Title Page
-
Date of audit
-
Audit completed by
Section 1: Overview of the environment
1. All high and low surfaces are in good condition, free from dust, e.g. curtain tracks, shelving, skirting boards.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
2. Walls and ceilings are in good condition, free from dust and cobwebs.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
3. Tiles and grouting are in good condition, clean and free from mould, e.g. no holes or cracks.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
4. Light fittings and shades are clean, e.g. free from dust, cobwebs, insects.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
5. The floor covering is impervious and washable.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
6. The floor is in good condition, clean and free from dust including all floor corners and behind doors.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
7. To facilitate floor cleaning, the floor is either free from stored items or items stored on the floor are in wheeled wipeable lidded containers.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
8. Curtains/blinds are in good condition and clean.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
9. Fixtures and fittings, e.g. radiator covers, are impervious, in good condition and clean.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
10. Furniture, including chairs, tables and foot stools, are in good condition and clean (check under cushions and underside of tables and foot stools).
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
11. A foot operated lidded and lined waste bin is available, in good condition and clean inside and out.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
12. The area is free from inappropriate items and clutter, ornaments are kept to a minimum and wipeable.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
13. The area is free from inappropriate items and clutter.
-
Bathrooms/showers (select at least 2 rooms)
-
Bedrooms (select at least 10%)
-
Cleaner’s room
-
Clinical room/clean utility
-
Dining room
-
Kitchen areas
-
Hairdressing room
-
Laundry room
-
Linen store room/cupboard
-
Lounge, sitting areas, halls/corridors
-
Sensory room
-
Sluice/dirty utility
-
Toilets, including en-suites (select at least 2 communal toilets)
Section 2: Environment
1. Bathrooms/shower rooms
-
State which bathrooms/shower rooms checked:
-
1. There is a facility for offensive waste, e.g. continence pads, disposal.
-
2. Hand hygiene facilities, including wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
3. Access to the handwash basin is clear.
-
4. The handwash basin is free from clutter, e.g. used items.
-
5. Sanitary ware and fittings are in good condition, clean and free from lime scale and stains.
-
6. Shower chair, shower head, bath mat, bath hoist, etc., are in good condition, clean and free from lime scale and stains.
-
7. Shower curtains are clean and free from mould and are included on the cleaning schedule.
-
8. Cleaning products are available (not stored in the bathroom) for staff to use.
-
9. Toiletries and other items, e.g. soap bars, shampoo, shower gel, facecloths, razors, etc., are personal use and not shared between residents.
-
10. The areas are free from inappropriate storage, e.g. hoists, slings, towels, excess stocks of gloves, bags.
2. Bedrooms
-
State which bedrooms checked:
-
1. Bed frames are in good condition, clean and free from dust and soiling, e.g. body fluid stains.
-
2. The room is free from offensive odour, e.g. urine.
-
3. 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).
-
4. Hand hygiene facilities, including wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
5. Access to the handwash basin is clear.
-
6. The handwash basin is free from clutter, e.g. used items.
3. Cleaner’s room
-
1. A cleaner’s/domestic’s room is available.
-
2. Dedicated hand hygiene facilities, including a handwash basin with a lever tap (stand alone or part of a space saving janitorial unit), wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
3. A laminated ‘Hand hygiene technique for staff’ poster is displayed.
-
4. Access to the handwash basin is clear.
-
5. The handwash basin is free from clutter, e.g. used items.
-
6. A dedicated bucket sink (stand alone or part of a space saving janitorial unit) is available, in good condition and clean.
-
7. A laminated poster identifying the ‘National colour coding for cleaning materials’ is displayed.
-
8. Cleaning equipment is colour coded in accordance with National guidance.
-
9. Cleaning and nursing staff can describe the National colour coding for cleaning materials and equipment:<br>RED for bathrooms, washrooms, showers, toilets, basins and bathroom floors<br>BLUE for general areas including lounges, offices, corridors and bedrooms<br>GREEN for kitchen areas including satellite kitchen areas and food storage areas<br>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.
-
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
-
20. Reusable 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 transported to the laundry in a water soluble bag after each use and laundered at the highest temperature the mop head will withstand.
-
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.
4. Clinical room
-
1. A clinical room/clean utility room is available.
-
2. Dedicated hand hygiene facilities, including a clinical handwash basin (with lever taps which are not aligned to run directly into the drain aperture, no plug or overflow), wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
3. A laminated ‘Hand hygiene technique for staff’ poster is displayed.
-
4. Access to the handwash basin is clear.
-
5. The handwash basin is free from clutter, e.g. used items.
-
6. Items identified as single use (by the wording ‘single use’ or the symbol 2 ) are always disposed of after use and not re-used, e.g. instruments, scissors, medicine pots. Check drawers, cupboards and medicine trolley to verify.
-
7. There is appropriate storage of sterile/clean items, e.g. off the floor in a dust free environment (cupboard/ wipeable lidded container).
5. Dining room
-
1. Table cloths and table mats are clean.
-
2. Cutlery is clean with no dried on food.
-
3. Condiment containers, e.g. salt and pepper pots, vinegar bottles, sauce bottles, are in good condition and clean.
-
4. Cupboards and cutlery drawers/container are clean and free from dust and debris
-
5. 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).
6. Kitchen areas
-
1. All appliances, work surfaces, sink, taps, are in a good condition, clean and free from food and beverage stains.
-
2. Cupboards and cutlery drawers/container are clean and free from dust and debris.
7. Hairdressing room/women's staff bathroom
-
1. Hair wash basin is in good condition and clean.
-
2. Hand hygiene facilities, including wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
3. Access to the handwash basin in clear.
-
4. The handwash basin is free from clutter, e.g. used items.
-
5. The chair is clean and in good condition.
-
6. Clean towels are stored separate from used towels.
-
7. Hair dressing equipment, e.g. hair driers, hair rollers, hair nets, combs and brushes, are clean, free from hair and washed after use.
-
8. The hair dressing trolley is clean and free from dust and hair.
8. Laundry room
-
1. There is a dedicated laundry room, e.g. the room is not used for any other function.
-
2. Machines (including dispensers) are in good condition and clean, e.g. free from dirt, dust, mould and spilt or congealed washing power/liquid.
-
3. Dedicated hand hygiene facilities, including wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
4. A laminated ‘Hand hygiene technique for staff’ poster is displayed.
-
5. Access to the handwash basin is clear.
-
6. The handwash basin is free from clutter, e.g. used items.
-
7. There is a dirty to clean workflow process in place, e.g. washing machines are sited in the laundry room nearest to entering the room and the tumble driers sited after the washing machines.
-
8. Only commercial washing machines and tumble driers are in use.
-
9. There is documented evidence linen is washed at 65oC for not less than 10 minutes or 71oC for not less than 3 minutes.
-
10. Laundry staff wear appropriate PPE, e.g. gloves and apron, when handling all used, soiled, fouled and infected linen.
-
11. Laundry waiting to be laundered is correctly segregated in the appropriate colour bags.<br>Used, soiled and fouled linen in a white bag.<br>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.
9. Linen store room/cupboard
-
1. 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).
-
2. The room/cupboard is free from inappropriate items, e.g. fans, Christmas decorations, equipment.
-
3. Linen is stored on shelving and above floor level.
-
4. Shelving is impervious and in a good state of repair.
10. Lounge, sitting areas, halls/corridors
-
1. Corridors/hallways are free from clutter and inappropriate items, e.g. waste bins.
11. Activity room
-
1. Soft furnishings are clean, e.g. cushions, fidget handheld fabric items, and washed on at least a weekly basis and when visibly soiled.
-
2. Hard surface objects are clean and cleaned (and disinfected when necessary) on at least a weekly basis and when visibly soiled.
-
3. Foam floor mats are clean and cleaned (and disinfected when necessary) on at least a weekly basis and when visibly soiled.
-
4. Items of sensory light therapy, e.g. bubble tubes, are cleaned and disinfected as per manufacturer’s instructions.
-
5. Sensory equipment should be stored in smooth wipeable lidded containers.
-
6. Staff ensure resident’s hands are cleaned before using the sensory room.
12. Sluice/dirty utility
-
1. A dirty utility/sluice is available.
-
2. The room is free from inappropriate items and clutter, e.g. unused equipment, medical equipment that has been cleaned/decontaminated, general equipment storage.
-
3. The room is free from clean or sterile items, e.g. resident wash bowls, combs, razors.
-
4. Dedicated hand hygiene facilities, including a clinical handwash basin (with lever taps which are not aligned to run directly into the drain aperture, no plug or overflow), wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
5. A laminated ‘Hand hygiene technique for staff’ poster is displayed.
-
6. Access to the handwash basin is clear.
-
7. The handwash basin is free from clutter, e.g. used items.
-
8. A dedicated sink is available for decontamination of equipment.
-
9. 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.
13. Toilets
-
State which toilets/en-suites checked:
-
1. There is a facility for offensive waste, e.g. continence pads, disposal.
-
2. Hand hygiene facilities, including wall mounted dispensers for liquid soap (with single use cartridge) and paper towels, are available, in good condition and clean.
-
3. A ‘Stop the spread of germs – please wash your hands’ poster is displayed.
-
4. Access to the handwash basin is clear.
-
5. The handwash basin is free from clutter, e.g. used items.
-
6. Sanitary ware and fittings are in good condition, clean and free from lime scale and stains.
-
7. All surfaces of toilets are clean, e.g. seats, lids, hinges, handles and rails.
-
8. All surfaces of raised toilet seats, e.g. risers, support frame, are clean.
-
9. 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.
-
13. Toiletries and other items, e.g. soap bars, shampoo, shower gel, facecloths, razors, etc., are personal use and not shared between residents.
-
14. Shower chair, shower head, bath mat, bath hoist, etc., are in good condition, clean and free from lime scale and stains.
-
15. Supplies of toilet roll, pads, waste bags, etc., are minimal and items are not stored on open surfaces.
-
16. Each toilet has its own toilet brush which is clean (no visible soiling or staining), there is no standing water in the brush holder and is air dried in toilet brush holder.
Sign Off
-
Signature of auditor
