Monthly Inspection Checklist

Accident/incident reportings
Are Waste Bin 'Foot / Knee' pedals in working condition?
Are All Required PPE Items available for staff?
Are 'Hand Gels / Sanitisers' available throughout the premises?
Have all Accident Forms in the 'Accident File' been logged/recorded?
How many of the following have been reported over the past 30 days (in total)?
Accidents to staff
Accidents to Service users
Incidents to staff
Incidents to Service users
Incidents to Others
Is a Hazard Data Sheet available for all substances used?
Audit verification
Audit Completed By:
Audit Reviewed By:
Review Date:
Bathroom checks
Is liquid soap/Paper towels/ Hands-free waste bins available in the restroom?
Are bathmats seen and if yes, are they clean?
Are Emergency Call Points Operational?
Does bathroom have bad odour?
Is hot water warning sign properly displayed?
Is bathroom doorway clear of obstructions?
Are all Floor Coverings in the bathroom in Good Condition?
Are all items of Bathroom Furniture kept in Good condition?
Can bathroom doors be properly locked and opened?
Did you find any bulbs not in working condition (bathroom)?
Bedroom checks
Is bedroom area free of bad odour?
Are Mattresses, Pillows and covers Clean and Stain Free?
Are 'Hot Water' Warning Signs displayed properly?
Are Emergency Call Points Operational?
Are bedroom doorways obstruction free?
Are all Floor Coverings in the Bedroom in Good Condition?
Are all furniture items (bedroom) in good condition?
Is there an easy movement in the room?
Are heating/ventillation arrangements appropriate?
Are all electrical cables stored properly (does not cause any hazard)?
Are there any bulbs not in working condition?
Equipment condition
Which of the following are in good condition and without defects?
Which of the following are in good condition and without defects?
Is a 'Burns Kit' and fire blanket available in the Kitchen?
External checks
Are Doorways Clear of Obstacles (external doors)?
Are external doors easy to open and close?
Do all locks work properly (external doors)?
Is the external doorway area well illuminated?
Are any External Steps in Good Condition and obstruction free?
Are External Mats in Good Condition and damage free?
Are External Mats Slippery?
Are Pathways in Good Condition and obstruction free?
Are Garden Furniture items properly maintained?
Are doors, windows in a good state?
Are there any bulbs not in working condition?
Fire and safety
Is the fire alarm test record done correctly?
Is the fire extinguisher test record done correctly?
Is the emergency lighting test record done correctly?
Please mention the date of fire alarm test record
Please mention the date of fire extinguisher Test Record
Please mention the date of Emergency Lighting Test record
Is fire drill conducted within 6 months?
Date of fire drill
General details
Mention the Total Number of Available Beds
Mention the Total Number of Occupied Beds
Has the audit from the previous month been reviewed and signed off?
How many corrective actions were raised last month?
Have all corrective cctions raised from last month been completed?
General Details
Audit Date
Ward details
Was the call bell responded by the nurses on time?
Was the medications received on time?
Did you feel relief from the pain during the stay?
Was the personal needs such as hygiene, toile ting and grooming well taken care of?
Was proper care and treatment given to me?
Was there proper privacy maintained?
Did you get proper sleep?
Was ear plugs given?
Was the room or bed space clean and hygienic?
Were the nursing staff friendly and approachable?
Did you find any staff expectionally professional?
Mark the quality of the food on 1-10 scale
Mark the overall level of communication on 1-10 scale
Mark the quality of the food on 1-10 scale
Did you feel secured at the time of admission?
Any suggestion/feedback which you feel that needs attention in patient safety.
Any conflicting situation you experienced during the stay. Elaborate
Any suggestion/feedback which you feel that needs attention in level of care.
Is the ward clutter free and clean?
Attach ward images
Hallways/stairs
Are all Areas Free from bad smell?
Are Doorways Clear of Obstacles?
Are all Floor Coverings, stair carpets in Good Condition?
Are Stairs Clear of Obstacles and Equipment?
Are all fitting secured?
Are any bulbs not in working condition (hallway/stairs/landing)?
Kitchen area
Does cleaning schedule have an evidence?
Are Doorways 'Clear of Obstacles' blocking passage?
Are Floor Coverings in Good Condition and obstruction free?
Is there any evidence of 'Spillage' today?
Are all Work-Surfaces Clean, clutter free and well-maintained?
Do all Windows openings have Fly Screens fixed?
Are 'Hot Water' Warning Signs displayed as where required?
Did you find any Bulbs Not in Working condition?
All the staff members who are involved with the preparation of food have appropriate training and certificates?
Are Colour Coded Chopping Boards available?
Do staff Know the 'Colour Coding' and guide to Chopping Boards?
Did you find any outdated food items?
Are Meats Stored Separately (cooked/raw)?
Is Raw Meat Stored on the Bottom Shelf?
Is all food covered and stored in Plastic, Glass or EarthenWare containers but not in tins?
Is all 'Opened' food labelled with the 'Opened & Use By' Date?
If staff uses fridge for storing personal food items, are those items labelled?
Are all Appliances, Kitchen Equipment and cabinets Clean?
Are Appliances Tested?
Is a Food Temperature Probe available?
Are Food Temperature Checks Recorded?
Living room checks
Is the living area free of bad odour?
Are door ways obstruction free?
Are all Floor Coverings in the living room in Good Condition?
Are all furniture items (dining room) in good condition?
Are any bulbs not in working condition (living area)?
Medication checks
Is medication stock checked weekly?
Are medicines out of stock properly documented and disposed?
Are all Medications received into the Service properly Checked & Signed?
Does the Fridge Used for medication storage have a lock (working condition)?
Does the fridge used for storing medicines have max./min/ thermometer?
Are maximum/minimum temperatures of fridge recorded daily?
Are the contents of the Fridge Correct?
Please specifiy the number of medication Errors reported this month
Do staff have access to appropriate, up to date information about Medications they administer?
Are controlled drugs kept safely?
Is the CD register/book updated?
Are sample staff signatures updated regularly?
Is the CD sheet signed by 2 staff members?
Does ALL Manual Handling Activities have risk assessments?
Overall comments and actions
Overall comments
Are corrective actions raised and taken?
Protective Gear and Health safety
Is appropriate Clothing and PPE available for the use of the substances?
Are Medications Stored Safely and in order?
Are stock medication properly stored?
Staff checks
Are staff members suitably dressed?
Are staff members working in a safe and in an appropriate manner?
Is staff members showing respect to the service users?
Is the staff supervision up to date?

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