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

Monthly IPC audits

Quarterly BBE

Quarterly IPC practice audits

IPC Community dashboard

IPC team Mental Health 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

IPC Annual audit

 

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.

Mattress audit IPC

 

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

Mattress audit link worker

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

Medical devices assurance

 

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

IPC Annual audit

 

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.

Mattress audit IPC

 

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

Mattress audit link worker

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

Medical devices assurance

 

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