CQC Clinical & Governance Audits
Perform digital, evidence-grounded audits for HTM 01-05 decontamination, IRMER radiography, clinical records, and antimicrobial prescribing with automatic RAG rating and action plan synthesis.
HTM 01-05 IPS Decontamination & Infection Prevention Audit
Completed 0 of 5 criteria
Are all clinical staff wearing appropriate single-use PPE (heavy-duty gloves, eye protection, fluid-resistant mask, plastic apron) during decontamination duties?
💡 HTM 01-05 Section 3.8: Decon PPE must be distinct from clinical treatment PPE and stored separately.
Is there a strictly maintained dirty-to-clean unidirectional workflow in the local decontamination unit (LDU) with no cross-over?
💡 HTM 01-05 Section 2.1: Physical separation or designated dirty/clean zones required.
Are daily Automatic Control Tests (ACT) and steam penetration (Helix/Bowie-Dick) recorded with cycle parameters for all autoclaves?
💡 HTM 01-05 Section 4.2: Daily logs must be signed, dated, and retained for 2 years.
Are sterilized instruments packaged, heat-sealed, and labeled with explicit expiry dates and autoclave cycle numbers?
💡 HTM 01-05 Section 4.24: Wrapped instruments stored in clean dry areas up to 1 year.
Are dental unit waterlines (DUWL) purged daily (2 mins start, 20s between patients) and treated with continuous disinfectant?
💡 HTM 01-05 Section 6.84: Colony counts must remain < 200 CFU/ml (drinking water standard).
Live Audit Rating & RAG Status
CQC Regulation 17 (Good Governance) mandates that all clinical audits include a re-audit cycle (usually 6 months) and a SMART action plan for any amber/red areas.