Community Infection Prevention and Control March 2015 © Harrogate and District NHS Foundation Trust

Environmental Cleanliness Checklist/Audit Tool for Care Homes Page 1 of 2

Weekly Environmental Cleanliness Checklist/Audit Tool for Care Homes

Standard: The environment should be clean, free from dust, dirt and body fluid stains and spillages.

Environment Evidence Yes No N/A Comments/Action

1. Entrance The area is clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, furniture, fixtures and fittings, e.g., lampshades, chairs, are in a good condition, clean and free from stains

2. Lounge, sitting areas

The rooms are clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, furniture, fixtures and fittings, e.g., carpets, lampshades, chairs, foot stools, are in a good condition, clean and free from stains

3. Halls/corridors The area is clean and free from clutter and inappropriate items, e.g., waste bins, hoists

Walls, floor, ceiling, furniture, fixtures and fittings, e.g., carpets lampshades, pictures, are in a good condition, clean and free from stains

4. Dining room The area is clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, furniture, fixtures and fittings, e.g., lampshades, chairs, tables, are in a good condition, clean and free from food and beverage stains

5. Beverage kitchen

The area is clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, fixtures and fittings, e.g., work surfaces, cupboards are in a good condition, clean and free from food and beverage stains

6. Bedrooms (select at least 10% of bedrooms to

Each bedroom should be clean, in good decorative condition and personal items, e.g., ornaments, free from dust

State which bedrooms checked:

Walls, floor, ceiling, furniture, fixtures and fittings, e.g., mattresses, bed frames, lampshades, chairs, tables, are in a good condition, clean and

Acti

on

This check list/audit tool should be completed each week by the Manager or Lead person for Infection Prevention and Control.

In the event of non-compliance, action plans should be produced and reviewed regularly.

Completed audit tools should be kept locally for good practice assurance and as evidence for CQC compliance.

Community Infection Prevention and Control March 2015 © Harrogate and District NHS Foundation Trust

Environmental Cleanliness Checklist/Audit Tool for Care Homes Page 2 of 2

Environment Evidence Yes No N/A Comments/Action

inspect) free from stains

En-suite facilities are clean, free from mould, in good decorative condition and free from clutter and inappropriate items, e.g., hoist slings

En-suite walls, floor, ceiling, fixtures and fittings, e.g., toilet, toilet brush, wash basin, waste bin, liquid soap and paper towel dispensers, are in a good condition, clean and free from stains

7. Bathrooms/ shower rooms (select at least 2 rooms to inspect)

The areas are clean, free from mould, in good decorative condition and free from clutter and inappropriate items, e.g., hoist slings

State which bathrooms/shower rooms checked:

Walls, floor, ceiling, fixtures and fittings, e.g., bath, hoist, shower curtain, shower head, wash basin, waste bin, are in a good condition, clean and free from stains

8. Toilets (select at least 2 communal toilets to inspect)

The areas are clean, in good decorative condition and free from clutter and inappropriate items

State which toilets checked:

Fixtures and fittings, e.g., toilet, toilet brush, wash basin, waste bin, liquid soap and paper towel dispensers, are in a good condition, clean and free from stains

9. Clinical room/ clean utility room

The area is clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, equipment, fixtures and fittings, e.g., work surfaces, lights, shelves, are in a good condition, clean and free from stains

10. Sluice The area is clean, in good decorative condition and free from clutter and inappropriate items

Walls, floor, ceiling, fixtures and fittings are in a good condition, e.g., hand wash basin, liquid soap and paper towel dispensers, bed pan washer, slop hopper, clean and free from stains

11. Linen store room /cupboard

The area is clean, in good decorative condition and free from clutter and inappropriate items, e.g., fans,

Walls, floor, ceiling, fixtures and fittings, e.g., walls, ceiling, light, shelves, are in a good condition

12. Laundry room The area is clean, in good decorative condition and free from inappropriate items

Walls, floor, ceiling, fixtures and fittings, e.g., washing machines, hand wash basin, liquid soap and paper towel dispensers, waste bins, are in a good condition

13. Cleaner’s room

The area is clean, in good decorative condition and free from inappropriate items

Walls, floor, ceiling, fixtures and fittings, e.g., hand wash basin, liquid soap and paper towel dispensers, shelves, are in a good condition

Auditor: .................................................................................. Unit/Location: ........................................................................................... Date: ...........................