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