We have reviewed IPC audit schedule for Community Care Division in a bid to streamline and effectively monitor IPC standards and processes. Beginning November 2023 audits across the division will be completed in the document below. BBE, IPC practice audits, cleanliness and CES audits will be completed monthly going forward.
Community Care Division IPC schedule
Monthly cleanliness audits
- Millstead School IPC audit
- Palmerston School IPC audit
- Princes Primary School IPC audit
- Redbridge School IPC audit
- Sandfield Parkk IPC audit
- Springwood Health School IPC audit
Monthly IPC audits
Quarterly BBE
Quarterly IPC practice audits
IPC Community dashboard
IPC team Mental Health Self Audit schedule
Inpatient self audit schedule
- Daily cleaning equiptment checklist
- Inpatient weekly environmental checklist
- IPC assurance checklist inpatient
- MRSA monthly data collection form
Urgent care self audit schedule
- Community weekly environmental checklist
- Daily clinical equiptment cleaning checklist
- IPC assurance checklist community
Audit programme
|
Name of audit / check |
How reported |
Frequency |
Person responsible |
How is this monitored for the service line? |
|
Audits completed by the IPC team |
||||
|
|
AMAT |
Annually |
IPC & division |
IPC will report initial score through IPCG. Available on AMAT for service line. Division to report into divisional governance meetings. Division to monitoring progress against actions and report to IPCG by exception. |
|
|
AMaT |
Annually Completed Q3 |
IPC Team |
Will be monitored and reported by IPC |
|
Audits completed by the ward |
||||
|
Hand hygiene audit and bare below the elbows.
|
AMaT |
10 people per ward per quarter |
Ward |
Head of Nursing/ Physical health lead will pull data and report at IPCG by exception |
|
AMaT |
Once for 1 year only To Commence 2025 |
Link worker from the ward |
Head of Nursing/ Physical health lead will pull data and report at IPCG by exception |
|
|
Matron audit
|
Stored locally |
Weekly (Divisional decision) |
Matron |
Divisional arrangements |
|
Assurances completed by the ward |
||||
|
Weekly mattress check assurance
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Weekly (All mattresses on each ward) |
Ward |
Head of Nursing / Physical health lead will pull data and report at IPCG by exception |
|
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Daily |
Ward |
Head of Nursing / Physical health lead will pull data and report at IPCG by exception |
|
IPC environmental checklist assurance
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Weekly |
Ward |
Hea Head of Nursing / Physical health lead will pull data and report at IPCG by exception |
IPC Team Secure Self Audit Schedule
Audit programme
|
Name of audit / check |
How reported |
Frequency |
Person responsible |
How is this monitored for the service line? |
|
Audits completed by the IPC team |
||||
|
|
AMaT |
Annually |
IPC & division |
IPC will report initial score through IPCG. Available on AMAT for service line. Division to report into divisional governance meetings. Division to monitoring progress against actions and report to IPCG by exception. |
|
|
AMaT |
Annually Completed Q3 |
IPC Team |
Will be monitored and reported by IPC |
|
Audits completed by the Ward |
||||
|
Hand hygiene audit and bare below the elbows
|
AMaT |
10 people per ward per quarter |
Ward |
Head of Nursing/ Physical health lead will pull data and report at IPCG by exception |
|
AMaT |
Once for 1 year only To Commence 2025 |
Link worker from the ward |
Head of Nursing/ Physical health lead will pull data and report at IPCG by exception |
|
|
Matron audit
|
Stored locally |
Monthly (Divisional decision) |
Matron |
Divisional arrangements |
|
Assurances completed by the ward |
||||
|
Weekly mattress check assurance
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Weekly (All mattresses on each ward) |
Ward |
Head of Nursing / Physical health lead will pull data and report at IPCG by exception |
|
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Daily |
Ward |
Head of Nursing / Physical health lead will pull data and report at IPCG by exception |
|
IPC environmental checklist assurance
|
Checklist held locally. Assurance uploaded to SharePoint monthly |
Monthly |
Ward |
Hea Head of Nursing / Physical health lead will pull data and report at IPCG by exception |