Spreadsheet: 176176d1345747594-index-and-offset-no-idea-resultstoolforteamanddepartment
Sheet: Formula

 | Department or Team? | Team
Question | LH | W
Weekly / daily cleaning has been completed and recorded | 1 | 1
All bathroom sufaces are clean | 1 | 1
All toilets are clean | 1 | 1
Medical devices are clean, stored correctly and are included on inventory | 1 | 1
All furniture and upholstery are clean and free from rips | 1 | 1
Patients are pleased with the cleanliness and hygiene in the ward | 1 | 0
Sluice is clean and tidy | 0 | 1
Ward area looks well maintained and clean | 1 | 1
There is an absence of clutter in the work areas | 1 | 1
Bedrooms are clean and uncluttered | 1 | 1
Ward kitchen areas are clean and tidy | 1 | 1
The kithcen fridge is kept at the correct temperature | 1 | 0
All food contents in kitchen fridge is labelled and dated | 1 | 0
All food in freezer is kept at correct temperature | 1 | 1
Staff are following dress code policy and ID badges visible | 1 | 1
Staff are not wearing prohibited jewellery or nail varnish | 1 | 1
Staff are bare below elbows | 1 | 1
The linen on beds is on good condition | 1 | 1
Linen cupboard is tidy | 1 | 1
Linen cupboard door is shut | 1 | 1
Mattress checks have been carried out and recorded | 1 | 1
Gel dispensers on walls / beds are full and clean (except patients with C.Diff) | 0 | 1
The environment smells fresh and pleasant | 1 | 1
Clinicial ward fridge is kept at the correct temperature (view temperature recording for the last 7 days) | 0 | 1
Medicines are disposed of in the correct container | 1 | 1
Sharp boxes signed and tagged | 1 | 1
Sharp box - temporary mechanism in place | 1 | 1
CD register checked in the last 7 day period | 1 | 1
Drug trolley / cupboard is tody, locked, clean and orderly with no medicines left out. | 1 | 1
Clinic room is clean and tidy | 1 | 1
Medical emergency equipment and forst aid equipment in order | 1 | 1
Review 5 medication charts: Name | 1 | 1
Review 5 medication charts: DOB | 1 | 1
Review 5 medication charts:  NHS. No. | 1 | 1
Review 5 medication charts:  Allergies | 1 | 1
Review 5 medication charts:  Weight recorded | 0 | 1
Review 5 medication charts:  Medicine reconciliation | 1 | 0
Review 5 medication charts:  No. of ommissions | 0 | 0
Review 5 medication charts:  Signature of administration | 1 | 1
Review 5 medication charts:  Date administered | 1 | 1
Review 5 medication charts: MHA T2 and T3 forms completed attached to prescription | 0.2 | 1
Review 5 risk assessments & care plans:  Care plan completed | 1 | 1
Review 5 risk assessments & care plans:  Care plan signed | 0.8 | 1
Review 5 risk assessments & care plans:  Risk assessment completed | 1 | 1
Review 5 risk assessments & care plans:  Physical Health care plan | 1 | 1
Review 5 risk assessments & care plans:  Falls care plan | 0 | 0
Review 5 risk assessments & care plans:  Nutrition care plan | 0.6 | 1
Review 4 key checks for falls:  Falls care plan completed | 0 | 0
Review 4 key checks for falls:  Weekly care plan reviewed | 0 | 0
Review 4 key checks for falls:  Falls checklist completed | 0 | 0
All patients are accommodated in same sex bays / single sex rooms | 1 | 1
Toilets and washrooms are located next to or close to patient's sleeping accommodation | 1 | 1
Patients do not have to walk through areas occupied by the opposite sex to access toilet / bath / wash facilities | 1 | 1
If bathrooms and toilets are unisex, there is a privacy curtain | 0 | 1
There is clear signage in place on all bays / wards / toilets / bathrooms and wash rooms stating the gender of the accommodation | 1 | 1
If bathrooms and toilets are unisex, the door signage is changeable dependent on the sex of the patient | 0 | 1
Privacy curtains are fit for purpose and used appropriately to protect the modesty of the patient | 1 | 0
Privacy curtains are long enough to provide privacy | 1 | 0
Permission is sought from the patient before all staff (clinical and non clinical) enter spaces where curtains are drawn | 0 | 0
Ward ligature assessments have been completed in last 4 months | 1 | 0
Seclusion / Intensive care area is fit for purpose | 1 | 0
Seclusion / Intensive care area is available for use | 1 | 0
Seclusion / Intensive care area is clean and tidy | 1 | 0
Episodes of seclusion have been recorded | 0 | 0
Episodes of rapid tranx have physical observations on track and trigger tool | 0 | 0
Patients on observation have completed observation records | 1 | 1
Episodes of restraint have been incident reported | 0 | 1
Episodes of restraint have been recorded and care planned in patient records | 0 | 1
Patients have recorded their own experience of restraint | 0 | 0
Episodes of self harm have been incident reported | 1 | 0
Patients who have self harmed have a risk assessment and a care plan | 1 | 0
No illegal detention of patients | 0 | 0
Detained patients are signed in and out on Section 17 leave by: | 1 | 1
Patients are aware of the nurse / key worker caring for them | 1 | 0
Patients feel they are involved in decisions about their care | 1 | 0
Patients are aware of the ward routine - day and night | 1 | 0
Patients have received an orientation pack on admisison? | 1 | 0
Patients feel that their dignity and privacy needs are being met | 1 | 0
Risk assessments and care plans completed for all patients | 1 | 1
Risk assessment and care plans manage identified risk | 1 | 1
All patients have had physical health assessment on admission | 1 | 1
All patients have recorded physical health monitoring | 1 | 1
Patients have a falls assessment completed | 0 | 0
All patients have a completed nutrition and hydration assessment | 1 | 1
Comfort checks (or equivalent) have been completed | 0 | 0
Staff would be happy to have a member of their family treated in this ward / area | 1 | 1
Patients are happy with the quality of the food | 1 | 0
If they have any safety concerns | 1 | 1
In the event of locking doors to ward | 1 | 1
When a patient is under observation | 1 | 1
In the event of the discovery of illicit substance | 1 | 1
In the event of a serious incident | 1 | 1
If a patient falls in the hospital | 1 | 1
If a patient absconds from the ward | 1 | 1
if a patient develops D&V on their shift | 1 | 1
If a patient is found collapsed | 1 | 1
In the event of a medication error | 1 | 1
Staff have had a meeting with their line manager in the last two months | 1 | 1
Staff have had a PDR in the last 12 months | 1 | 0.5
Staff have receoved supervision | 1 | 1
Staff have attended a ward or team meeting in the last month | 1 | 1
Staff feel they have access to the clinical information required to do their job | 1 | 1
Staff know how to access policies | 1 | 1
Staff can access the intranet | 1 | 1
Staff have received a hand over at the start of the shift | 1 | 1
Staff are compliant in statutory and mandatory training | 1 | 1
Ward lights are turned on / off at set times | 1 | 1
Is the level of lighting appropriate? | 1 | 1
The building / ward is secure at night | 1 | 1
The ward is tidy | 1 | 1
The ward is quiet | 1 | 1
Have trained staff had appropriate breaks across the course of the night? | 1 | 1
Have untrained staff had appropriate breaks across the course of the night? | 1 | 1
Is the night observation record up to date? | 1 | 1