This audit tool is required to check and ensure that all control measures identified within the Annual Risk Assessment are being completed adequately in order to reduce risks. The completed audit form will be reviewed at Head Office and any areas of concern/ improvement that have been identified will be actioned
ENTRANCE, CORRIDOR & RECEPTION
4.
The area is clean and free from clutter?
5.
Walls, floor, ceiling, furniture, fixtures and fittings, e.g. light fittings, reception desk, are in a good condition, clean and free from dust and dirt?
RECEPTION & PATIENT WAITING AREAS
6.
The area is clean, tidy and free from clutter?
7.
Is there hand gel available and patients use it on arrival ? (receptionist to ask patient)
8.
Is the drinks area clean, tidy and stocked?
9.
Are the paper waste bins less than 3/4 full?
PATIENT & STAFF TOILETS
10.
Toilet facilities are clean & tidy
11.
Walls, floor, ceiling, furniture, fixtures and fittings, e.g. flooring, light fittings, hand washing facilities are in a good condition, clean and free from dirt?
12.
Handwashing facilities are available and stocked up e.g. Toilet tissue, handsoap, paper towels.
13.
There is a lidded / foot operated waste disposal bin in place and less than 3/4 full?
14.
Is there a sanitary waste disposal and is it visibly clean?
15.
Is there a designated person to check the cleanliness of the toilet facilities throughout the day, empty the bins and restock as necessary?
16.
Is there a separate bin for sanitation and it is visibly clean?
CONSULTATION / TREATMENT ROOMS
17.
Is the nursing trolley neat, tidy, clean and free from damage?
18.
Are the floors and walls in good condition and visibly clean? (ie no damage)
19.
Are all fixtures and fittings in good repair and visibly clean? eg: light fittings, couches, privacy screens
20.
Is the examination couch in good repair and visibly clean (including the frame and underneath)?
21.
Foot/ Elbow operated handwashing facilities are available in clinical areas and are in good working order .
22.
The hand wash area is visibly clean and free from clutter, tablets of soap and re-usable nailbrushes.
23.
Is the sharps box assembled correctly i.e. lid securely placed, date assembled, staff signature
24.
Are the sharps boxes wall mounted?
25.
The temporary lid closure on the sharps box is in use?
26.
Is the sharps bin less than 3 months old from the date of assembly?
If not dispose of and replace following the sharps disposal policy.
WASTE MANAGEMENT
27.
Is there an orange clinical waste bin available in the clinical area?
28.
Is there a lockable bin for clinical waste disposal and collection?
29.
Is there a domestic black bin available in the clinical area?
30.
At the end of each clinic is all waste (clinical & domestic) removed from clinical areas and stored ready for collection in an appropriate area?
HAND HYGIENE
31.
Posters which are laminated promoting hand hygiene are available and on display in appropriate places.
32.
Clinical staff are bare below elbow i.e. no long sleeves garments, no wrist jewellery or wrist watches, stoned rings worn during clinical procedures
33.
Clinical staff have nails that are short, clean and without nail extensions or varnish.
34.
Do all clinical staff appropriately perform hand hygiene as per WHO ‘5 moments? *
35.
Is there a range of non-sterile PPE available including gloves, masks, visors and aprons?
36.
Any additional risks identified? Please state actions required, responsible person(s)
END OF SURVEY