Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Communal Spaces

  • Does the environment appear well organised and calm?

  • Are areas clean and pleasant smelling?

  • Are communal spaces clear of staff's personal items?

  • Have you informed staff of the correct place to store personal items?

  • Are communal spaces clean, tidy and presentable?

  • Are bathrooms/shower rooms free from clutter?

  • Are store cupboards tidy and free from incontinence products?

  • Are fire exits clear of obstacles?

PPE

  • Are staff wearing the correct uniform and presented well?

  • Are gloves available and stocked in all sizes?

  • Are face masks available?

  • Is hand sanitiser available?

  • Are handwashing signs in place?

  • Are staff bare below the elbow?

  • Is there sufficient PPE stock on the unit?

  • If there sufficient PPE stock in case of Covid-19 outbreak?

Equipment

  • Is equipment/furniture in good working order?

  • Has this been reported to the maintenance team?

  • Is all moving and handling equipment in working order?

  • Has this been reported to the maintenance team?

  • Is the moving and handling storage room tidy and accessible?

Patient Care

  • Check one room:

  • Is the room clean and tidy?

  • Is the bed made and the room presented well?

  • Are bathrooms tidy and pleasant smelling?

  • Are incontinence products being stored in the correct place in accordance with IC guidelines?

  • Check another room:

  • Is the room clean and tidy?

  • Is the bed made and the room presented well?

  • Are bathrooms tidy and pleasant smelling?

  • Are incontinence products being stored in the correct place in accordance with IC guidelines?

Documentation

  • Have comfort round been completed?

  • Have pressure packs been completed?

  • Are ABC/Behaviour charts being completed?

  • Are staff confident using the PCS system?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.