Inspection

Standard: The environment should be clean, free from dust, dirt and body fluid stains and spillages

This audit tool should be completed weekly by the Manager or Lead person for Infection Prevention and Control

In the event of non-compliance, action plans should be produced and reviewed regularly

Completed audit tools should be kept locally for good practice assurance and as evidence for Care Inspcetorate inspections

Audit completed by

Premises audited

Contents

Job title

Date
Page
1. Overview of the environment
2. Bathrooms/showers
3. Bedrooms

4. Cleaner’s room

5. Clinical room/clean utility

6. Dining room
7. Kitchen areas
8. Hairdressing room
9. Laundry room
10. Linen store room/cupboard
11. Lounge, sitting areas, halls/corridors
12. Sensory room

13. Sluice/dirty utility

14. Toilets, including en-suites

References

Safe management of the care environment Audit Tool for Care Homes Version 2.00

Page 1 of 11

1. (Please circle the answer)

The floor is in good doors

NA s

NA i

Comments d

NA e

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1. (Please circle the answer)

Fixtures and fittings, e.g. condition and clean

Furniture, including condition and clean

(check under cushions and foot stools)

A foot operated lidded inside and out

NA s

NA i

NA d

NA e

After completing the above ‘Overview of the environment’, please complete the additional questions below

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Environment
2. Bathrooms/shower rooms

State which bathrooms/shower rooms checked:

There is a facility for offensive waste, e.g. continence pads, disposal

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

Sanitary ware and fittings are in good condition, clean and free from lime scale and stains

Shower curtains are clean and free from mould and are included on the cleaning schedule

Cleaning products are available (not stored in the bathroom) for staff to use

The areas are free from inappropriate storage, e.g. hoists, slings, towels, excess stocks of gloves, bags

3. Bedrooms

State which bedrooms checked:

Bed frames are in good condition, clean and free from dust and soiling, e.g. body fluid stains

The room is free from offensive odour, e.g. urine

Hand hygiene facilities are available for residents to clean their hands prior to meals/snacks (skin wipes are an acceptable alternative to hand washing facilities)

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Environment

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

4. Cleaner’s room

A cleaner’s/domestic’s room is available

A laminated ‘Hand hygiene technique for staff’ poster is displayed

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

A dedicated bucket sink (stand alone or part of a space saving janitorial unit) is available, in good condition and clean

A laminated poster identifying the ‘National colour coding for cleaning materials’ is displayed

Cleaning equipment is colour coded in accordance with National guidance

Cleaning and nursing staff can describe the National colour coding for cleaning materials and equipment:

RED for bathrooms, washrooms, showers, toilets, basins and bathroom floors

BLUE for general areas including lounges, offices, corridors and bedrooms

GREEN for kitchen areas including satellite kitchen areas and food storage areas

YELLOW for bedrooms when someone has an infection and is cared for in their own room (isolated)

10. A cleaning schedule is available

11. Cleaning products comply with ‘Safe management of the care environment Policy’, e.g. pH neutral detergent,

Milton

12. PPE is available; colour coded, e.g. aprons in red, blue, green and yellow

13. Disposable cloths are disposed of daily and when visibly soiled

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Environment

14. Disposable cloths are used in a resident’s room when they are isolated due to a suspected or known infection, e.g. Clostridioides difficile or viral gastroenteritis, and disposed of as infectious waste after each use

15. Used mops are thoroughly rinsed in clean warm water after use, excess moisture removed and stored with the head uppermost with the use of wall mounted clips

16. Disposable mop heads are disposed of daily and whenever grossly soiled

17. Disposable mop heads used in a resident’s room when they are isolated due to a suspected or known infection, e.g. Clostridioides difficile, viral gastroenteritis, are disposed of as infectious waste after each use

18. Reusable mop heads are laundered daily and when visibly soiled, at the highest temperature the mop head will withstand

19. Reusable mop heads are replaced regularly depending on the frequency of use

21. Mop buckets should be cleaned after use, dried with paper towels, then disinfected and dried with paper towels, or stored inverted (upside down) to air dry

22. Buckets are clean and free from dirt/grime

23. Domestic gloves are washed after use with pH neutral detergent and warm water

5. Clinical room/clean utility

A clinical room/clean utility room is available

A laminated ‘Hand hygiene technique for staff’ poster is displayed

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

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Environment

There is appropriate storage of sterile/clean items, e.g. off the floor in a dust free environment (cupboard/ wipeable lidded container)

6. Dining room

Table cloths and table mats are clean

Cutlery is clean with no dried on food

Condiment containers, e.g. salt and pepper pots, vinegar bottles, sauce bottles, are in good condition and clean

Cupboards and cutlery drawers/container are clean and free from dust and debris

Hand hygiene facilities are available for residents to clean their hands prior to meals/snacks (skin wipes are an acceptable alternative to hand washing facilities)

7. Kitchen areas

All appliances, work surfaces, sink, taps, are in a good condition, clean and free from food and beverage stains

Cupboards and cutlery drawers/container are clean and free from dust and debris

8. Hairdressing room

Hair wash basin is in good condition and clean

Access to the handwash basin in clear

The handwash basin is free from clutter, e.g. used items

The chair is clean and in good condition

Clean towels are stored separate from used towels

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Environment
9. Laundry room

The hair dressing trolley is clean and free from dust and hair

There is a dedicated laundry room, e.g. the room is not used for any other function

Machines (including dispensers) are in good condition and clean, e.g. free from dirt, dust, mould and spilt or congealed washing power/liquid

A laminated ‘Hand hygiene technique for staff’ poster is displayed

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

Only commercial washing machines and tumble driers are in use

There is documented evidence linen is washed at 65oC for not less than 10 minutes or 71oC for not less than 3 minutes

Laundry staff wear appropriate PPE, e.g. gloves and apron, when handling all used, soiled, fouled and infected linen

Laundry waiting to be laundered is correctly segregated in the appropriate colour bags

Used, soiled and fouled linen in a white bag

Infected linen in a soluble bag placed inside a red bag

12. Used and clean linen are kept separate in the laundry room during the washing and drying process

13. Clean linen, e.g. residents clothing, is not stored in the laundry room

10. Linen store room/cupboard

A linen store room/cupboard is available (this should be separate from the laundry room, clean linen should not be stored in a laundry room)

The room/cupboard is free from inappropriate items, e.g. fans, Christmas decorations, equipment

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Environment

Linen is stored on shelving and above floor level

Shelving is impervious and in a good state of repair

11. Lounge, sitting areas, halls/corridors

Corridors/hallways are free from clutter and inappropriate items, e.g. waste bins

12. Sensory room

Soft furnishings are clean, e.g. cushions, fidget handheld fabric items, and washed on at least a weekly basis and when visibly soiled

Hard surface objects are clean and cleaned (and disinfected when necessary) on at least a weekly basis and when visibly soiled

Items of sensory light therapy, e.g. bubble tubes, are cleaned and disinfected as per manufacturer’s instructions

Sensory equipment should be stored in smooth wipeable lidded containers

Staff ensure resident’s hands are cleaned before using the sensory room

13. Sluice/dirty utility

A dirty utility/sluice is available

The room is free from inappropriate items and clutter, e.g. unused equipment, medical equipment that has been cleaned/decontaminated, general equipment storage

The room is free from clean or sterile items, e.g. resident wash bowls, combs, razors

A laminated ‘Hand hygiene technique for staff’ poster is displayed

Access to the handwash basin is clear

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Environment

The handwash basin is free from clutter, e.g. used items

A dedicated sink is available for decontamination of equipment

A bed pan washer/disinfector or macerator is available and is in good condition and working order. If not available, a Commode pan cleaning poster is displayed

10. A slop hopper, if available, is clean and in working order

11. A commode cleaning poster is displayed

12. Sanitary ware and fittings are in good condition, clean and free from lime scale and stains

13. Commode pans and urinals are in good condition, e.g. no evidence of cracking, scoring or staining

14. pH neutral detergent, disinfectant wipes and disinfectants, e.g. Milton, are available

15. The Bristol Stool Form Scale Chart (laminated/colour) is displayed

14. Toilets, including en-suites

State which toilets/en-suites checked:

There is a facility for offensive waste, e.g. continence pads, disposal

A ‘Stop the spread of germs – please wash your hands’ poster is displayed

Access to the handwash basin is clear

The handwash basin is free from clutter, e.g. used items

Sanitary ware and fittings are in good condition, clean and free from lime scale and stains

All surfaces of toilets are clean, e.g. seats, lids, hinges, handles and rails

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Environment

All surfaces of raised toilet seats, e.g. risers, support frame, are clean

All surfaces of commodes are clean, including underneath the cover, seat and frame

10. The commodes have no damage/tears/rust that impedes effective cleaning

11. Staff can demonstrate how to clean a commode working from the top down

12. Staff can demonstrate how to clean a commode pan

Toiletries and other items, e.g. soap bars, shampoo, shower gel, facecloths, razors, etc, are personal use and not shared between residents

15. Supplies of toilet roll, pads, waste bags, etc, are minimal and items are not stored on open surfaces

References

Care Quality Commission (2009) Practice Alert September 2009: Mattresses

Department of Health (July 2015) The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance

Department of Health (2007) Essential Steps to Safe Clean Care. Inter–healthcare service user infection risk assessment form

Infection Control Nurses Association (2004) Audit Tools for Monitoring Infection Control Standards

Loveday HP et al (January 2014) epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England Journal of

Hospital Infection Volume 86 Supplement 1, Pages S1-S70

National Institute for Health and Care Excellence (2012) Healthcare-associated infections: prevention and control in primary and community care Clinical Guidelines 139

National Patient Safety Agency (2008) Clean Hands Save Lives, Service user Safety Alert Second Edition 2nd September 2008

National Patient Safety Agency (2007) National Colour Coding Scheme for cleaning materials and equipment

NHS England and NHS Improvement (2019) Standard infection control precautions: national hand hygiene and personal protective equipment policy

Community Infection Prevention and Control, Harrogate and District NHS Foundation Trust www.infectionpreventioncontrol.co.uk November 2020 Version 2.00

© Harrogate and District NHS Foundation Trust

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.