TSDHCT Community Infection Control Site Audit

• Document No.

• Client Site

  Select Ashburton Bovey Tracey Brixham Dartmouth Dawlish Newton Abbot Paignton South Hams Tavistock Teignmouth Totnes

  • Ashburton
  • Bovey Tracey
  • Brixham
  • Dartmouth
  • Dawlish
  • Newton Abbot
  • Paignton
  • South Hams
  • Tavistock
  • Teignmouth
  • Totnes

• Area

  Select MIU Ward Physio Ward Kitchen Theatre OT Kitchen Outpatients Overall Site

  • MIU
  • Ward
  • Physio
  • Ward Kitchen
  • Theatre
  • OT Kitchen
  • Outpatients
  • Overall Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hand Hygiene Facilities

• The organisation has comprehensive procedures and a policy for hand hygiene?

  Yes

  No

  N/A

• Organisational structures are in place to ensure, distribution and compliance and monitoring of the hand hygiene policy and procedures?

  Yes

  No

  N/A

• Hand hygiene is an integral part of induction for all staff?

  Yes

  No

  N/A

• Staff have received training in hand hygiene procedures? (Ask a member of staff)

  Yes

  No

  N/A

• Clinical staff nails are short, clean and free from nail extensions and varnish?

  Yes

  No

  N/A

• No wrist watches, stoned rings or other wrist jewellery are worn during clinical procedures?

  Yes

  No

  N/A

• Hand hygiene is encouraged and alcohol hand rubs are made available for visitors?

  Yes

  No

  N/A

• Posters promoting hand hygiene are available and are on display?

  Yes

  No

  N/A

• There is a hand wash basin in each treatment / clinical area?

  Yes

  No

  N/A

• Hand washing facilities are clean and intact? (Check sinks, taps, splash backs, soap and towel dispensers)

  Yes

  No

  N/A

• Hand wash basins are dedicated for that use only and are free from used equipment and inappropriate items?

  Yes

  No

  N/A

• There is easy access to the hand wash basin?

  Yes

  No

  N/A

• The hand wash basin complies with HTM 64 i.e. no plugs, no overflows, water from taps not directly situated above plug hole?

  Yes

  No

  N/A

• Elbow operated taps are available at all hand wash basins in clinical areas?

  Yes

  No

  N/A

• Liquid soaps available at all hand wash basins in clinical areas?

  Yes

  No

  N/A

• Liquid soap is in the form of single use cartridge dispensers?

  Yes

  No

  N/A

• There is no bar soap at hand washing basins in treatment / clinical areas?

  Yes

  No

  N/A

• Alcohol rub is available for use at the entrance / exits to clinical settings, when appropriate, e.g. Community hospitals?

  Yes

  No

  N/A

• Alcohol hand rub is available at the point of care as per local and national standards?

  Yes

  No

  N/A

• Portable alcohol hand rub is available for domiciliary visits?

  Yes

  No

  N/A

• Clinical staff are encouraged to use hand moisturisers that are pump operated for personal use?

  Yes

  No

  N/A

• Soft absorbent paper towels are available at all hand wash sinks?

  Yes

  No

  N/A

• There aren't re-usable cotton towels used to dry hands?

  Yes

  No

  N/A

• There are no re-usable nail rushes used or present at hand wash sinks?

  Yes

  No

  N/A

• There is a foot operated bin for waste towels in close proximity to hand wash sinks which are fully operational?

  Yes

  No

  N/A

Environment

• The organisation has access to the NHS document "Infection Control in the Built Environment?" (www.nhsestates.gov.uk)

  Yes

  No

  N/A

• The organisation has comprehensive procedures based on the following documents - "Revised Guidance for Contract Cleaning", "NHS Healthcare Facilities Cleaning Manual","National Specifications for Cleanliness?" (www.nhsestates.gov.uk)

  Yes

  No

  N/A

• Organisational structures are in place to ensure distribution, compliance and auditing of cleanliness?

  Yes

  No

  N/A

• Overall appearance of the environment is tidy and uncluttered with only appropriate, clean and well maintained furniture used?

  Yes

  No

  N/A

• Fabric of the environment and equipment smells clean, fresh and pleasant?

  Yes

  No

  N/A

• The allocation of rooms for clinical practice is fit for purpose?

  Yes

  No

  N/A

• Rooms where clinical practice takes place are not carpeted?

  Yes

  No

  N/A

• Floor coverings are washable and impervious to moisture and are sealed regularly?

  Yes

  No

  N/A

• The complete floor, including edges and corners are visibly clean with no visible body substances, dust, dirt or debris?

  Yes

  No

  N/A

• Furniture, fixtures and fittings should be visibly clean with no body substances, dust, dirt, debris or adhesive tape?

  Yes

  No

  N/A

• All dispensers, holders and all parts of the surfaces of dispensers of soap and alcohol gels,paper towel / couch roll / toilet paper holders are visibly clean with no body substances, dust, dirt, debris or adhesive tape?

  Yes

  No

  N/A

• Toilets are visibly clean with no body substances, dust, lime scale stains, deposits or smears - including under the toilet seat?

  Yes

  No

  N/A

• Hand wash basins are visibly clean with no body substances, dust, lime scale stains, deposits or smears?

  Yes

  No

  N/A

• Hand wash basins are dedicated for that use only and are free from used equipment and inappropriate items?

  Yes

  No

  N/A

• Facilities are available for the safe disposal of sanitary towels?

  Yes

  No

  N/A

• Sanitary bins are replaced regularly with clean to prevent overfilling?

  Yes

  No

  N/A

• Waste receptacles are clean, including lid and pedal?

  Yes

  No

  N/A

• Foot pedals of clinical waste bins are in good working order?

  Yes

  No

  N/A

• There is a procedure in place for regular decontamination of blinds and curtains?

  Yes

  No

  N/A

• Furniture in patient areas e.g. chairs and couches are made of impermeable and washable materials?

  Yes

  No

  N/A

• Chairs are free from rips and tears?

  Yes

  No

  N/A

• Couches are free from rips and tears?

  Yes

  No

  N/A

• Disposable paper couch roll is in use on examination couches?

  Yes

  No

  N/A

• Pillows are enclosed in a washable and impervious cover?

  Yes

  No

  N/A

• Furniture that cannot be cleaned is condemned?

  Yes

  No

  N/A

• Tables are tidy and uncluttered to enable cleaning?

  Yes

  No

  N/A

• Medical equipment is cleaned, maintained and stored appropriately?

  Yes

  No

  N/A

• Water coolers are mains supplied, visibly clean and on a planned maintenance programme?

  Yes

  No

  N/A

• Soft toys are not available for communal use?

  Yes

  No

  N/A

• Toys are visibly clean with no evidence of body substances, dust or debris?

  Yes

  No

  N/A

• Changing mats are free of rips and tears and are visually clean with no evidence of body substances, dust or deposits?

  Yes

  No

  N/A

• Changing mats are covered in easy-clean material?

  Yes

  No

  N/A

• Baby weighing scales are visibly clean with no body substances, dust or deposits?

  Yes

  No

  N/A

• Sandpits have fitted lids?

  Yes

  No

  N/A

• Sand is kept clean and dry and sand is renewed regularly?

  Yes

  No

  N/A

• Animals used for pet therapy have evidence that all appropriate worming and vaccinations are up-to-date and have a flea management programme?

  Yes

  No

  N/A

• Feeding areas, cages and bedding are cleaned and changed regularly?

  Yes

  No

  N/A

• Hand hygiene is actively encouraged after handling animals in healthcare environments - must apply to staff and visitor?

  Yes

  No

  N/A

• Sharps bins / boxes are clearly and correctly labelled?

  Yes

  No

  N/A

• Sharps bins / boxes are not overfilled and do not have any objects protruding?

  Yes

  No

  N/A

• Sharps bin / box lids are in a closed position?

  Yes

  No

  N/A

Kitchen Area

• The kitchen is subject to a regular inspection from Environmental Health or other agency?

  Yes

  No

  N/A

• The floor is clean and tidy?

  Yes

  No

  N/A

• There is no evidence of infestation or animals in the kitchen?

  Yes

  No

  N/A

• Fly screens are in place where required?

  Yes

  No

  N/A

• Cleaning materials used in the kitchen are identifiable and are stored separately to other cleaning equipment and away from food?

  Yes

  No

  N/A

• There is a separate dedicated hand wash sink and liquid soap and paper towels are available?

  Yes

  No

  N/A

• Fixtures and fittings are in a good state of repair?

  Yes

  No

  N/A

• Fixtures, surfaces and appliances are clean and dry?

  Yes

  No

  N/A

• Shelves, cupboards and drawers are clean and dry, free from dust and in a good state of repair?

  Yes

  No

  N/A

• All cooking appliances are visibly clean?

  Yes

  No

  N/A

• Refrigerators / freezers are clean and free from ice build up?

  Yes

  No

  N/A

• There is a thermometer in the refrigerator and freezer?

  Yes

  No

  N/A

• There is evidence that daily temperatures are recorded and appropriate action is taken if standards are not met? ( refrigerator temperature must be less than 8C, freezer -18C or as local policy

  Yes

  No

  N/A

• Patient and staff food is labelled and there is a system in place to determine when it was opened and / or when it should be used by?

  Yes

  No

  N/A

• There are no inappropriate items ( e.g. medications or specimens ) in the refrigerator?

  Yes

  No

  N/A

• Milk is stored in the refrigerator?

  Yes

  No

  N/A

• Bread is stored in a clean dry container?

  Yes

  No

  N/A

• All food products are within their expiry dates?

  Yes

  No

  N/A

• Opened food is coved or stored in containers?

  Yes

  No

  N/A

• Water coolers / ice machines are mains supplied, visibly clean and on a planned maintenance programme?

  Yes

  No

  N/A

• Ice making machines that use storage bins for storing ice in the ice maker are not in use?

  Yes

  No

  N/A

• Ice dispensing machines are used where it is required for food / drink purposes? ( I.e. the ice is dispensed from nozzles directly into receptacle on demand)

  Yes

  No

  N/A

• The daily routine of the ice maker / dispenser is strictly adhered to and is cleaned at least once a week according to manufacturers instructions?

  Yes

  No

  N/A

• There is a satisfactory system for cleaning crockery and cutlery e.g. Dishwasher which is clean and well maintained?

  Yes

  No

  N/A

• Disposable paper roll is available for drying equipment and surfaces?

  Yes

  No

  N/A

• There are no fabric tea towels or dish cloths in use?

  Yes

  No

  N/A

• Waste bins are foot operated, clean, and in good working order?

  Yes

  No

  N/A

• There are no inappropriate items or equipment in the kitchen?

  Yes

  No

  N/A

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