Environmental cleaning audit report

Cleaning Management Audit Report Date audited:

09/06/2016

Location:

Mill Hill Demo Station Road Mill Hill London NW7 2JU

Client name:

Demonstration

Auditor:

Kevin Malambo

Accompanied by:

Jennifer Day

Additional info:

Section

% Compliance

Governance and Documentary Evidence - Cleaning

100 %

Staff Records - Cleaning

0% 100 %

e

Expertise - Cleaning Personal Protective Equipment - Cleaning

General Offices - Cleaning Communal Living Room - Cleaning

Dining Room - Cleaning Kitchen - Cleaning

100 % 100 % 100 % 96 % 100 %

Sa

Bathroom - Cleaning

94 %

m

Activity Room - Cleaning

91 %

pl

Reception - Cleaning

100 %

Shower Room - Cleaning

100 %

Public/Disabled Toilet - Cleaning

100 %

Staff Toilet/Shower Room - Cleaning

100 %

Staff Room/Kitchen - Cleaning

100 %

Waste Management - Cleaning

100 %

Total

97 %

Corrective actions: Staff Records - Cleaning All healthcare cleaning/domestic staff should have regular 12 monthly updates on healthcare cleaning training.

All healthcare cleaning/domestic staff should have regular 12 monthly updates on infection prevention and control training.

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Date Approved: 09/06/2016

ICAT Audit Tool Vrs 2.0 Page 1 of 25

Reception - Cleaning All low surfaces (such as bookcases, windowsills, shelves, etc.) should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, insects or spillages.

All high surfaces (such as tops of cupboards, curtain rails, etc.) should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or spillages.

General Offices - Cleaning Carpets should be visibly clean, free from stains, visible soilage watermarks and should be odour free.

Kitchen - Cleaning Oven surfaces, including undersides and rims, are visibly clean with no dust, dirt, debris, spillages or food debris.

Demonstration 1 Mill Hill Demo Governance and Documentary Evidence - Cleaning

Question

Compliance

Healthcare cleaning policy statement is available which outlines compliance with the Code of Practice (2015).

Compliant

Environmental policy manual is available in compliance with the Code of Practice DH (2015) and local risk assessment.

Compliant

Healthcare cleaning/domestic staff can locate/access the environmental policy manual.

Compliant

Expert Guidance

Sa

e

Governance documents should be accessible to staff and available for inspection

Comments

Rationale

pl

Expert Guidance

m

Expert Guidance

The environmental policy manual is clearly marked with a review date and has not expired.

Compliant

Expert Guidance

There is a policy and/or poster outlining the process for management of inoculation injury/splash incident including up-to-date contact phone numbers for A&E/Occupational Health.

Compliant

Expert Guidance

Control of Substances Hazardous to Health (COSHH) data sheets are available for all disinfectants and cleaning agents used.

Compliant

Legislation

A cleaning plan is available for cleaning services.

Compliant

Expert Guidance

A risk assessment has been undertaken to identify the service level cleaning required for functional areas and elements.

Compliant

Expert Guidance

Environmental cleaning schedules and checklists are available.

Compliant

Expert Guidance

Toy/play equipment cleaning schedules and checklists are available.

Compliant

Expert Guidance

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Date Approved: 09/06/2016

ICAT Audit Tool Vrs 2.0 Page 2 of 25

Carpets are visibly clean, free from stains, visible soilage, watermarks and are odour free.

Non-Compliant

All ceiling surfaces are visibly clean with no blood or body substances, dust, dirt, debris or cobwebs.

Compliant

Expert Guidance

All wall fixtures such as: switches, sockets and data points are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Not applicable

Expert Guidance

All parts of the door structure should be visibly clean and are free from blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, fingerprints or spillages.

Not applicable

Expert Guidance

All internal glazed surfaces are visibly clean and smear free with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Compliant

All parts of the radiator (including between panels) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Compliant

The external part of the ventilation grille (extractor or inlet) are visibly clean with no blood or body substances, dust, dirt, debris or cobwebs.

Compliant

All light fittings and covers (including lamp bases, lampshades) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or insects.

Compliant

Expert Guidance

All low surfaces (such as bookcases, windowsills, shelves, etc.) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, insects or spillages.

Compliant

Expert Guidance

All high surfaces (such as tops of cupboards, curtain rails, etc.) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or spillages.

Compliant

Expert Guidance

All chairs are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, stains or spillages.

Compliant

Expert Guidance

All parts of tables and desks (including legs, wheels/castors and underneath) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Compliant

Expert Guidance

pl

Expert Guidance

Sa

m

Expert Guidance

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Expert Guidance Code of Practice for the prevention and control of infections 2015 Criterion 2; Revised Healthcare Cleaning Manual AHCP 2013; The national specifications for cleanliness: Guidance on setting and measuring performance outcomes in care homes NPSA 2010

e

Carpets are not visibly clean.

Carpets have evidence of stains or watermarks.

Date Approved: 09/06/2016

Expert Guidance

ICAT Audit Tool Vrs 2.0 Page 8 of 25

Compliant

Expert Guidance

All internal glazed surfaces are visibly clean and smear free with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Compliant

Legislation

All parts of the radiator (including between panels) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.

Compliant

Best Practice

The external part of the ventilation grille (extractor or inlet) are visibly clean with no blood or body substances, dust, dirt, debris or cobwebs.

Compliant

Expert Guidance

All light fittings and covers are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or insects.

Compliant

Expert Guidance

All low surfaces (such as windowsills, shelves, etc.) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, insects or spillages.

Compliant

Expert Guidance

All high surfaces (such as tops of cupboards) are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or spillages.

Compliant

Toilets, fittings and surrounds are visibly clean with no blood and body substances, dust, dirt, debris, lime scale, stains or spillages.

Compliant

The shower, and any fittings are visibly clean with no blood and body substances, scum, dust, lime scale, stains, deposit or smears.

Compliant

All hand rails are visibly clean, free from marks, with no blood or body substances, dust, dirt, debris, adhesive tape or cobwebs.

Compliant

Expert Guidance

All sinks, fittings and surrounds (including taps and splash backs) are visibly clean with no blood or body substances, dust, dirt, debris, lime scale, stains or spillages.

Compliant

Expert Guidance

All soap, hand cream, alcohol rub/gel and paper towel dispensers are visibly clean with no blood or body substances, dust, dirt, debris, lime scale, stains or spillages.

Compliant

Expert Guidance

All waste receptacles including lid and pedals are visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, stains or spillages.

Compliant

Expert Guidance

e

All parts of the door structure should be visibly clean and are free from blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, fingerprints or spillages.

pl

Expert Guidance

Sa

m

Expert Guidance

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Date Approved: 09/06/2016

Expert Guidance

ICAT Audit Tool Vrs 2.0 Page 22 of 25

Cleaning Management Action Plan Date audited:

09/06/2016

Location:

Mill Hill Demo Station Road Mill Hill London NW7 2JU

Client name:

Demonstration

e

Notes:

Other Corrective Actions Staff Records - Cleaning

pl

Corrective actions:

Reference

Evidence of Compliance

All healthcare cleaning/domestic staff should have regular 12 monthly updates on healthcare cleaning training.

Code of Practice for the prevention and control of infections 2015 Criterion2; Revised Healthcare Cleaning Manual AHCP 2013

All healthcare cleaning/domestic staff should have regular 12 monthly updates on infection prevention and control training.

Code of Practice for the prevention and control of infections 2015 Criterion2; Revised Healthcare Cleaning Manual AHCP 2013

Due Date

Sa

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Responsibility

m

Corrective Action

Report Version 0.0.1 Date Approved: 09/06/2016

Page 1 of 2

Reception - Cleaning

All low surfaces (such as bookcases, windowsills, shelves, etc.) should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs, insects or spillages.

Code of Practice for the prevention and control of infections 2015 Criterion 2; Revised Healthcare Cleaning Manual AHCP 2013; The national specifications for cleanliness: Guidance on setting and measuring performance outcomes in care homes NPSA 2010

All high surfaces (such as tops of cupboards, curtain rails, etc.) should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape, cobwebs or spillages.

Code of Practice for the prevention and control of infections 2015 Criterion 2; Revised Healthcare Cleaning Manual AHCP 2013; The national specifications for cleanliness: Guidance on setting and measuring performance outcomes in care homes NPSA 2010

General Offices - Cleaning Reference

Responsibility

Due Date

Evidence of Compliance

Responsibility

Due Date

Responsibility

Due Date

m

Corrective Action

Evidence of Compliance

e

Reference

pl

Corrective Action

Kitchen - Cleaning

Sa

Carpets should be visibly clean, free from Code of Practice for the prevention and stains, visible soilage watermarks and control of infections 2015 Criterion 2; should be odour free.

Revised Healthcare Cleaning Manual AHCP 2013; The national specifications for cleanliness: Guidance on setting and measuring performance outcomes in care homes NPSA 2010

Corrective Action

Reference

Oven surfaces, including undersides and rims, are visibly clean with no dust, dirt, debris, spillages or food debris.

Code of Practice for the prevention and control of infections 2010 Criterion 2; Revised Healthcare Cleaning Manual AHCP 2013; The national specifications for cleanliness: Guidance on setting and measuring performance outcomes in care homes NPSA 2010

Evidence of Compliance

Copyright IPC Management (Holdings) Ltd Š 2005–2016 Template: Environmental Cleaning (02)

Report Version 0.0.1 Date Approved: 09/06/2016

Page 2 of 2