Trust Cleaning Policy - Home - Hampshire Hospitals NHS ... · Hospitals need to be able to demonstrate that ... Having a policy for the ... Soft floor C Domestic Cleaning Services

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Standardise Cleaning procedures for the

Basingstoke and North Hampshire NHS

Foundation Trust

Version 2

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Contents 1. Introduction................................................................ 3

1.1 Executive summary ...........................................................................3 1.2 Infection control summary..................................................................4

2. Cleaning services MACH, F floor and Estates and Facilities Management (EFM) Domestic services... 4 3. Audit............................................................................ 5

3.1 Aim ....................................................................................................6 4. Responsibilities ......................................................... 7 5. Cleaning Frequencies ............................................. 10

5.1 Identifying risk categories ...............................................................10 5.1.1 Very high risk functional areas .................................................10 5.1.2 High risk functional areas .........................................................10 5.1.3 Significant risk functional areas ................................................11 5.1.4 Low risk functional areas ..........................................................11

6. Element Specifications ........................................... 13 6.1 Environment ....................................................................................13 6.2 Patient Equipment ...........................................................................13 6.3 Building............................................................................................15 6.4 Fixtures............................................................................................17

7. Cleaning equipment ................................................ 23 8. Appendices .............................................................. 24


1. Introduction Hospitals need to be able to demonstrate that their wards and departments are clean – and kept clean. This evaluation is best done as a joint exercise between those who provide the service and those on the receiving end – ward staff and patients. It means that quality standards need to be set and an agreed way of measuring them put in place. Providing a clean safe environment for healthcare is a key priority for the Trust, and is a core Standard in Standards for better health. Other publications such as Code of Practice for the prevention and control of HCAI and A Matron’s Charter: An action Plan for Cleaner Hospitals have further emphasised this, and also recognise the role cleaning has in ensuring that the risk to patients from healthcare associated infections is reduced to a minimum. The code of practice to the Hygiene Bill (for the prevention and control of healthcare infections) places further onus and responsibility on Trusts to ensure that local provision of cleaning services is adequately resourced; clearly defined through a strategic cleaning plan, with clear cleaning schedules and frequencies; and displayed publicly to ensure that patients, the public and staff know what they can expect. This key priority, coupled with increasing public concern about healthcare associated infections, means Trusts need to not only be clean but able to demonstrate how and to what standard they are kept clean. High levels of cleanliness can only be achieved through: • Clear specifications; • The proper training of staff; • Documented lines of accountability; • Involving patients; • All staff recognising their responsibilities; • A meaningful framework for measurement; • Matrons taking the lead; • Direct links between infection prevention and control and local infection control teams and policies.

1.1 Executive summary The Chief Executive of every trust is responsible for ensuring that there are effective arrangements for infection control throughout the trust in accordance with HSC 2000/2002. This document supports local management in planning to address risk by enabling the effectiveness of cleaning programmes to be assessed. The Director of Infection Prevention and Control and Infection Control committee


should be involved in their use and regularly appraised of assessment findings.

1.2 Infection control summary The Hygiene Code of 2006 and it’s recent amendments (the Health and Social Care Act of 2008) requires all acute trusts to provide and maintain a clean and appropriate environment that facilitates the prevention and control of health care associated infections. As a legal requirement, BNHFT will not be able to gain and maintain a registration with the care quality commission in order to continue to provide health care. Having a policy for the environment that make provision for liaison between the members of the infection control team and the facilities managers is key element in compliance. It is also crucial to ensure that the cleaning arrangements detail the standards of cleanliness required in each area and that the schedule of cleaning frequencies is publicly available. Like all infection control policies, compliance should be audited and shortfalls addressed. As per the code, this policy clearly defines the specific roles and responsibilities for cleaning.

2. Cleaning services MACH, F floor and Estates and Facilities Management (EFM) Domestic services

Providing a clean safe environment for healthcare is a key priority for the Trust, and is a core. The delivery of cleaning services at the Trust detailed in section 4 Responsibilities; allocate the core tasks to specific groups of staff. This however doesn’t distract from the culture set out by The Matrons Charter, that all staff groups are responsible for the cleanliness of the Trust. The delivery of Domestic Cleaning Services at the Trust is carried out by three departments:

• MACH Housekeeping team G floor • F Floor Housekeeping department F floor • EFM Domestic All other wards and

common areas in MACH Sherborne building All three departments follow the procedures detailed in this document to carry out the domestic cleaning requirements and liaise with the infection control team and Nursing teams to provide a safe environment for healthcare at the Trust.


3. Audit Hospitals need to be able to compare their performance and outcomes against others of a similar size and type. The importance of this kind of benchmarking cannot be underestimated in relation to continuous improvement and making sure that enough progress is being made against others who are the “best in class”. This section sets out a methodology by which those involved in our cleaning services can establish the cleanliness of equipment, fixtures, fittings and buildings in a way, which allows the whole hospital score to be calculated from a collection of area specific (e.g. ward) scores. It provides flexibility insofar that results can be established for the same equipment across a whole hospital site (e.g. all beds), parts of buildings (e.g. all stairwells), all wards or departments or groupings of wards etc. This allows any variations in quality across similar areas to be identified and the causes addressed. It also sets out the quality standards expected in relation to 49 ‘Elements’ (equipment, fixtures, fittings and buildings or parts thereof), which are assessed within a room or a range of rooms, which form natural counting blocks (e.g. wards), which are known, as Functional Areas. It also acknowledges the fact that different areas of the hospital have different levels of risk associated with them and for that reason four categories are defined;

• Very High • High • Significant • Low

Each has been assigned a different level of cleaning importance to deal with the varying clinical needs. The methodology suggests the minimum frequency at which formal monitoring/auditing should take place relative to the above mentioned risk categories – which is in addition to informal monitoring systems of supervision taking place on a continuous basis: - Very high risk Over a period of a week all rooms within a very high risk functional area should be audited at least once. High risk Over a period of one month all rooms within a high risk functional area should be audited at least once. Significant risk Over a period of 3 months all rooms within a significant risk functional area should be audited at least once.


Low risk Over a period of 12 months all rooms within a low risk functional area should be audited at least twice. The EFM Team is tasked to manage this monitoring system [C4C] and gather data to populate this audit system on a daily basis. C4C - Software Audit system The hospital now a software audit tool which is used to measure and monitor the criteria of cleaning standards. This is called Credits for Cleaning (C4C). Credits for Cleaning have allowed the hospital to devise a detailed template of all clinical and non clinical areas which are audited on a regular basis by trained staff.’ Action Required Forms' (Appendix 6, ARF’s) are then taken back to the area audited for any remedial action to take place. When completed these forms are returned to the C4C Administrator for downloading onto the mainframe C4C system. Reports and information (Appendix 6, 13 week report) can be produced to ensure clean target and standards set out in the 'National Specifications for Cleanliness in the NHS' are met. The Trust recognises it is crucial that Matrons and ward managers play an equal role in this. They need to be able to make decisions about how things are organised, what gets done (and when) and to make judgements about the outcomes. This system is a useful way in which to provide for both of these needs. Technical Audits take place frequently and are the responsibility of both those providing the services [the domestic team, ward managers and their teams since there needs to be day to day agreement about the quality of outcomes. The Trusts C4C auditors carry out managerial audits on behalf of the Trust and act as a check by senior hospital management and clinicians that required quality standards are being provided, a comprehensive service is being delivered and resources are being deployed appropriately. Taken together they provide a system whereby;

• Operational effectiveness of cleaning services can be planned for and

tracked; and • Cleaning services are properly connected to policies and procedures in

other departments and the hospital as a whole at operational and strategic levels.

3.1 Aim The aim is to improve the quality of health service provision by ensuring that all cleaning-related risks are:

• Identified


• Managed on a consistent, long-term basis, irrespective of where the responsibility for provision of cleaning services lies.

4. Responsibilities All levels of the cleaning team should be clear about their roles and responsibilities. Each member of staff should have received relevant training based on their cleaning responsibilities of which is recorded by their managerial department. Fig 1 demonstrates the Responsibilities of each element to specific department the responsibility to identify and action cleaning needs belongs to all staff groups. Periodic deep cleaning of elements marked with * are carried out by the Rapid response team EFM, of which terms of reference are in appendix 8. Responsibility Code N Nursing C Domestic Cleaning EFM/MACH/F Floor RR Rapid response team EFM ME Medical equipment team EFM LD Linen Department EFM E Estates EFM Fig1 Element Responsibility

code Responsibility

1. Overall Appearance N Nursing Team 2. Odour Control C Domestic Cleaning

Services 3. Commodes, weighing scales, manual handling equipment

N Nursing Team*

4. Medical equipment including intravenous infusion pumps, drip stands and pulse oximeters

N Nursing Team

5. Medical equipment including intravenous infusion pumps, drip stands and pulse oximeter

N & ME (Not connected to patient)

Nursing Team EFM Medical Equipment team

6. Patient washbowls N Nursing Team 7. Bedside oxygen and suction connectors, earpiece for bedside entertainment system

N Nursing Team

8. Patient fans N Nursing Team 9. Bedside alcohol hand-wash container, clipboards and notice boards

N Nursing Team

10. Notes and drugs trolley N Nursing Team


11. Patient personal items including cards and suitcases

N Nursing Team

12. Linen trolley LD Linen Department EFM*

13. Entrance/exit C Domestic Cleaning Services *

14. Stairs (internal and external) C Domestic Cleaning Services *

15. External areas C Domestic Cleaning Services *

16. Switches, sockets and data point

C Domestic Cleaning Services *

17. Walls RR Rapid Response 18. Ceiling RR Rapid Response 19. All doors C Domestic Cleaning

Services * 20. All glazing, including partitions C Domestic Cleaning

Services * 21. Mirrors C Domestic Cleaning

Services 22. Bedside patient TV C Domestic Cleaning

Services * 23. Radiators RR Domestic Cleaning

Services * 24. Ventilation grilles extract and inlets

RR EFM – RR

25. Floor – polished C Domestic Cleaning Services

26. Floor – non slip C Domestic Cleaning Services

27. Soft floor C Domestic Cleaning Services

28. Pest control devices Helpdesk Site Services 29. Electrical items C Domestic Cleaning

Services * 30. Cleaning equipment C Domestic Cleaning

Services 31. Low surfaces C Domestic Cleaning

Services * 32. High surfaces C Domestic Cleaning

Services * 33. Chairs N & C Nursing

Team/Domestic Cleaning Services*

34. Beds N & C Nursing Team/Domestic* Cleaning Services

35. Lockers N & C Nursing Team/Domestic


Cleaning Services* 36. Tables N & C Nursing

Team/Domestic Cleaning Services*

37. All dispensers and holders [Entrances on A & B Floors and Sherborne Building]

C Domestic Cleaning Services

38. Waste receptacles C Domestic Cleaning Services *

39. Curtains and blinds Domestic Cleaning Services Linen Department

40. Dishwasher Linen Porter Linen Room 41. Fridge and/or freezer [patients only]


42. Ice machine and/or hot water boiler

Estates EFM Estates

43. Kitchen cupboards C Domestic Cleaning Services

44. Microwave [patients only] C Domestic Cleaning Services

45. Shower C Domestic Cleaning Services *

46. Toilets and Bidet C Domestic Cleaning Services *

47. Replenishment C Domestic Cleaning Services

48. Sinks C Domestic Cleaning Services *

49. Bath C Domestic Cleaning Services *

+ Filter change carried out by EFM estates team on PPM


5. Cleaning Frequencies

5.1 Identifying risk categories All healthcare facilities should pose minimal risk to healthcare facility users. However, different functional areas represent different degrees of risk and therefore require different cleaning frequencies. All Functional Areas should be assigned to one of four risk categories, set out below. (See appendix 5 for Cleaning risk categories) To ensure that auditing processes are appropriate, comprehensive and accurate, they should take place within the timeframes outlined below a minimum. In addition to formal auditing, informal monitoring should take place in areas where cleanliness levels are considered poor.

5.1.1 Very high risk functional areas Required service level Consistently high levels of cleanliness must be maintained. Required outcomes will only be achieved through intense and frequent cleaning. Both informal monitoring and formal auditing of levels achieved should take place continuously. Over a period of a week, all rooms within a very high risk functional area should be audited at least once. Functional areas Very high risk functional areas may include operating theatres, critical care areas (or intensive care units), special care baby units, accident and emergency departments and other departments where invasive procedures are performed. Additional internal areas Bathrooms, staff lounges, offices and any other areas adjoining very high risk functional areas should receive the same intensive levels of cleaning.

5.1.2 High risk functional areas Required service level Outcomes should be maintained by regular and frequent cleaning with ‘spot cleaning’ in between. Both informal monitoring and formal auditing of cleanliness levels attained should take place continuously. Over a period of a month all rooms within a high risk functional area should be audited at least once.


Functional areas High risk functional areas may include general wards, sterile supplies, public thoroughfares and public toilets. Additional internal areas Bathrooms, staff lounges, offices and any other areas adjoining high risk functional areas should receive the same intensive levels of cleaning.

5.1.3 Significant risk functional areas Required service level In these areas high levels of cleanliness are required for both hygiene and aesthetic reasons. Outcomes should be maintained by regular and frequent cleaning with ‘spot cleaning’ in between. Both informal monitoring and formal auditing of cleanliness levels should take place continuously. Over a period of three months all rooms within a significant risk functional area should be audited at least once. Functional areas Significant risk functional areas may include pathology, outpatient departments, laboratories and mortuaries. Additional internal areas Bathrooms, staff lounges, office and any other areas adjoining significant risk functional areas should receive the same intensive levels of cleaning.

5.1.4 Low risk functional areas Required service level In these areas high levels of cleanliness and required for aesthetic and, to a lesser extent, hygiene, reasons. Outcomes should be maintained by regular and frequent cleaning with ‘spot cleaning’ in between. Both informal monitoring and formal auditing of cleanliness levels should take place continuously. Over a period of 12 months all rooms within a low risk functional area should be audited at least twice. Additional internal areas Bathrooms, staff lounges, office and any other areas adjoining low risk functional areas should receive the same intensive levels of cleaning. Timeframe for rectifying problems The table below can be used to measure the importance of cleaning each element in any particular functional area. For example, a toilet in an operating theatre and a toilet in a waiting room should be equally clean. However the floor of a plant room requires less attention than the floor in a critical care area. Elements in every room should be assigned one of the three levels of priority below.


Priority Time frame for rectifying

problems Cleans per day

A Constant Cleaning critical (very high risk and high risk Functional areas).

Immediately, or as soon as is practically possible. Where domestic/cleaning staff are not on duty this should be the responsibility or other ward or department personnel and these responsibilities should be clearly set out and understood.

X3

B Frequent Cleaning important and requires maintaining (significant risk functional areas).

0-3 hours for patient areas (to be rectified by daily scheduled cleaning service for non-patient areas).

X2

C Regular On a less frequent scheduled basis, and as required between cleans (low risk functional areas).

0-48 hours. X1


6. Element Specifications

6.1 Environment Element 1 - Overall appearance Specification - The area should be tidy, ordered and uncluttered with only appropriate, cleanable, well-maintained furniture used. Any presence of blood or body substances is unacceptable. Reference Appendix 2 Nursing cleaning schedules Element 2 - Odour Control Specification - The fabric of the environment and equipment should smell fresh and pleasant. Any deodorisers should be clean and functional. Reference: Phs contract for air freshener service EFM domestic department

6.2 Patient Equipment Patient equipment - Direct Contact Element 3 - Commodes, weighing scales, manual handling equipment Specification – All parts including underneath should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference Appendix 2 Nursing cleaning schedules Element 4 - Medical equipment including intravenous infusion pumps drip stands and pulse oximeters Specification - All parts, including underneath, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference Appendix 2 Nursing cleaning schedules Not Connected to a patient Element 5 – Medical equipment including intravenous infusion pumps, drip stands and pulse oximeter Specification - All parts, including underneath, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Connected to patient Element 6 – Patient washbowls Specification - All parts, including underneath, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Patient washbowls should be decontaminated appropriately between patients and should be stored clean, dry and inverted. Badly scratched bowls should be replaced.


Reference Appendix 2 Nursing cleaning schedules Element 7 - Bedside oxygen and suction connectors, earpiece for bedside entertainment system Specification - All parts, including underneath, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference Appendix 2 Nursing cleaning schedules Element 8 - Patient fans Specification - All parts, including the blades/fins and the underside, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Trust Decontamination Policy HS20602 Patient equipment – close contact Element 9 - Bedside alcohol hand-wash container, clipboards and notice boards. Specification - All parts, including holder of the bedside alcohol hand-wash container, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Hand-wash dispensers should be free of product building-up around the nozzle. Splashes on the wall, floor, bed or furniture should not be present. Reference Appendix 2 Nursing cleaning schedules Element 10 – Notes and drug trolley Specification - All parts, including underneath and inside of the notes trolley, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference Appendix 2 Nursing cleaning schedules Element 11 - Patient personal items including cards and suitcases Specification - All parts of the items should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Loose items, such as clothing, should be stored away either in the locker or bag. Reference Appendix 2 Nursing cleaning schedules Element 12 – Linen trolley Specification - All parts, including underneath, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Linen Standard operating procedures and Linen Policy IC27607


6.3 Building External and internal features Element 13 – Entrance/exit Specification - All entrance/exit areas should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 14 – Stairs (internal and external) Specification - The complete stair environment (including the treads and banisters), should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 15 – External areas Specification - The complete external areas and fixtures should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference: Estates management software (Eclipse / Wims) Planned preventative maintenance program Fixed Assets Element 16 - Switches, sockets and data points Specification - All wall fixtures such as switches, sockets or data points should be visibly clean, with no blood or body substances, dust, dirt, debris, cello tape and spillages. Clean with soapy water and blue cloths. Element 17 – Walls Specification - All wall surfaces (including skirting), should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 8 ToR Rapid Response team Element 18 – Ceiling Specification - All ceiling surfaces should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 8 ToR Rapid Response Team


Element 19 – All doors Specification - All parts of the door structure should be visibly clean so that all door surfaces, vents, frames and jambs have no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference: Estates management software (Eclipse / Wims) Door repair and Fire door inspection program Reference Appendix 8 ToR Rapid Response Team Element 20 – All glazing, including partitions Specification - All internal glazed surfaces should be visibly clean and smear free with no blood or body substances, dust, dirt, debris, adhesive tape and spillages visibly present and have uniform shine appearance. Reference Method Statements for external provider of glazing cleaning is in place Reference: Appendix 1 Domestic Cleaning services Work Elements Element 21 – Mirrors Specifications - Mirrors should be visibly clean and smear free, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 22 – Bedside patient TV Specifications - All parts of the bedside patient TV should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and stains. Domestics remove dust from the TV and TV arm. Patientline do their own clean. Domestics remove the ear coverings each time a patient leaves. Element 23 – Radiators Specification - All parts of the radiator (including between panels), should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. This is cleaned by Rapid Response Team Reference: Appendix 1 Domestic Cleaning services Work Elements Reference: Estates management software (Eclipse/Wims), Removal of radiators for cleaning access Reference: Rapid response cleaning ToR Appendix 8 and cleaning schedules.


Element 24 – Ventilation grilles extract and inlets Specification - The external part of the ventilation grille, should be visibly clean, with no blood or body substances, dust, dirt, debris and cobwebs. Reference: Rapid response cleaning ToR Appendix 8 and cleaning schedules. Estates management software (Eclipse/Wims), Theatres Ventilation PPM Cleaning program Hard Floors Element 25 – Floor [polished] Specification - The complete floor, including all edges, corners and main floor spaces, should have a uniform shine and be visibly clean, with no blood or body substances, dust, dirt, debris and spillages and scuff marks. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 26 – Floor [non-slip] Specification - The complete floor, including all edges, corners and main floor space, should have a uniform finish and be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Soft Floors Element 27 – Soft Floor Specification - The complete floor, including all edges and corners, should be visibly clean, with no blood or body substances, dust, dirt, debris and spillages. Floors should have a uniform appearance and an even colour with no stains or watermarks. Reference: Appendix 1 Domestic Cleaning services Work Elements

6.4 Fixtures Electrical fixtures and appliances Element 28 – Pest Control devices Specification - The pest control device should be free from dead insects, animals or birds and visibly clean. Reference: Pest control policy IC28107 and Pest Control contract ‘Pest guard plus’


Element 29 – Electrical Items Specification - The casing of any electrical item should be visibly should be visibly clean, with no blood or body substances, dust, dirt, debris adhesive tape. Domestics check and clean leads before and after use on:

- Hoover - Floor machine - Suction dryer - Steam cleaner

All are cleaned with Actichlor +. However, all equipment is cleaned with Actichlor + tablets if used in a deep clean. Element 30 – Cleaning equipment Specification - The cleaning equipment should be visibly clean, with no blood or body substances, dust, dirt, debris or moisture. Reference: Section 7 Cleaning Equipment & Appendix 1 Domestic Cleaning services Work Elements Furnishings, fixtures and fittings Element 31 – Low surfaces Specification - All surfaces should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 32 - All surfaces should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Specification - All surfaces should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 33 – Chairs Specification - All parts of the furniture should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape, stains and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules


Element 34 – Beds Specification - All parts of the bed, including mattress, bed frame and wheel/castors, should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix PD Nursing cleaning schedules Element 35 – Lockers Specification - All parts of the locker, including wheel/castors and inside, should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape, stains and spillages Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 36 – Tables Specification - All parts of the table, including wheel/castors and underneath should be visibly clean, with no blood or body substances, dust, dirt, debris, stains, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 37 – All dispensers and holders Specification - All parts of the surfaces of hand soap, paper towel and toilet tissue should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages Reference: Appendix 1 Domestic Cleaning services Work Elements Element 38 – Waste receptacles Specification - The waste receptacle should be visibly clean, including lid and pedal, with no blood or body substances, dust, dirt, debris, stains and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference: Safe Management of Trust Waste Policy HS1607 Element 39 – Curtains and blinds Specification - Curtains and blinds should be visibly clean, with no blood or body substances, dust, dirt, debris, stains and spillages visibly present. All curtains are changed every 6 months and also on deep clean. Reference: Trust Linen and laundry procedure EFM 2008


Kitchen fixtures and appliances Element 40 – Dishwasher Specification - Dishwashers should be visibly clean, with no blood or body substances, dust, dirt, debris, stains, spillages and food debris. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 41 – Fridge and/or freezer Specification - The fridge and/or freezer should be visibly clean, with no blood or body substances, dust, dirt, debris, spillages, food debris, build up of ice. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 42 – Ice machine and/or hot water boiler Specification - The ice machine and/or hot water boiler should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape and spillages. Reference: Appendix 1 Domestic Cleaning services Work Elements Estates management software (Eclipse/Wims), Zip boiler PPM program Element 43 – Kitchen cupboards Specification - The kitchen cupboards should be visibly clean, with no blood or body substances, dust, dirt, debris, spillages and food debris. Reference: Appendix 1 Domestic Cleaning services Work Elements Element 44 – Microwave Specification - All microwave surfaces should be visibly clean, with no blood or body substances, dust, dirt, and debris, spillages and food debris. Reference Appendix 2 Nursing cleaning schedules Toilets, sinks, hand-wash basins and bathroom fixtures Element 45 – Shower Specification - The shower, and equipment such as wall-attached shower chairs, should be visibly clean, with no blood or body substances, scum, dust, lime scale, stains, deposit and smears. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules


Element 46 – Toilets and bidet Specification - The toilet and bidet should be visibly clean, with no blood or body substances, scum, dust, lime scale, stains, deposit and smears. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 47 – Replenishment There should be plenty of all consumables such as soap, coloured coded bags, cloths, toilet rolls, hand towels available. Stock is held on every nurse’s station in there cleaning cupboards. Stock is also kept in departments on A and B floors. See below for list of what is kept as stock items: Bags Large Black Grease Lightning Pre-spot

Bags Small Black Rinse Aid (S) Forshaga Orange

Bags Large Yellow Sani Bags Pads Green 15”

Bags Small Yellow Spray white bottles Pads Green 17”

Blue Roll 10” Spray white Triggers Pads Black 15”

G/R Kitchen Spray red Bottles Pads Black 17”

White Hand Towels Spray red Triggers Pads Red 15”

Toilet Rolls Ensign Bags Pads Red 17”

Toilet Brushes Nilfisk Bags Mighty Midget Bags

Brush Holders Electrolux Bags Hand Soap Liquid

D P Brushes Scotch Bright Black Ties

Cream Cleanser Cups Drinkers

DBX Saucers High Dusters

DBX Shaker Spoons Small Dusters

Dialac Glasses Equipment

Dish Detergent (S) Jugs 2 pint Carpet Shampoo

Dual Dip Jugs 4 pint Carpet Defoamer

Aprons Jugs Plastic Blue Gloves Med

Blue Clothes Floor Polish Blue Gloves Ex-Large


Red Clothes Floor Maintainer Yellow Sani Bags

Yellow Clothes Floor Stripper Dishwasher Salt

Green Clothes G P Dust Pan

Element 48 – Sinks Specification - The sink, and items such as wall-attached dispensers, should be visibly clean, with no blood or body substances, dust, dirt, debris, lime scale, stains and spillages. Plugholes and overflow should be free from build-up. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules Element 49 – Bath Specification - The sink, and items such as wall-attached dispensers, should be visibly clean, with no blood or body substances, dust, dirt, debris, lime scale, stains and spillages. Plugholes and overflow should be free from build-up. There should be overflows in sink. Reference: Appendix 1 Domestic Cleaning services Work Elements Reference Appendix 2 Nursing cleaning schedules


7. Cleaning equipment The cleaning equipment that is regularly used should be fit for purpose; easy-to-use, well maintained and can demonstrate that it has clear infection control benefits. Cleaning equipment used at the Trust is catalogued in appendix? And is applied as specified in the Method statement appendix? Reference: appendix 1 Domestic Cleaning Services Work Elements


8. Appendices Appendix 1 - Domestic Cleaning Services Work Elements

• Machine dishwashing Element 40 • Defrosting and cleaning refrigerators Element 41 • Damp dusting Element 31/32 • Damp mopping ward areas & depts. Element 25/26 • Damp mopping sanitary area Element 25/26 • Dust control mopping Element 31 • High dusting – impregnated mop Element 32 • Vacuuming Element 25/26/27 • Cleaning windows, partitions, glass Element 19/20/21 • Doors and mirrors


ELEMENT 40 JOB

MACHINE DISHWASHING

PURPOSE To remove grease, particles of food from crockery, cutlery and food containers.

EQUIPMENT Dish Detergent – Corrosive

Rinsing Agent Gloves - Latex Free Green Cloths

PROCEDURE IMPORTANT POINTS TO REMEMBER

1. Familiarise yourself with the ways of the Dishwasher.

i.e.: a. Switching on. b. Setting the wash programme. c. Loading the dirty cutlery and crockery. d. Change detergent and rinse agent as

required. e. Sterilising if appropriate. f. Switching off, since different machines

vary from one to another.

The machine must not be interfered with during the washing programme. Remember to maintain a good posture when loading and unloading. Hands should be dry when handling switches.

2. Know how and why to use the Dishwasher.

3. Load the crockery and cutlery Properly in the trays.

Remember to maintain a good posture when loading and unloading.

4. After use, clean all working surfaces, trolleys, sinks, draining areas and also the outside of the dishwasher.

5. Hoover or Forshaga. 6. Wash kitchen floor with Green bucket and ensure kitchen is left tidy.

Put floor signs in Doorway to stop slips and trips. Remove when floor is dry.


ELEMENT 41

JOB DEFROSTING AND CLEANING REFRIGERATORS

PURPOSE To remove split food and prevent build up of frost.

EQUIPMENT Bowl or bucket of warm water and Hospice detergent solution. Hi-Dri (for interior) Green Cloths.


Daily Clean

1. Dispose of any stale food with the authority

of the Ward Sister/Charge Nurse.

To prevent Contamination. Green Cloth

2. Wipe out and tidy inside of refrigerator. Wipe over outside of refrigerator with solution of general detergent and dry.

3. Refill ice cube tray.

To ensure constant supply.

Weekly Clean 4. Switch off refrigerator, set dial to ‘Defrost’ if fitted.

5. Remove contents of refrigerator to a cool place. Cover all food with clean Hi-Dri until ready to replace refrigerator.

6. Leave tray under icebox. Remove all shelves and wash them in warm water.

7. When ice is melted wash inside of refrigeration as in No.6 above, and dry.

8. Refill icebox, reset dial and switch on.

9. Wash outside of refrigerator with dry solution of general detergent and dry with Green Cloth.

10. Replace Food. 11. Report any faults to your Supervisor Immediately.

To extend working life of apparatus.


JOB CLEANING TEAPOTS

PURPOSE To remove stains.

EQUIPMENT Dual Dip Stain remover – Corrosive Gloves – Latex Free (PPE) Goggles (PPE) Hot GP Hospec detergent water Green Cloths

FREQUENCY As required.


Daily Clean 1. Collect all equipment. Don PPE.

So that all materials are at hand to save time.

2. Wash thoroughly with hot detergent water. Empty as soon as possible after use to eliminate staining.

3. Rinse well and dry. Use Green Cloths.

Weekly Clean 1. Use Proprietary stain remover.

See COSHH assessment (appendix no 7a)

2. For teapots, fill with recommended solution leave to stand for recommended time.

3. Rinse thoroughly and dry with Green cloth.

4. Wash carefully of surfaces that have been in contact with stain remover.


ELEMENT 31 / 32

JOB DAMP DUSTING

PURPOSE To remove dirt, dust and bacteria from all surfaces.

EQUIPMENT Gloves – Latex Free Trolley (two tier) Bowls of warm water with Acticlor + (one tablet to 1 Ltr of water to container) Water temperature lukewarm Large sack attached to one end of trolley for refuse BLUE Cloths 1 per bed space


1. Collect all equipment on to trolley. To save time and ensure work is carried out quickly and efficiently.

2. Proceed systematically around the ward from locker to locker.

In order to provide minimum disturbance to patients.

3. Remove all articles form top of patient’s locker. To facilitate damp dusting.

4. Remove used paper bag.

5. Wipe over top, back and sides of locker with Blue cloth wrung out in detergent solution.

Use clean Blue cloth for each Bed space, ledges and windows.

6. Collect old newspapers, dead flowers and bad fruit.

7. Wring out Blue cloth in solution and wipe over back of bed, lower frame, windowsill, bedside light, earphones, foot of bed.

Remember to switch off bedside light before damp dusting.

8. Change water every six beds or 4 bedded area + singles.

Do not put Blue cloth back in bucket

9. Empty bowl and dry. Wipe trolley and dispose of rubbish.

To prevent growth of bacteria.

10. Damp dust curtain rails.

11. Damp dust before Hovering.

12. Use yellow bag for soiled dressings. Place in Eurocarts with black tie and label.

13. Use black bag for every day rubbish.

To be taken away by porter.


ELEMENT 25 / 26

JOB

DAMP MOPPING WARD AREAS & DEPARTMENTS

PURPOSE

To remove dust and scuff marks and to maintain a clean hygienic floor.

EQUIPMENT

a. Blue mop bucket containing warm water and recommended cleaning agent.

b. Twin bucket trolley with a mop wringer and Actichlor + (Cleaning agent).

c. Green Scotch bright Pad. d. Warning notices to be displayed to avoid slip & trips.


1. Collect equipment.

Put out warning notices to avoid slips and trips. Remove signs when finished.

2. Move the furniture and other equipment to create a clear space.

Pay particular attention to any electrical equipment in the area and consult the person concerned.

3. Fill bucket(s) with warm water and add Actichlor + tablet. Immerse mop in water and wring out using Blue Bucket, wringer and mop handle.

Add Actichlor + to water to prevent heavy foaming. Mop to side, as too much pressure directly on the colander will split it. Maintain good posture whilst lifting and moving.

4. Start mopping with a stroke parallel to the skirting to avoid splashing the wall. Mop a section of the floor working from far side to the door.

Always use minimum of water necessary to do the job properly.

5. Mop a section at a time in a figure of eight movement working towards main door.

To cover an area, which is within the reach, remember to make movements count. Any serious marks should be reported to the Housekeeper to be dealt with by the floor team.

6. Frequent wringing of the mop and frequent change of solution must be adhered to.

It is unhygienic to mop with dirty water. Use the right mopping equipment for the area to be cleaned.

7. Remove warning notices. Return the furniture and other items.

If left in situ people will not respect in real situation.

8. When floor is cleaned, clean equipment.

This rinses away dirt and bacteria.


9. Rinse mop in hot water Actichlor +.

10. Clean bucket and wipe out moisture with Blue cloth and leave upside down. Return the equipment to the correct place.

If water is left in the bucket this is an ideal place for bacteria to multiply. Also never leave mop soaked in water overnight. It only breeds germs (pseudommes).

NOTE: Correct way of using the twin bucket trolley. Fill the twin buckets three quarters full with warm water. Add one Actichlor + tablet to each bucket. Place the mop wringer in position and start mopping as above. Change mop frequently so as to avoid using dirty mop. Change dirty water bucket with clean water after 3 times of use. Report the process until time to change the water in both buckets.


ELEMENT 25 / 26

JOB

DAMP MOPPING SANITARY AREA

PURPOSE

To remove dust and scuff marks and to maintain a clean hygienic floor.

EQUIPMENT

a. Red mop bucket containing warm water and recommended cleaning agent.

b. Twin bucket trolley with a mop wringer and Actichlor + (clean agent).

c. Green Scotch bright pad. d. Warning notices to be displayed to avoid slip & trips.



Put out warning notices to avoid slips and trips.

2. Move the furniture and other equipment to create a clear space.

Pay particular attention to any electrical equipment in the area and consult the person concerned.

3. Fill bucket(s) with warm water and add Actichlor +. Immerse mop in water and wring out using Red Bucket, wringer and mop handle.

Add detergent to water to prevent heavy foaming. Should not add more detergent!! Mop to side, as too much pressure directly on the colander will split it. Maintain good posture whilst lifting & handling.

4. Start mopping with a stroke parallel to the skirting to avoid splashing the wall. Mop a section of the floor working from far side to the door.

Always use minimum of water necessary to do the job properly.

5. Mop a section at a time in a figure of eight movement working towards main door.

To cover an area, which is within the reach, remember to make movements count. Any serious marks should be reported to the Housekeeper to be dealt with by the floor team.

6. Frequent wringing of the mop and frequent change of solution must be adhered to.

It is unhygienic to mop with dirty water. Use the right mopping equipment for the area to be cleaned.

7. Remove warning notices. If left in situ people will not respect in real


Return the furniture and other items. situation.

8. When floor is cleaned, clean equipment.

This rinses away dirt and bacteria.

9. Rinse mop in hot water Actichlor +.

10. Clean bucket and wipe out moisture with Red cloth and leave upside down. Return the equipment to the correct place.

If water is left in the bucket this is an ideal place for bacteria to multiply. Also never leave mop soaked in water overnight. It only breeds germs (pseudommes).

NOTE: Correct way of using the twin bucket trolley. Fill one of the bucket three quarters full with warm water. Add Actichlor + to each bucket. Place the mop wringer in position and start mopping as above. Change mop frequently so as to avoid using dirty mop. Change dirty water bucket with clean water after 3 times of use. Report the process until time to change the water in both buckets. Maintain good posture whilst lifting and handling.


ELEMENT 31 JOB

DUST CONTROL MOPPING

PURPOSE To remove dust and bacteria from the floor, without creating dust.

EQUIPMENT Dust control impregnated mop cleaner.


1. Collect all equipment. Keep the equipment out of traffic areas where people could trip on it.

2. Move furniture if necessary.

3. Work in an organised way (lengthwise) making most of the available space.

To prevent dirt being left on the floor.

4. Without raising the head of the mop from the floor sweep in a figure of eight movement so that the dust is pushed in front of the mop.

5. Start dust control mopping at far end of room area to be cleaned and work towards the door. Work in parallel lines so that all the floor area is cleaned. Also in corners and behind doors.

Do not mop up wet spillages with this mop. This is for DRY dust sweeping only.

6. Place the dust control mop in front of you facing the direction in which you are to work. Keep the mop flat on the floor as this helps to keep any loose dirt ahead of the mop head, where it can be easily picked up and disposed of.

This prevents creating a dust, so preventing bacteria spreading. Never tap the mop on the floor to free excess dirt.

7. During and at the end of dust control mopping any accumulation of dirt can be picked up with dustpan & brush.

Never leave piles of dirt at a room door or traffic area.

8. Inspect your work. The floor should have no dust streaks.

Return the furniture to the proper positions.

9. Clean and return the equipment, clean mop head and leave ready for next use.

In the case of disposable heads, follow supervisor’s instructions for frequency of disposal. Place in Black waste bag.

10. Store the mop away with the head uppermost. Ensure the mop head is changed after every ward.


ELEMENT 32

JOB

HIGH DUSTING – IMPREGNATED MOP

PURPOSE

To remove dust from high places.

EQUIPMENT

Dust Control Impregnated Mop cleaner.


1. Collect all equipment.

Keep the equipment out of traffic areas where people could trip on it.

2. Move furniture if necessary.

3. Work in an organised way paying particular attention to the patient’s welfare.

Work from the corner of the room towards the door.

4. Pay particular attention to pipes, ledges, cobwebs, etc.

Weekly dusting is essential on these to keep the dust down.

5. Clean mop head and leave ready for next use.

Ensure mop head is clean and that it is changed regularly.

6. Return equipment to the store and leave the mop with the head uppermost.

7. Wash hands.

Due to having touched dust.


ELEMENT 25 / 26 / 27

JOB

VACCUMING

PURPOSE

To remove dirt, dust and bacteria without creating dust.

EQUIPMENT

Hoover Necessary attachments: Floor, radiator, upholstery, high dusting and crevice tools. Disposable paper bag for replacement Warning notices


1. Collect all equipment. So that all equipment is to hand and work is carried out quickly and efficiently.

2. Choose the proper equipment and attachments for the area to be cleaned.

Put out warning notices. Remove signs when finished.

3. Assemble them. Keep lead against skirting edge with warning signs out.

4. Check cable, plug and connector are in good condition.

Safety measures against shocks. Any defect to be reported immediately to the Supervisor.

5. Plug in and switch on at wall. Check machine for functions correctly.

Make sure hands are dry.

6. Remove all unnecessary objects and place out of the way of traffic. Work forward with the lead plugged in behind working area.

By working in a logical manner (slow strokes across the floor) all areas are suction cleaned. Return furniture and other items to proper positions.

7. When ward has been cleaned remove brush attachment and use open end of tube to suck off all fluff from the attachment.

To prevent bacteria multiplying in the attachment.

8. Remove warning notices.

9. Disconnect the suction cleaner attachments after use. Replace dust bag daily or as necessary. Clean filters once a week.

When emptying, keep bag closed to prevent making dust which will return to the ward and cause cross infection. Dispose of the bag in the correct rubbish container.


12. Report any faults to your supervisor immediately.

So that it is ready for use next time it is required. Never remove plug from socket by pulling on the flex. Do not leave the vacuum plugged in or unattended. Flex to be kept near the wall wherever possible. Vacuum should never be pulled along by the flex.


ELEMENT20 / 21

JOB

CLEANING WINDOWS, PARTITIONS, GLASS DOORS AND MIRRORS

PURPOSE

To see through and present a clean environment

EQUIPMENT

Blue Cloth Actichlor +


1. Collect all equipment. So that all materials are to hand to save time.

2. Clean the edges first. Pay particular attention to corners. Start at the bottom on the right and work upwards in a zigzag motion. Clean with Blue cloth.

Less wiping makes you less tired. A single continuous stroke gives greater speed and efficiency.

3. When drying follow the same pattern for washing.

4. Glass is non-absorbent and resists alkalis and acids but can be scratched by abrasives.

.

5. Clean the windowsill. If the frame is not to be washed damp dust it before you wash the glass.

If the frame is to be washed finish this before you do the glass to prevent streaks on the edge of the glass.

6. Return equipment after use.


ELEMENT 46

JOB

CLEANING OF KITCHEN TROLLEYS

PURPOSE

To prevent build-up of dirt, grease, and particles of food.

EQUIPMENT

Hot water with Actichlor + Scotch bright pad Green Cloth


1. Collect all equipment. So that all materials are at hand to save time.

2. Remove trays, if loose fitting and clean with hot water with Actichlor + and scouring pads.

To remove grease and food particles.

3. Rinse well and dry with Green cloth.

4. Wipe down all other parts taking extra care with corners.

To avoid bacteria multiplying.

NB Particular care should be taken with the wheels. In most cases the Maintenance Department will carry out regular cleaning and oiling of all wheels on equipment on request. If trolley is difficult to move, as maintenance to look at trolley.


ELEMENT 46

JOB

CLEANING TOILETS

PURPOSE

To remove dirt and bacteria.

EQUIPMENT

RED Cloths Recommended toilet cleaner

DBX Sanitizer powder Pink – Corrosive Toilet brush Gloves – Latex free Bucket and Actichlor + Sanitary paper bags


1. Collect equipment. Put on gloves.

To save time. High-risk area for you and patients.

2. Flush Toilet. – This is to ensure damp surface and prevent substance kick back.

3. Push back water in toilet pan (approx 1”) using brush.

In order to clean porcelain more easily.

4. Use recommended product according to instructions. Brush pan thoroughly. Make sure brush is rinsed thoroughly in clean flushing water.

Clean brush holder if necessary every day (in sluice room).

5. Using Red cloth wring out in detergent solution. Damp dust, wipe toilet seat surface, underneath, outside of pan, and S-bend. Wring out clean Red cloth again in detergent solution. Clean toilet chain and handle and light switch.

Pay particular attention to these points as user touches them directly after using toilet.

6. Wipe over cistern, walls for splashes, replace toilet roll if necessary.

Any equipment used in more than one toilet is thoroughly cleaned before taking to the next. Never at any time mix together different cleaning agents and toilet cleaners because poisonous gases can be produced. Mixing these two does not obtain better results. See COSHH assessment (appendix 21a)


7. Remove gloves and replace with new pair.

Equipment used for cleaning sanitary areas must not be used anywhere else.

8. Note repairs and defects for supervisor.

Inform supervisor who will complete necessary work request.


ELEMENT 46

JOB

EQUIPMENT

CLEANING URINALS RED Cloths Recommended toilet cleaner


PROCEDURE 1. Wipe the exterior surfaces and plumbing fixtures.

2. Flush surfaces thoroughly with clean water. 3. Remove and foreign matter from the urinal stainer.

4. Apply recommended cleaning agent to the surface, scrub the hidden outlet and hidden

grooves with lavatory brush. 5. Flush the urinal thoroughly with water. 6. Clean the area around the base and floor, rinse and wipe dry.

JOB

EQUIPMENT

CLEANING SLUICE ROOMS RED Cloths Recommended toilet cleaner


PROCEDURE 1. These rooms must be treated as toilets and the sluice sinks cleaned with particular care.

2. The area around i.e.: floor, walls draining boards, etc. must be cleaned.


ELEMENT 45

JOB

EQUIPMENT

CLEANING SHOWERS RED Cloths Recommended toilet cleaner

(DBX Sanitizer powder Pink) – Corrosive Toilet brush Gloves – Latex free Bucket and Actichlor + Sanitary paper bags

PROCEDURE 1. Clean all fixtures, showerheads, pipes taps, etc. including walls and particularly the floor of shower cubicle. Start at the bottom and work upwards.

2. Clean the plug and plughole removing any matted hair. 3. Wipe plastic shower curtain with disposable Red cloth to remove soap and water spots and other stains.

4. Wash benches or stools in the dressing area, rinse with clean water and dry with Clean

Red cloth. 5. Mats are clean. 6. Shower curtains to be changed as and when need arising, Linen room will wash them.


ELEMENT 49

JOB

CLEANING BATHS

PURPOSE

To remove dirt and body grease and sanitise surfaces.

EQUIPMENT

Red cloths Gloves – Latex Free

(DBX Sanitizer powder Pink) - Corrosive Bucket of Actichlor + Black sack



To save time.

2. Remove soap container and clean holders.

3. Put on gloves.

To protect hands.

4. Remove hair from plughole.

.

5. Dampen interior surfaces of bath.

6. Sprinkle Sanitizer Pink powder on to Interior surfaces of bath. Leave for a few minutes.

Sanitizer Pink powder requires a contact time of at least five minutes to kill bacteria.

7. Whilst waiting for Sanitizer Pink powder to work clean out overflow and inside of taps.

8. Wipe external surfaces of basin/sink and any exposed pipe work.

9. Clean interior and top of bath including plug and around taps.

Danger area – under-side of plug and around taps can get heavily soiled.

10. Rinse bath thoroughly using cold water. 11. Use Red cloth. Dry all surfaces and burnish chrome fittings.

12. Throw away Red cloth. 13. Ensure supply of materials for cleaning between use.

14. Replace soap. 15. Clean wall tiles with Actichlor +. 16. Remove gloves and wash hands.

17. Report any faulty washers on taps. To prevent undue wastage of water from dripping taps and check staining baths.


ELEMENT 48

JOB

CLEANING WASH HANDBASINS / SINKS

PURPOSE

To remove dirt and grease and sanitise surfaces.

EQUIPMENT

Red cloth Gloves – Latex Free

DBX Sanitizer powder Pink - Corrosive Bucket of Actichlor + Black sack



To save time.

2. Remove soap.

3. Put on gloves.

To protect hands.

4. Remove hair from plughole.

.

5. Dampen interior surfaces of basin / sink.

6. Sprinkle Sanitizer Pink powder on the wet interior surfaces of basin / sink. Leave for a few minutes.

Sanitizer Pink powder requires a contact time of at least five minutes to kill bacteria.

7. Whilst waiting for Sanitizer Pink powder to work, clean out overflow and inside of taps.

8. Rinse Red cloth and wipe external surfaces basin / sink and any exposed pipe work, mirror, towel cabinet etc.

Pay particular attention to under rim of basin / sink.

9. Clean interior and top of basin / sink including plug and around taps.

Danger area – under-side of plug and around taps can get heavily soiled.

10. Rinse basin / sink thoroughly using cold water.

11. Use Red cloth to dry all surfaces and burnish chrome fittings.

12. Throw away Red cloth. 13. Ensure supply of materials for cleaning between use.

14. Replace soap. Replenish soap, paper towels as necessary.

15. Remove gloves and wash hands. 16. Report any faulty washers on taps.

To prevent undue wastage of water from dripping taps.


ELEMENT 25

JOB

STRIPPING A FLOOR OF WATER BASED EMULSION POLISH

PURPOSE

To remove old polish to re-treat and so prevent build-up.

EQUIPMENT

Impregnated mop Twin bucket trolley with a mop and mop wringer Bucket and a mop

Stripping agent – Corrosive Recommended of right mixture added to warm water. Scrubbing machine with drive disk and tank (heavy duty) Thick line black stripping pads Wet suction machine Black scrubbing pads Vinegar Warning signs


1. Collect all equipment – White wellington boots, safety foot wear.

To save time and ensure the work is carried out quickly and efficiently.

2. Keep the equipment out of traffic areas where people could trip on it.

3. Move the furniture and other equipment to create a clear space. Pay particular attention to any Electrical equipment in the area and consult the person concerned.

4. Warning signs to be placed in position before work starts and wherever possible ask people to avoid the wet area.

.

5. Check the plug, connector and lead are in good condition. Read instructions on

Stripper container – Corrosive

This is a safety precaution. Report to supervisor if there is any fault. (see appendix 28)

6. Fix the drive disc on machine and place the stripping pad under the disc.

7. Plug the machine BEHIND the operator. Prepare stripper in correct dilution.

So the operator works back toward the socket without the lead being in the way and getting wet. Also the operator is standing on dry floor.

8. Divide the area into sections and apply stripper freely using mop and bucket. Leave to penetrate water based polish for approx 10 minutes.

Fill the tank with stripping solution to help keep the floor area damp.

9. Rinse thoroughly twice, with cold water, final rinse with a little vinegar in water if necessary to

The operator should always stand machine on Hi-Dri after use.


neutralise the floor surface. 10. Dry with wet suction machine.

11. Repeat the whole process until the floor has been thoroughly stripped of old polish. Floor should now be ready to re-treat.

12. Remove warning signs when finished.

13. Clean all equipment thoroughly. Clean pads and empty and wash out suction machine.

To prevent bacteria multiplying. Ready for use when next required.


ELEMENT 25

JOB

APPLYING UNDERCOAT AND EMULSION POLISH

PURPOSE

To protect the surface from wear and tear and to facilitate maintenance.

EQUIPMENT

Mop ) for polish application Bucket Light Blue ) Water based polish as recommended Warning Signs




2. Read the instructions on polish container.

This is a safety precaution. Report to supervisor if there is any fault.

3. The floor must be properly prepared.

Refer to work procedure on Floor stripping.

4. Plan out the area for applying polish and position warning signs.

To avoid walking on wet polish. Commence at furthest end of room and work backwards towards the door.

5. Make sure the mop is damp.

To enable polish to be applied easily.

6. Pour a little dressing into the bucket, dip mop into dressing and apply a thin coat. Repeat this process until a whole area has been polished.

Start polishing with a stroke parallel to the skirting to avoid splashing the wall. Avoid polishing under radiators – no one walks there.

7. Allow to dry (10 to 20 minutes).

8. Apply second undercoat using same method but if possible at right angle to the first to ensure maximum coverage.

Do not apply second coat within six inches of the wall.

9. Allow to dry.

10. Apply first coat of emulsion.

Two thin coats of emulsion.

11. Allow to dry.

12. Apply second coat.

13. Allow to dry for a maximum of 2 hours.

14. Remove warning signs when finished.


15. Clean all equipment thoroughly before putting away.

To prevent bacteria breeding. Ready for immediate use when next required.

NB NEVER put remains of polish back into container as this contaminates new polish. ALWAYS wash bucket after use at the end of the day in clean water. Do not use them for any other purpose. Bucket should be turned over.


ELEMENT 25 JOB SPRAY CLEANING (Resilient Floors) PURPOSE To remove dirt from floor surface and maintain surface dressing. EQUIPMENT FREQUENCY

Suction cleaner or dust control mop Polishing machine with drive disc Green thickline floor pad Red thickline floor pad Hand spray containing solution (recommended by Housekeeper) Warning Notices Weekly or as necessary.




2. Display warning notices.

3. Fill spray with recommended solution.

4. Place Green pad under machine drive disc and adjust handle correctly.

Handle should be at comfortable height to prevent operator fatigue.

5. Spray section of floor approximately 4 sq ft at a time distributing solution evenly in a fine spray.

If too large an area covered at once solution will dry before cleaning is completed. Too much solution will make cleaning difficult to give poor finish.

6. Switch on machine and operate machine over area while still damp until dry.

To remove dirt and scuff marks.

7. Unless very dirty leave 6” border around edges untreated to avoid build up.

8. Remove Green pad and replace with Red pad. Buff treated area.

9. Repeat processes 4 to 8 until all area has been covered.

10. When whole area completed suction sweep or use dust control on floor.

11. Remove warning notices.

12. Clean all equipment: Wipe machine Wash used pads Release pressure in spray and discard solution.

To prevent growth of bacteria and its transference to another area.


ELEMENT 27

JOB

SPOT CLEANING CARPETS

PURPOSE

To remove spillages and heavy staining. To prevent further damage and staining to carpet.

EQUIPMENT FREQUENCY

Carpet shampoo Plastic bucket Gloves – Latex Free Suction cleaner As spillages occur or prior to shampooing.



To prevent wasting time and ensure efficient working.

2. Remove debris from area to be cleaned.

3. Make up carpet shampoo to correct dilution according to instructions on container.

To prevent wastage of materials. Too much shampoo can also cause colours to run.

4. If spillage has just occurred mop up excess with cloth before proceeding further.

5. When dry suction area.

To remove shampoo which dries to crystalline form.

NB 1. Where possible remove stains as soon as they occur. As they dry they will become more difficult to remove. Always clean a stain from the outside to the middle of stain. 2. NEVER use any detergent other than recommended carpet shampoo. Other soaps and detergents leave sticky soap residue which attracts dirt and damages carpet fibres.


ELEMENT 16 / 19 / 20 / 21 / 22 / 23 / 25 / 26 /

30 / 31 / 32 / 33 –37 / 39 / 45 / 46 / 47 /

JOB

DEEP CLEANS

PURPOSE

To thoroughly remove all infection & bacteria

EQUIPMENT

Yellow cleaning bucket with Actichlor + tablets Yellow cleaning bucket with

Anti-Chloride tablets - Corrosive Yellow cloths Yellow refuse bag – label + black tie Gloves & aprons or theatre greens Forshaga & handle


1. Collect all equipment & go to infected area.

2. Make sure all curtains & linen have been removed.

3. Start cleaning with the acti-chloried.

Change cloths regulary. (see appendix 35)

4. Clean all items including fixtures and fittings.

Make sure all items are cleaned underneath.

5. Clean bottom half of beds.

Nurses to clean top of bed, mattress + pillow, make sure slats are removed and clean.

6. Anything with wheels should be wheeled over cloth wet with the acti-chloride.

Use steps to clean high areas.

7. When items are clean put safely outside room.

8. If bathroom in room, clean same way as room making sure insides of containers are cleaned.

9. All hand towels & toilet rolls to be thrown away.

10. Showers, hand basins, toilets cleaned with DBX.

11. Put all rubbish in yellow sack.

Place in eurocarts.

12. Forshaga floor.

Wipe Forshaga handle & DBX container with acti-chloride.

13. Put refuse sacks in bins & refill containers. 14. Empty all buckets in sluice wipe & dry. To prevent growth of bacteria.


ELEMENT 29

JOB

SCRUBBING FLOOR – DEEP CLEAN

PURPOSE

To ensure no bacteria or infection is left.

EQUIPMENT

Scrubbing machine with tank Suction dryer Yellow bucket and mop for rinsing floor Warning Signs

Anti chloride +– Corrosive



Important points to remember.

2. Keep equipment out of traffic area to prevent people falling over it. Also to do half corridor or half stairs at a time.

Ensure work is carried out quickly but efficiently.

3. Make sure all furniture is out.

4. Scrub floor suck up water, rinse once then mop.

5. Clean all equipment thoroughly with Anti Chloride tablets and dispose of green pad in yellow bag.

To prevent any infection being taken to other areas.


ELEMENT 26

JOB

SCRUBBING FLOOR

PURPOSE

To remove any dirt, scuff marks or spillages.

EQUIPMENT

Scrubbing machine with tank Suction dryer Green pad Light blue bucket & mop for rinsing floor Anti Chloride Tablets Warning signs



Ensure work is carried out quickly & efficiently.

2. Keep equipment out of traffic area to prevent people falling over it also to half corridor or stairs at a time.

Remember to use warning signs.

3. Move furniture where possible to give plenty of space.

4. Scrub floor, suck up water. Rinse once then mop.

5. Clean equipment with detergent ready for use again.

Ensure floor is dry before putting furniture back.


Appendix 2 Public Display Ward Cleaning Schedules for Nursing and Domestic Responsible areas Fig 1: Index of Public Display, Domestic cleaning schedules

Index Number Floor Ward Area Description

1 C Floor C2 Sideroom 1 2 C Floor C2 Sideroom 2 3 C Floor C2 Sideroom 3 4 C Floor C2 Sideroom 4 5 C Floor C2 Sideroom 5 6 C Floor C2 Sideroom 6 7 C Floor C2 Sideroom 7 8 C Floor C2 High Care Area 1 9 C Floor C2 High Care Area 2 10 C Floor C2 Clean Utility 11 C Floor C2 Dirty Utility 12 C Floor C2 Sideroom 8 13 C Floor C2 Sideroom 9 14 C Floor C2 Sideroom 10 15 C Floor C2 Sideroom 11

16 C Floor C2 Bath/shower room between siderooms 5 and 4

17 C Floor C3 Sideroom 1 18 C Floor C3 Sideroom 2 19 C Floor C3 Sideroom 3 20 C Floor C3 Sideroom 4 21 C Floor C3 Sluice Room C145 22 C Floor C3 Clinical Treatment Area C146 23 C Floor C3 Sideroom 5 24 C Floor C3 Sideroom 6 25 C Floor C3 Bay 1 26 C Floor C3 Bay 2 27 C Floor C3 Bay 3 28 C Floor C3 Bay 4 29 C Floor C4 Sluice Room C158 30 C Floor C4 Bay 2 31 C Floor C4 Clinical Treatment Room C160 32 C Floor C4 Bay 1 33 C Floor C4 Sideroom 1 34 C Floor C4 Sideroom 2 35 C Floor C4 Sideroom 3 36 C Floor C4 Sideroom 4 37 C Floor ITU Dirty Utility C309/1 38 C Floor ITU Bed space 1 39 C Floor ITU Bed space 2 40 C Floor ITU Clean Utility C311 41 C Floor ITU Bed space 3 42 C Floor ITU Bed space 4 43 C Floor ITU Sideroom 5 44 C Floor ITU Sideroom 6 45 C Floor ITU Bed space 7


46 C Floor ITU Bed space 8 47 C Floor HDU Sluice in lobby area as you enter HDU 48 C Floor HDU Bed space 9 49 C Floor HDU Bed space 10 50 C Floor HDU Bed space 11 51 C Floor RECOVERY Sluice 52 D Floor D5A Sideroom 1 53 D Floor D5A Sideroom 2 54 D Floor D5A Sideroom 3 55 D Floor D5A Sideroom 4 56 D Floor D5A Bay 1 57 D Floor D5A Bay 2 58 D Floor D5A Clean Utility D160 59 D Floor D5A Bay 3 60 D Floor D5A Dirty Utility D158 61 D Floor D5B Bay 4 62 D Floor D5B Bay 5 63 D Floor D5B Bay 6 64 D Floor D5B Clean Utility D148 (Ward Office on door) 65 D Floor D5B Bay 7 66 D Floor D5B Dirty Utility 67 D Floor D5B Sideroom 45 68 D Floor D5B Sideroom 46 69 D Floor D5B Sideroom 47 70 D Floor D5B Sideroom 48

71 D Floor Pre-

assessment Bay 2

72 D Floor Pre-

assessment Bed 9

73 D Floor Pre-

assessment Bay 1

74 D Floor Pre-

assessment Waiting Area D18

75 D Floor Pre-

assessment Sluice/Dirty Utility opposite waiting area D18

76 D Floor

Education & Follow Up

Clinic The Joint Replacement Review Clinic immediately on entering D1

77 D Floor D1A Sideroom 1 78 D Floor D1A Sideroom 2 79 D Floor D1A Sideroom 3 80 D Floor D1A Physio Room 81 D Floor D1A Bay 1 82 D Floor D1A Clean Utility D067 83 D Floor D1A Bay 2 84 D Floor D1A Bay 3 85 D Floor D1A Dirty Utility D069 86 D Floor D1B Bay 4 87 D Floor D1B Bay 5 88 D Floor D1B Hand Therapy Clinic Room D007 89 D Floor D1B Bay 6 90 D Floor D1B Clean Utility D081 91 D Floor D1B Sideroom 44 92 D Floor D1B Dirty Utility D082 93 D Floor D1B Sideroom 45 94 D Floor D1B Sideroom 46


95 E Floor E1 MAU

Male Sideroom 1

96 E Floor E1 MAU

Male Sideroom 2

97 E Floor E1 MAU

Male Sideroom 3

98 E Floor E1 MAU

Male Sideroom 4

99 E Floor E1 MAU

Male Bay 1

100 E Floor E1 MAU

Male Bay 2

101 E Floor E1 MAU

Male Clean Utility E007

102 E Floor E1 MAU

Male Sluice

103 E Floor E1 MAU

Male Bay 3 104 E Floor E2 Isolation Sideroom 6 105 E Floor E2 Isolation Sideroom 5 106 E Floor E2 Isolation Sideroom 4 107 E Floor E2 Isolation Sideroom 3 108 E Floor E2 Isolation Dirty Utility Opposite Sideroom 1 and 2 109 E Floor E2 Isolation Sideroom 2 110 E Floor E2 Isolation Sideroom 1 111 E Floor E2 Isolation Clean Utility E081 112 E Floor E2 Isolation Bay 1

113 E Floor Heart & Lung

Function Echocardiography Exercise Testing E020 114 E Floor E3 Respiratory Clinic E022 115 E Floor E3 Sideroom 2 116 E Floor E3 Sideroom 3 117 E Floor E3 Sideroom 4 E027 118 E Floor E3 Dirty Utility E145 119 E Floor E3 Clean Utility E146 120 E Floor E3 Bay 1 E029 121 E Floor E3 Bay 2 E032 122 E Floor E3 Bay 3 E033 123 E Floor E3 High Care E034 124 E Floor E3 High Care E035

125 E Floor E4 MAU Female Dirty Utility / Sluice E0158

126 E Floor E4 MAU Female Bay 3 E036

127 E Floor E4 MAU Female Clean Utility E160

128 E Floor E4 MAU Female Bay 2 E037

129 E Floor Assessment

Area Bay 1 E038


Area Sideroom 1 E041





133 F Floor F1 Oakley

Unit Shower opposite Physiotherapy room and F112



Unit Shower F112


Unit Sideroom 1


Unit Sideroom 2


Unit Sideroom 3


Unit Sideroom 4

139 F Floor Acute Stroke

Unit Bay 1 F001


Unit Bay 2 F002


Unit Shower opposite F002 next to the clean utility


Unit Clean Utility F067


Unit Bay 3 F003


Unit Sluice opposite F003 145 F Floor F2 Bathroom opposite F018 146 F Floor F2 Outpatients F018 147 F Floor F2 Sideroom 1 F016 148 F Floor F2 Sideroom 2 F015 149 F Floor F2 Dirty Utility/ Sluice F082 150 F Floor F2 Sideroom 3 F012 151 F Floor F2 Sideroom 4 F011 152 F Floor F2 Clean Utility F081 153 F Floor F2 Bay 1 F009 154 F Floor F2 Bay 2 F007 155 F Floor F2 Bay 3 F006 156 F Floor F2 Bathroom F077 157 F Floor F2 Bay 4 F005 158 F Floor F2 Bay 5 F004 159 F Floor Basing Unit Waiting Room F048 160 F Floor Basing Unit Cytotoxic Preproom F169 161 F Floor Basing Unit Examination Room 4 F046 162 F Floor Basing Unit Examination Room 3 F045 163 F Floor Basing Unit Examination Room 2 F042 164 F Floor Basing Unit Examination Room 1 F041 165 F Floor Basing Unit Bed Bay (number on door G041) 166 F Floor Basing Unit Chair Bay F037 167 F Floor Basing Unit Clean Utility F160

168 F Floor Wessex

Ward Clean Utility F159

169 F Floor Wessex

Ward 5 Bed bay F036

170 F Floor Wessex

Ward Dirty Utility F158

171 F Floor Wessex

Ward WC/Shower F157

172 F Floor Wessex

Ward WC/Shower F156

173 F Floor Wessex

Ward Sideroom 1 F035 174 F Floor Wessex Sideroom 2 F034


Ward

175 F Floor Wessex

Ward Sideroom 3 F033

176 F Floor Wessex

Ward Twin Sideroom F032

177 F Floor Wessex

Ward Sideroom 4 F150 178 B Floor ED Short Stay Sideroom 1 B160 179 B Floor ED Short Stay Sideroom 4 B162 180 B Floor ED Short Stay Bay 3 B173 181 B Floor ED Short Stay Bay 2 B159 182 B Floor ED Short Stay Dirty Utility 183 B Floor ED Trolley Room 1 B174 184 B Floor ED Trolley Room 2 B175 185 B Floor ED Trolley Room 3 B176 186 B Floor ED Trolley Room 4 B177 187 B Floor ED Trolley Room 5 B178 188 B Floor ED Cleansing Room, Room 12 B168 189 B Floor ED Resus B196 190 B Floor ED Dirty Utility FR30 191 B Floor ED Clean Utility B179/2

192 B Floor ED Minors ED Rooms, 6, 7, 8, 9 and 10 opposite B211 and reception/admin room

193 B Floor ED Childrens Room B212 194 DTC Ward Bedroom 1 Room 8.01/DF30 195 DTC Ward Bedroom 2 Room 8.03/DF32 196 DTC Ward Clean Utility DF27 197 DTC Ward Dirty Utility DF50 198 DTC Ward Bedroom 3 DF34 199 DTC Ward Bedroom 4 DF36 200 DTC Ward Bedroom 8 DF47 201 DTC Ward Bedroom 5 DF36 202 DTC Ward Bedroom 6 DF40 203 DTC Ward Bedroom 7 DF45

204 Sherborne

Ground Floor NNU Mother and Baby Room G086

205 Sherborne

Ground Floor NNU Cubicle G085

206 Sherborne


207 Sherborne


208 Sherborne


209 Sherborne


210 Sherborne

Ground Floor NNU Special Care G080

211 Sherborne

Ground Floor NNU High Intensive G078

212 Sherborne

Ground Floor NNU Utility/ Laundry Room G104

213 Sherborne

Ground Floor Gynae Sluice opposite Sideroom

214 Sherborne

Ground Floor Gynae Sideroom opposite kitchen 215 Sherborne Gynae Treatment room opposite desk


Ground Floor

216 Sherborne

Ground Floor Gynae Clean Utility

217 Sherborne

Ground Floor Gynae Bay 2

218 Sherborne

Ground Floor Gynae Bay 1

219 Sherborne First

Floor EPAU EPAU Office Ultrasound Consulting Room 1, Room 1004

220 Sherborne First

Floor EPAU Consulting Room 2, Room 1005

221 Sherborne First

Floor EPAU 5 Bed Bay Room 1006

222 Sherborne First

Floor EPAU Dirty Utility Room 1068 by Fertility

223 Sherborne First

Floor Angio Ward A Room1038

224 Sherborne First

Floor Angio Shared Sluice opposite toilets Room 1039/1040

225 Sherborne First

Floor Angio Ward A1 Room 1042

226 Sherborne First

Floor Angio Ward A2 Room 1043

227 Sherborne First

Floor CCU Ward B F1047

228 Sherborne

Second Floor Post Natal Post Natal Assessment Room, Room 2005

229 Sherborne

Second Floor Post Natal Bay 2006

230 Sherborne

Second Floor Post Natal 4 Bed Bay 2010

231 Sherborne

Second Floor Post Natal 3 Bed bay 2012

232 Sherborne

Second Floor Post Natal Clean Utility 2066

233 Sherborne

Second Floor Post Natal Room c8

234 Sherborne

Second Floor Post Natal Room D9

235 Sherborne

Second Floor Post Natal Dirty Utility Room 2068

236 Sherborne

Second Floor Post Natal 3 Bed bay 2015

237 Sherborne

Second Floor Post Natal Sideroom F, 2017

238 Sherborne

Second Floor Post Natal Sideroom G, 2018

239 Sherborne

Second Floor Delivery

Ward Recovery and Observation Bay Room 2020

240 Sherborne


Ward Delivery Room 1, Room 2021

241 Sherborne


Ward HDU/Clean Utility Room 2070A

242 Sherborne



243 Sherborne


Ward Dirty Utility 2083

244 Sherborne


Ward Delivery Room 3, Room 2026 245 Sherborne Delivery Delivery Room 4, Room 2030


Second Floor Ward

246 Sherborne



247 Sherborne



248 Sherborne



249 Sherborne



250 Sherborne

Second Floor Ante Natal

Ward 4 Bed Ward 2042

251 Sherborne


Ward Dirty Utility 2103

252 Sherborne


Ward Sideroom D, 2044

253 Sherborne


Ward Sideroom C, 2045

254 Sherborne


Ward Clean Utility 2105

255 Sherborne


Ward 4 Bed Ward, 2047(B)

256 Sherborne


Ward 4 Bed Ward , 2050

257 Sherborne


Ward Pre-assessment Examination Room 2052

258 Sherborne


Ward Pre-assessment Examination Room 2053 259 E Floor E2A Bay 1 260 E Floor E2A Bay 2 261 E Floor E2A Bay 3 262 E Floor E2A Bay 4 263 E Floor E2A Clean Utility 264 E Floor E2A Dirty Utility

265 G Floor Childrens

OPD Treatment Room G173


OPD Weighing Room G052


OPD Main Unit Door 268 G Floor CDU Main Unit Door 269 G Floor CDU Oncology G069 270 G Floor CDU Sluice G122 271 G Floor G1 Dolphin Therapy Room G070 272 G Floor G1 Shower Room G130 273 G Floor G1 Bay 5 G001 274 G Floor G1 Treatment Room G074 275 G Floor G1 Bathroom G079 276 G Floor G1 Sideroom 1 G091 277 G Floor G1 Sideroom 2 G012 278 G Floor G1 Sideroom 3 G011 279 G Floor G1 Sideroom 4 G010 280 G Floor G1 Sideroom 5 G009 281 G Floor G1 Sideroom 6 G008 282 G Floor G1 Sideroom 7 G007 283 G Floor G1 Sideroom 8 G006 284 G Floor G1 Sideroom 9 (en suite) 285 G Floor G1 Sideroom 10 (en suite)


286 G Floor G2 Large Assisted Bathroom G084 287 G Floor G2 Bathroom G089 288 G Floor G2 HDU G013 289 G Floor G2 Close Obs (Bay 4) G014 290 G Floor G2 Clean Utility G093 291 G Floor G2 Bay 3 G016 292 G Floor G2 Bay 2 G017 293 G Floor G2 Bay 1 G018 294 G Floor G2 Dirty Utility G101 295 G Floor G2 Shower (no 1) 296 G Floor G2 Shower (no 2)

297 Sherborne First

Floor Fertility Fertility Treatment Room 1032

298 Sherborne First

Floor Fertility Fertility Treatment Room 1031

299 Sherborne First

Floor Fertility Ante Natal Dirty Utility G028

300 Sherborne

Second Floor NNU NNU Parents flat 1

301 Sherborne

Second Floor NNU NNU Parents flat 2

302 Sherborne

Second Floor Sands Sands Suite lilac room 2092

303 Sherborne

Second Floor Sands Sands Suite 2098

Housekeepers – deep cleaning schedule 62 of 95 21.01.2010

Fig 2: Example of Public Display Ward Cleaning Schedules Domestic

CLEANING RECORD

Reference/ Ward/Bay: 162/Basing Unit/Examination Room 3 F045 Week

Commencing: KEY

√ = Completed

N/A = Not applicable PC = Patient Condition*

Other = Additional cleaning activities above normal Note: Replenish all items as required (47)

Bin

s (1

6)

Lock

er (3

5)

Tabl

e (3

6)

Scru

b Fl

oor

(26)

Buf

f Flo

or (2

6)

Sink

(48)

Cur

tain

Rai

ls

(39)

Doo

r & H

andl

e (1

9)

Rad

iato

r (23

)

Win

dow

- sill

(3

1)

Ligh

t Sw

itch/

So

cket

s (1

6)

Bed

bas

e (3

4)

Patie

nt L

ine

(22)

En s

uite

(45,

46

, 48)

Mirr

ors

(21)

Cha

ir (3

3)

Signed by Domestic

SigDom

Supe

AM N/A N/A PM N/A N/A

EVENING N/A N/A Mon

day

OTHER N/A N/A AM N/A N/A PM N/A N/A

EVENING N/A N/A

Tues

day


EVENING N/A N/A

Wed

nesd

ay


EVENING N/A N/A

Thur

sday

OTHER N/A N/A AM N/A N/A

Frid

ay

PM N/A N/A


EVENING N/A N/A OTHER N/A N/A

AM N/A N/A N/A N/A PM N/A N/A N/A N/A

EVENING N/A N/A N/A N/A

Satu

rday

OTHER N/A N/A N/A N/A AM N/A N/A N/A N/A PM N/A N/A N/A N/A

EVENING N/A N/A N/A N/A Sund

ay

OTHER N/A N/A N/A N/A


Fig 3 Example of Nurse Cleaning Schedule Commode Audit Spot Check

Ward Area ……………………………………….. Week Commencing…………………………………………. When undertaking Commode audit spot check all the commodes should be visibly clean top and bottom with no stains.

Commode Check Number Checked

Number Clean

Number Dirty

Comments Action Taken Signature

Monday AM PM NIGHT

Tuesday AM PM NIGHT

Wednesday AM PM NIGHT

Thursday AM PM NIGHT

Friday AM PM NIGHT

Saturday AM PM NIGHT

Sunday AM PM NIGHT

If commodes fail they must be cleaned immediately and the failure must be notified to the Ward Manager on duty. The spot check forms must be kept by the ward manager and be easily accessible to Modern Matrons and Infection Control.


YEAR: Ward D5 Deep Cleaning Schedule Each Area to be Deep Cleaned Every Three Months

Area Due Date Signature & Date Due Date Next clean

Signature & Date Due Date Next clean

Signature & Date Due Date Next clean

Signature & Date

Sluice Station 1

February

May

August

November

Sluice Station 2

April

July

October

January

Office Station 1

May

August

November

February

Office Station 2

January

April

July

October

Staff Room

Jun

September

December

March

Nurses Station 1

July

October

January

April

Nurses Station 2

September

December

March

June

Treatment room Station 1

October

January

April

July

Treatment room Station 2

November

February

May

August

Store room

December

March

June

September


YEAR:

Room

Area to be Cleaned Date (week

commencing)

Signature Date Next

Deep CleanDue

Sluice Station 1

Open Shelves

Cupboard

Work Surfaces

Open Shelves

Cupboard

Work Surfaces

Open Shelves

Cupboard

Work Surfaces

Open Shelves

Open Shelves

Cupboard

Work Surfaces


Name of Equipment: …………………………… / Serial Number: ……………………… Month: ……………………2009

Date Cleaned

Time (24 hr) Comments Signature

01

02

03

04

05

06

07

08

09

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

This piece of equipment must be deep cleaned once in every 24 hours and cleaned using the appropriate wipes between patients


Resuscitation Room Cleaning Checklist Nursing Responsibilities

You must ensure daily cleaning has been carried out as per the Daily checklist.

When your patient is discharged, you must also ensure cleaning has been carried out as per the Daily/Between Patient checklist

Ward: Emergency Dept. Resus Bay:

Day 1 Date/ time

Day 2 Date/ time

Day 3 Date/ time

Day 4 Date/ time

Day 5 Date/ time

Day 6 Date/ time

Date of last weekly clean from previous sheet:

Check Needed:

Please sign each box once check completed

1. ED Trolley number

2. Bed rails & drip stand

3. Screens

4. Oxygen & suction

5. Bell

6. Mattress & under mattress

7. Medical equipment

Dai

ly &

Bet

wee

n Pa

tient

s C

heck

list

8. Work Surfaces/ lead dividers

9. Back wall railing

1. Unzip & check mattress

Wee

kly

Che

cklis

t

Comments:


Bed Space Cleaning Checklist Nursing Responsibilities

You must ensure daily cleaning has been carried out as per the Daily checklist. When your patient is discharged, you must also ensure cleaning has been carried

out as per the Daily/Between Patient checklist. Week commencing:

Ward: Emergency Department Bed Space Number: Trolley:

Date of last Weekly mattress check from previous sheet.

Day 1 Date

Day 2 Date

Day 3 Date

Day 4 Date

Day 5 Date

Day 6 Date

Check Needed:

Please sign each box once cleaning/check comple

1. Bed serial number

2. Bed rails & drip stand 3. Chair & under chair 4. Oxygen & suction 5. Bell 6. Mattress 7. Under Mattress 8. Pillow 9. Medical equipment

Dai

ly/B

etw

een

Pat

ient

10. Shelf

11. Unzip & check mattress W

eekl

y

Comments:


Mattress Audit Tool Ward Area ……… Week Commencing ……………………… When undertaking mattress checks if either the foam or the cover is stained it would equate to a failure and should be condemned and replaced. Mattress/Bed Number

Foam stained Yes/No

Underside of mattress cover

stained Yes/No

Mattress Passed or

Failed

Comments

Auditor

G1 BED

G2 BED G3 BED G4 BED G5 BED G6 COT

G7 COT

G8 BED G9 BED G10 BED G11 BED G12 COT G13 BED G14 BED G15 BED G16 COT G17 BED G18 BED G19 BED G20 BED G21 COT G22 COT G23 HDU

COT

G24 BED G25 BED G26 BED

G27 HDU COT G28 BED G29 BED G30 BED G31 COT G32 BED

G33 HDU BED G34 BED G35 COT G36 BED


Appendix 3 Deep Cleaning Plan DEEP CLEAN COMPLETION CHECK LIST AND SIGN OFF Ward / area Nature of deep clean Emergency:

Scheduled:

Start time of deep clean

Date of deep clean

Responsibility Code N Nursing C Domestic Cleaning EFM/MACH/F Floor RR Rapid response team EFM ME Medical equipment team EFM LD Linen Department EFM E Estates EFM Element Responsibility code Responsibility Completed

Y / N 1. Overall Appearance N Nursing Team 2. Odour Control C Domestic Cleaning Services 3. Commodes, weighing scales, manual handling equipment N Nursing Team* 4. Medical equipment including intravenous infusion pumps, drip stands and pulse oximeters

N Nursing Team

5. Medical equipment including intravenous infusion pumps, N & ME (Not connected to

Nursing Team


drip stands and pulse oximeter patient) EFM Medical Equipment team

6. Patient washbowls N Nursing Team 7. Bedside oxygen and suction connectors, earpiece for bedside entertainment system

N Nursing Team

8. Patient fans N Nursing Team 9. Bedside alcohol hand-wash container, clipboards and notice boards

N Nursing Team

10. Notes and drugs trolley N Nursing Team 11. Patient personal items including cards and suitcases N Nursing Team 12. Linen trolley LD Linen Department EFM* 13. Entrance/exit C Domestic Cleaning Services * 14. Stairs (internal and external) C Domestic Cleaning Services * 15. External areas C Domestic Cleaning Services * 16. Switches, sockets and data point C Domestic Cleaning Services * 17. Walls C Domestic Cleaning Services * 18. Ceiling C Domestic Cleaning Services * 19. All doors C Domestic Cleaning Services * 20. All glazing, including partitions C Domestic Cleaning Services * 21. Mirrors C Domestic Cleaning Services 22. Bedside patient TV C Domestic Cleaning Services * 23. Radiators C Domestic Cleaning Services * 24. Ventilation grilles extract and inlets E EFM – RR + 25. Floor – polished C Domestic Cleaning Services 26. Floor – non slip C Domestic Cleaning Services 27. Soft floor C Domestic Cleaning Services 28. Pest control devices C Domestic Cleaning Services &

EFM helpdesk

29. Electrical items C Domestic Cleaning Services * 30. Cleaning equipment C Domestic Cleaning Services 31. Low surfaces C Domestic Cleaning Services *


32. High surfaces C Domestic Cleaning Services * 33. Chairs N & C Nursing Team/Domestic Cleaning

Services*

34. Beds N & C Nursing Team/Domestic* Cleaning Services

35. Lockers N & C Nursing Team/Domestic Cleaning Services*

36. Tables N & C Nursing Team/Domestic Cleaning Services*

37. All dispensers and holders [Entrances on A & B Floors and Sherborne Building]


38. Waste receptacles C Domestic Cleaning Services *

39. Curtains and blinds C & LD Domestic Cleaning Services Linen department

40. Dishwasher C Domestic Cleaning Services 41. Fridge and/or freezer [patients only] C Domestic Cleaning Services 42. Ice machine and/or hot water boiler C & Physio Domestic Cleaning Services

Physio dept for Ice machines

43. Kitchen cupboards C Domestic Cleaning Services 44. Microwave [patients only] C Domestic Cleaning Services 45. Shower C Domestic Cleaning Services * 46. Toilets and Bidet C Domestic Cleaning Services * 47. Replenishment C Domestic Cleaning Services 48. Sinks C Domestic Cleaning Services * 49. Bath C Domestic Cleaning Services * + Filter change carried out by EFM estates team on PPM


Comments on deep clean: I confirm that the following deep clean has been completed to the standards detailed in the Trusts: Standardised Cleaning procedures document. Name of Nurse in charge Time: AM / PM

Signature Date: / /200

Name of domestic in charge Time: AM / PM

Signature Date: / /200

NURSE IN CHARGE SIGNING CHECKLIST MUST FILE LOCALLY ON WARD FOR PURPOSE OF AUDIT BY INFECTION

CONTROL TEAM

Housekeepers – deep cleaning schedule 75 of 95

Appendix 3 Deep Cleaning Plan Guidelines for Nursing Teams. Deep cleaning plan for ward deep clean after isolation due to infection or for planned deep cleans. Shift coordinator to sign off each section when completed. Retain the completed form for your ward / unit records. A full ward deep clean may take up to 24 hours, dependent on planning & staff available. These guidelines are to support your preparation and process. This plan is based on deep clean starting in morning & should be adapted accordingly. Prompt for cleaning plan– time lines / order of clean may need to be amended for some specific areas You will need to ensure that there is a clearly identified leader within the nursing team to ensure effective coordination & completion of this plan. You will need to ensure you have 2 additional HCA’s on duty for the day time when cleaning is being undertaken. Review the off duty and agree with your matron any additional bank shifts. Patient care must still be undertaken during deep clean

• Plan staffing accordingly. • If separate cohort area is used for patients during the deep clean –

ensure staff are available for both ward and cohort area. • Ensure some staff are allocated specifically for patient care and

others for cleaning. Some may do both, dependent on need at the time.

Essential equipment required:

Sign and date when done

Ensure domestic teams have been informed,

Request staff to clean walls & ceilings via facilities help desk on ext 2523

All walls & blinds to be cleaned & also behind radiator covers

Inform linen room re need for curtains on Ext 5043

All curtains will be replaced during deep clean

Inform linen room re need for extra linen

All linen will be replaced during deep clean.


Ext 5043 Scrubs If scrubs not already available, contact linen room to advise how many sets required & sizes where possible

– to be worn by all if ward has been closed due to infection

- for routine deep clean, scrubs to be worn by those not involved in patient care

- those also involved in patient care to wear own uniform with gloves & aprons when cleaning

Inform equipment library in advance re number of replacement air flow mattresses required

Patients to be transferred on to clean equivalent mattress when transferred to clean bed. This may not be possible for a minority of patients. Special consideration & planning will b required for these patients with guidance from infection control team

Oxygen tubing Will need to replace all tubing on ward – give 48 hours notice if possible

Suction tubing Will need to replace all tubing on ward – give 48 hours notice if possible

Hoist slings All disposable slings to be discarded & replaced if still required Washable hoist slings to be laundered as per usual process and clean or disposable sling provided

Actichlor tablets Will be required for all cleaning. Tubs / boxes to be ordered from pharmacy

All cleaning will be with hospec then Actichlor solution Day before deep clean Inform patients & relatives where possible of disruption planned for following day. Standard information letter available, see attached. If deep clean is following ward being in isolation due to enteric infection, explain that patient’s fruit should ideally be disposed of. If permission refused, pack in bag and ask friends / relatives to take home. Explain that it is best for this to be disposed of due to risk of infection. Identify tasks to commence overnight suggestions are:

• Treatment room • Sluice • Ward kitchen •

See below for guidance Achieved

(signature) Treatment room

Empty & clean all shelves – pack items in large plastic bags.


Empty & clean all storage containers – pack items in large plastic bags. Leave bare minimum of essential items (syringes / needles etc) for ready access. During day - Containers to be dipped in actichlor and left for 5 minutes prior to air-drying. Replace containers & refill Remember to ensure walls & ceilings washed prior to returning supplies to treatment room / sluice

Empty & clean all cupboards, wipe & replace contents

Empty & clean drug fridge, replace items

Empty & clean all drug trolleys, wipe drug boxes / bottles & replace after cleaning.

Sluice Empty & clean all cupboards Pack up any items on worktop or shelves Clean all commodes, including underside &

wheels

During day - clean worktops after walls & ceilings have been cleaned by domestic / facilities staff, then return any packed up items to shelves / worktops

Ward kitchen Empty & clean all cupboards Empty & clean all shelves & wall behind shelf

prior to replacing items

Empty & clean fridge, replace items. Discard any open / unlabelled food

Nurses’ station

Clean computer

Clean telephones Clean all worktops Clean any cupboards & drawers Clean notes trolleys & all notes folders Patient care Approx 07.00 start to assist with personal

hygiene those patients in area designated as first area to be cleaned, or those patients identified as to be transferred to another area during deep cleaning process. Pack up property in bag after wash completed, label with patient’s name.


Actichlor solution

At end of night shift / beginning of early shift - if bath available in ward, fill with actichlor solution to following concentration:- 4 tablets of 0.5gm or 1 tablet of 1.7gm per litre. Use clean sharps bin (check volume it holds on label) to calculate volume of water while filling bath. If no bath available, discuss with infection control team how best to soak storage boxes, end of bed notes holders etc.

Day shift continue with following plan & include in day time plan any of above not yet completed

Shift coordinator

Check that all commodes have been cleaned overnight. If not, arrange for these to be cleaned ASAP. All commodes to be cleaned again at the end of the deep clean.

Ensure staff are allocated to specific tasks etc as below

Plan process of deep clean, ie, which patients to be sat in cohort area, who will oversee patients in this area, including break cover

Identify patient (non infected if possible) to sit out of side room to allow it to be cleaned and used as a turn around room to allow all side rooms to be deep cleaned.

Identify designated HCA – see guidance below

Identify which staff are responsible for patient care

Identify staff (this may be ward HK in some appropriate areas) whose main responsibility will be cleaning of patient equipment (drip stands, pumps etc)

Ensure patients in cohort area are returned to their bed spaces when all bays have been cleaned & their property returned to locker

Ensure patients’ drugs have been returned & locked in relevant locker POD when patients return to their bay.

Designated HCA

If not already completed:- If bath available in ward, fill with actichlor solution to following concentration:- :- 4 tablets of 0.5gm or 1 tablet of 1.7gm per litre. Use clean sharps bin (check volume it holds on label) to calculate volume of water while filling bath.


If no bath available, discuss with infection control team how best to soak storage boxes, end of bed notes holders etc.

Allocated HCA to complete following tasks prior to deep clean of each bay:

Ensure patients’ personal property has been bagged up & labelled. Identify where property should be put during the clean

Patients squash bottles etc, unopened biscuits / sweet packs to be wiped prior to packing

Patient’s fruit should ideally be disposed of with patient’s permission. If permission refused, pack in bag and ask friends / relatives to take home. Explain that it is best for this to be disposed of. Attach a sticker saying recommended to not be eaten.

Throw away disposable hoist slings Bag up glide sheets / handling belts –

arrange to be laundered in A floor linen room (or by domestic team for wards on F floor)

Remove laminated signs from above beds. Clean and ensure replaced above appropriate beds at the end of the deep clean.

Soak plastic wash bowls & notes hangers in actichlor after wash with hospec. Leave to soak 5 minutes – then air dry

Remove suction equipment – discarding disposable parts & soak jars in actichlor.

Remove oxygen tubing & discard If fans in use, unplug, unclip cover and clean

fan blades and mesh cover. Replace cover. If cover cannot easily be removed, refer to facilities help desk for relevant action to remove cover & clean.

Replace all oxygen & suction equipment when bay deep cleaned

Return property to correct patient & place in locker

Provide clean hoist slings, glide sheets & handling belts where required

Staff nurses Bag up patients own drugs- labelling & sealing bag – after you have administered 08:00 drugs. Store bags in locked cupboard / drug trolley.

All staff will be busy so please keep an eye on the patients and ensure they are kept comfortable and clean.


All staff

Distribute meal trays at appropriate time, assist patients where required.

Provide care according to patient need, with timing guided by deep clean plan, but not to the detriment of patient care needs.

Ensure menus are completed during relevant shift & returned on trolley.

Ensure all patient bedside equipment has been cleaned during the shift, including drip stands & pumps, hoists, weighing scales, wall suction & oxygen flow meters, wheelchairs

With assistance of domestic team clean: Bedside tables (including under table &

under legs) Lockers (inside & out), remove drawers

for ease of cleaning Armchairs (including underneath),

remove seat if it lifts off Beds & static mattresses. Beds should have boards under

mattress removed as part of deep cleaning process to clean all ledges

Bed rails - unclip the plastic screw covers (2 to be found on each bed rail) & clean underneath prior to clipping back into place.

Static mattresses to be cleaned with hospec then actichlor solution. Airflow mattresses should be replaced with clean mattress from equipment library If patient is bed bound options to replace mattress are:

1. PAT slide onto another similar clean mattress

2. hoist patient in sling or stretcher hoist as relevant and then return patient to own bed after cleaning or transfer to equivalent

3. roll patient to thoroughly clean mattress 4. if none of these are possible, take

advice from IC nurse based on clinical need of patient

Notice boards & signs on walls All notices to be removed for cleaning of walls. Laminated copies, clean & continue to use Glossy posters – clean and continue to use Paper signs to be removed & disposed of


Store cupboards

Store cupboards should be emptied and all shelving / storage boxes cleaned. Boxed stores – clean outside of box only

Ward office Will need to be deep cleaned as per all other ward areas, including carpet if not yet replaced.

Other areas Every ward will have its own layout. Check for any areas that have been missed, e.g. cleaners’ cupboards, alcoves etc


Appendix 4 Annual Deep Clean program Update available from EFM administration Q drive


Appendix 5 C4C Risk for Areas of Trust Available from C4C Functional Area Rooms report: http://c4creports/logon.aspx Log on details available from EFM administration office Ext 3510. Appendix 6 C4C Example ARF and 13 week report STANDARD OPERATING PROCEDURE FOR CREDITS 4 CLEANING 1. Auditor load area(s) to be audited onto PDA (personal digital assistants) from the C4C system. 2. When auditor arrives in area to be monitored, they must introduce themselves and make it clear why they are there. 3. Auditors must be accompanied during the audit, taking into account any sensitive issues that may be happening in that area at that time. If for any reason, an audit cannot take place (although every effort should be made that it does) a ‘C4C missed Audit’ form must be completed and a copy sent to the Modern Matron, the original to be kept by the C4C administrator. Room changes and other discrepancies must be reported to the C4C administrator for action. 4. The audit takes place using the PDA as a tool, checking all responsibilities (cleaning, nursing and estates) using the 49 elements as set out in the ‘National Specifications for Cleanliness in the NHS’. Notes can also be added onto the PDA to make it more specific what remedial action may need to take place. 5. When the audit has taken place the results on thePDA are to be downloaded onto the C4C system and ‘Action Required Forms’ produced. These forms contain the remedial action that needs to take place as a result of the audit. The auditor must sign, print and put the time and date these forms. They are split into three different categories;

• Cleaning • Nursing • Estates

6. The ARF’s must be taken to the areas concerned as soon as possible (in the case of ‘very high risk’ areas, immediately) and passed to the person/s responsible for taking the remedial action. These people could be;

• Cleaning staff • Nursing staff • Ward Housekeepers • Estates (via the EFM helpdesk).

http://c4creports/logon.aspx�


7. Using the ARF’s the remedial action must be taken (see list in No. 6) The timeframe for this is set out in the ‘National Specifications for Cleanliness in the NHS’; Very high and high risk areas- Immediately or as soon as is practically possible. Significant risk areas- 0-3 hours. Low risk areas- 0-48 hours. 8. After remedial action has taken place, the ARF’s must be signed, dated and name printed and then returned to the auditor for checking. The auditor should make ‘spot checks’ as well as ad-hoc audits to ensure remedial action has taken place. 9. When the auditor is satisfied that the ARF’s are correct they must be authorized and passed to the C4C Administrator. 10. The C4C Administrator can then download the audit results onto the mainframe C4C system. 11. The C4C reporting system should be used to give Modern Matrons, Managers, Governance boards and the Executive team information they require on targets and performance with regard to cleaning. Monthly easy to read reports are to be sent to Modern Matrons or Managers for display in their areas. These groups of people will also have access to reports so they can check their own areas on an ad hoc basis via an internet portal: http://c4creports/logon.aspx

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Appendix 7 Commode Cleaning Guidance


Appendix 8 Terms of reference Rapid Response Team Terms of reference EFM Rapid Response Cleaning Team Purpose The EFM Rapid Response cleaning team forms part of the EFM department’s domestic service. Their purpose is to deliver a fast response cleaning service, carrying out immediate domestic cleaning tasks to support of the continuity of clinical services and reduction of infection risks with in the Trust. Priority Time frames and management of team The EFM rapid response team will be dispatched based on the operational priority and risk needs. The EFM Domestic manager, will liaise with ward leaders and the Infection control team to establish priority time frames (fig 1) based on the situation and need. Fig 1 Priority Timeframe for response A - Constant Cleaning critical (very high-risk and high-risk functional areas). Immediately or as soon as is practically possible. Cleaning should be recognised as a team responsibility. If domestic or cleaning staff are not on duty, cleaning should be the responsibility of other ward or department personnel. These responsibilities should be clearly set out and understood. B - Frequent Cleaning important and requires maintaining (significant risk functional areas). 0–3 hours for patient areas (to be rectified by daily scheduled cleaning service for non-patient areas). C - Regular On a less frequent scheduled basis, and as required in-between cleans (low-risk functional areas). 0–48 hours. How to access the Rapid Response team Access to the team will be via the EFM helpdesk on ext 3523 24/7 or email [email protected], logging you requirements and site details. The EFM Domestic Manager will line manage the Rapid Response team and will be responsible for their service delivery, resources and training. Rapid Response Duties

mailto:[email protected]�


The Rapid Response cleaning team will carry out cleaning and domestic duties as designated to them by the Trust, in line with their Job description and Trust policies and procedures. The team will undertake specialised training to enable them to maintain ‘best in class’ practice in delivering their cleaning services. This will include the application of new technologies including Steam, Micro fiber and other innovation as the Trust approves. When not in action in a response capacity the team will carry out scheduled cleaning activities designated to them by the EFM Domestic services. These will include periodic deep cleaning of areas and equipment. The team will ensure that in they will:

• • Wear personal protective equipment, i.e. gloves, aprons and/or as appropriate.

• Insure all surfaces including underneath are serviced, paying special attention to ‘contact’ points.

• Apply national Colour coding policy. • Use specified product as required and follow all protocols and procedures. • Always comply with heath and safety policies and COSHH (refer to

data/assessment sheets); • Electrical equipment (switch off appliances and unplug); • Manual handling (lift in pairs, empty contents wherever possible). • Always comply with infection control policies and procedures: • good personal hygiene • safer disposal of clinical waste • adherence to standard infection control precautions • adherence to decontamination policy • seek specialist advice for cleaning when required


Appendix 9 BNHFT Bed Cleaning Guidance






