking practices acceptable and unnecessary hazards managed
6) Does external lighting appear in good woking order and operational
7) Are paths clear and trip free
8) Are gardens hazard free
9)Visual inspections of windows - compliant (i.e Max opening 100mm)
10) Visual inspections of Gutters - Do not present any dangers
11) Visual inspections of Fascia - Do not present any dangers
12)Visual inspection of automatic gates - Do not present any dangers
13)Are parking practices acceptable and safe
14) Visual inspections of the roof tiles - Do not present any dangers
15) Are Gas/petrol/oxygen/helium flammable substances stored correctly
16) Are grit bins well managed?
17) Is the bin store neat and tidy and well managed with lockable yellow bins and refuse stored properly
18)Are outdoor storage facilities safe
19)Are stored oxygen cylinders or other compresses gas cylinders in date and compliant?

Sluice

Ground floor to the left of reception

1) Is the room well managed neat and tidy
2) Does the room have an operational extractor fan
3) Are the following available - Gloves/Aprons/Gel/Paper towels
4) Is the equipment operational and serviced

First floor opposite nurse station

5) Is the room well managed neat and tidy
6) Does the room have an operational extractor fan
7) Are the following available - Gloves/Aprons/Gel/Paper towels
8) Is the equipment operational and serviced

Electrical switch room

1) Is the room locked
2) Are any storage practices within this room safe and compliant
3)Is rubber matting available
4) Does the distribution board look healthy and in good order
5) Is lighting adequate
6) Does the switch room appear dry and free from water ingress

Walkabout

1) Is the main signage secure and lighting compliant
2) Is the front door free from hazards as it is approached and presents no trip hazards
3)Are main stairs and steps hazard free and secure
4) Is all his level lighting operational
5)Are hand sanitisers available at the back and front of the house
6) Is dining room furniture in good order (check hints and castors)
7) Is the dining room carpet in good order and clean
8) Is there an eye wash station and COSSH available in the hairdressers
9) Are there paper towels in a wall dispenser in the main toilet
10)Are corridors free from clutter and well iluminated
11)Are sample electrical/mechanical risers free from clutter
12) Are running man signs clean and in appropriate placements
13) Is the staffroom clean and tidy organised with ground flooring
14) Are storage arrangements compliant/safe and acceptable
15)Are staircases adequately illuminated and refuge points clear
16) Are all chemicals compliant and have they been stored in an acceptable manner
17) Are medical stores and trolleys secure
18) Is the EMI area secure
19) Ia the EMI external area safe and secure
20) Is odour control good
21) Are fire exits clear externally
22) What percentage of staff are trained in infection control and moving and handling
23) Who on duty has received training for challenging behaviour or clinical holding

Equipment

1) Has the inspected hoist got a valid inspection label
2) Has the inspected sling been identified and have a valid date
3) Are there an portable heaters on site are they compliant (not to exceed 43 Deg C)
4) Have nursing beds been maintained in the last 12 months (check label on bed)
5) Does a sample equipment appear in good order with a valid PAT test
6) Does cosmetics cupboard look in good order with COSSH and safety information
7) Is kitchen serving equipment safe and operational
8) Are static generators in working order and well maintained
9) Are all fans/air treatment devices kept clean PAT tested

Residential rooms 11,30

1) Ia the window restrictor in working order
2) Does electrical equipment appear to be compliant (PAT test)
3) Does the shower head appear to be clean/descaled
4) Do water temperatures seem within ranges (30 seconds)
5) Is the room/suite of rooms free from hazards
6)Does the room have a working door closer

Lifts

1)Is signage adequate
2) Are staffs aware of emergency procedure? Ask 2 members of staff
3)Does the nurse call work
4) Is rubber matting available in the motor room
5) Is the motor room neat and tidy
6)Does the lift emergency button communicate
7) Is there an in date LOLER certificate
8) Is lighting sufficient
9) Are emergency instructions clear
10) Are the lift cars in good working order and well presented

Documentation

1)Are up to date liability insurance certificates on display
2) Is there an active accident handbook available with the incident records removed
3) Are emergency contact details available and up to date
4) Is the a current HSE poster displayed
5) Is the Morris care H&S policy statement displayed
6) Is utility isolation information available near the fire panel
7) Are emergency evacuation plans readily available for each resident
8)Are signs in procedures available and being used
9)
10) Are first aiders clearly displayed with current certification
11) Is there an active and current risk assessment register available
12) Is there evidence of inspection of first aid boxes
13) Emergency plan
14) Have quarterly H&S meetings been held - minutes issued1
15) Are no smoking signs in situation
16) Are display screen records available