Catheter Care Audit - Care Homes
Relevant CQC Fundamental Standards
Answered 0 / 28(0% complete)
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Audit workspace
Score
0%
N/A counts as Yes (full credit). Unanswered reduces the score until completed.
Breakdown
0 Yes •0 No •0 N/A •28 Unanswered
Answers Overview
Questions
0/28 answeredQ1 | Unanswered
For each resident with a urinary catheter, is there a current, person-centred care plan that records the catheter type, reason, insertion or change date, drainage arrangement, planned review or change date, allergies, preferences and escalation arrangements?
Evidence to check
- • Current catheter passport or care plan
- • Catheter type, indication, insertion/change date and planned review date
- • Individual drainage, bag, valve and escalation instructions
- • Plan matches the latest clinical advice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ2 | Unanswered
Are catheter care risk assessments completed on admission and reviewed promptly after a change in health, mobility, cognition, continence, infection risk, catheter type or catheter-related incident?
Evidence to check
- • Current catheter risk assessment
- • Risks cover infection, blockage, trauma, falls, skin damage, cognition and hydration
- • Evidence of review after a change in need or incident
- • Controls are reflected in care plans and handovers
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ3 | Unanswered
Do staff seek consent before catheter care, bag emptying, catheter changes and related procedures, and where a resident lacks capacity, are decision-specific assessments and best-interest arrangements clear and followed in practice?
Evidence to check
- • Consent records for catheter care and related procedures
- • Decision-specific capacity assessment and best-interest records where required
- • Observed care shows consent, privacy and response to refusal
- • Relevant people are involved appropriately
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ4 | Unanswered
Are only staff with relevant training, supervised practice and current competency assessment allowed to undertake catheter care or catheter changes within their role and competence?
Evidence to check
- • Training matrix identifying staff authorised for catheter tasks
- • Observed practice and competency sign-off records
- • Evidence of supervision until staff are competent
- • Competency review after incidents or changes in equipment
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ5 | Unanswered
Do staff demonstrate correct hand hygiene, clean gloves and infection prevention precautions before and after handling a catheter, drainage bag, valve or sampling port?
Evidence to check
- • Observation of hand hygiene and clean glove use
- • Staff explain infection prevention precautions
- • Appropriate PPE and clean preparation arrangements
- • IPC observations and corrective action records
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ6 | Unanswered
Are catheter, drainage bag and valve connections kept as a closed drainage system, with connections broken only for a clear clinical reason and in line with the resident's plan?
Evidence to check
- • Observation confirms a sterile closed drainage system is maintained
- • Documented clinical reason for any disconnection
- • Staff know how to avoid unnecessary breaks in the system
- • Bag-change practice follows current instructions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ7 | Unanswered
Are drainage bags positioned below bladder level, off the floor, free from kinks and tension, and secured in a way that protects dignity, mobility and the catheter site?
Evidence to check
- • Observation of bag position, tubing and securing device
- • Bag is below bladder level and does not touch the floor
- • Tubing is free of kinks, traction and obstruction
- • Arrangement supports safe movement and dignity
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ8 | Unanswered
Are leg bags, night bags, valves, straps and other catheter equipment suitable for the resident, clean, within date and changed in line with the individual plan and manufacturer guidance?
Evidence to check
- • Equipment stock, expiry and storage checks
- • Care plan specifies bag, valve and change arrangements
- • Items are clean, intact and suitable for the resident
- • Staff follow manufacturer and clinical instructions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ9 | Unanswered
Are catheter sites, surrounding skin and tubing checked routinely for pain, redness, swelling, discharge, pressure damage, trauma, leakage or signs of infection, with concerns escalated promptly?
Evidence to check
- • Site and skin observation records where required
- • Records of pain, redness, swelling, discharge, leakage or trauma
- • Prompt escalation and clinical review for concerns
- • Care plan updated following changed risks
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ10 | Unanswered
Is daily genital and catheter-site hygiene carried out respectfully and in line with the person's care plan, without using practices or products that increase infection or skin-damage risk?
Evidence to check
- • Personal care plan gives clear daily hygiene instructions
- • Observation confirms respectful, person-centred care
- • Appropriate products and technique are used
- • Skin concerns are recorded and escalated
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ11 | Unanswered
Are drainage bags emptied using a clean technique, at an appropriate frequency and before they become overfull, with urine flow maintained and reflux avoided?
Evidence to check
- • Observation of bag emptying technique
- • Drainage records where required
- • Bags are emptied before overfilling and without contamination
- • Staff prevent reflux and maintain urine flow
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ12 | Unanswered
Where urine output, fluid balance or catheter drainage monitoring is required, are records complete, accurate, reviewed and used to trigger timely action?
Evidence to check
- • Fluid balance or urine-output charts where clinically indicated
- • Records are contemporaneous and reviewed
- • Poor output, sudden change or concern triggers action
- • Care notes and handovers match the charts
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ13 | Unanswered
Are staff able to recognise and respond to signs of catheter-associated urinary tract infection, including fever, pain, new confusion, deterioration, offensive or cloudy urine, discharge and changes in urine output?
Evidence to check
- • Staff can identify catheter-associated UTI warning signs
- • Care notes and incident records for suspected infection
- • Clinical advice, urine testing and treatment outcomes
- • Deterioration, delirium or sepsis concerns are escalated promptly
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ14 | Unanswered
When a urinary tract infection is suspected, do staff obtain and handle samples only as instructed, use an aseptic technique from the sampling port where appropriate, and seek prompt clinical advice rather than treating urine appearance alone?
Evidence to check
- • Instructions for obtaining a catheter urine sample
- • Sampling port and aseptic technique are used where appropriate
- • Specimen, culture and prescriber records
- • Antibiotic decisions are based on symptoms and clinical advice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ15 | Unanswered
Are staff able to recognise and respond safely to a blocked catheter, no or reduced drainage, bypassing, abdominal distension, pain, blood or clots, a dislodged catheter or a fallen-out suprapubic catheter?
Evidence to check
- • Emergency guidance for blockage, bypassing, bleeding, no drainage and dislodgement
- • Staff scenario responses and escalation records
- • Checks for kinks, bag position, constipation and other contributory factors
- • Urgent clinical advice is sought when indicated
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ16 | Unanswered
Are residents supported with adequate hydration where clinically appropriate, and are individual fluid targets, restrictions and measures to reduce blockage or constipation risks reflected in daily care?
Evidence to check
- • Individual hydration plan, targets or restrictions
- • Records of intake support and escalation for dehydration
- • Constipation and blockage risks considered together
- • Professional advice is reflected in daily care
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ17 | Unanswered
Are catheter changes, removals, trials without catheter and planned reviews completed at the agreed date or clinical interval, with overdue actions identified and escalated?
Evidence to check
- • Catheter register showing insertion, change, removal and review dates
- • Overdue planned changes or reviews are flagged and escalated
- • Clinical instructions for change interval are available
- • Removal or trial-without-catheter outcomes are documented
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ18 | Unanswered
For residents with suprapubic, intermittent or self-managed catheters, do care plans and observed practice reflect the specific equipment, risks, independence goals and professional instructions for that catheter type?
Evidence to check
- • Care plans distinguish urethral, suprapubic, intermittent and self-managed catheter requirements
- • Resident-specific equipment and competency information
- • Independence goals and risk controls are clear
- • Observed practice follows specialist advice
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ19 | Unanswered
Are catheter-related medicines, including antibiotics, bladder medicines, analgesia or catheter-maintenance products, prescribed, administered, monitored and reviewed safely alongside the catheter care plan?
Evidence to check
- • MAR and catheter plan identify relevant medicines
- • Medicine administration, effectiveness and side effects are monitored
- • Antibiotic review and antimicrobial stewardship evidence
- • Medication changes are communicated through handover
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ20 | Unanswered
Are residents supported to maintain privacy, dignity, comfort, clothing choice, relationships, mobility and social participation while living with a catheter?
Evidence to check
- • Resident preferences for privacy, routines, clothing and mobility
- • Observation of dignified catheter care
- • Support for social activity and independence
- • Concerns about discomfort or impact on quality of life are acted upon
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ21 | Unanswered
Are residents, families, advocates and relevant professionals appropriately involved in catheter decisions, care preferences, infection prevention, independence and changes to support?
Evidence to check
- • Records of resident, family, advocate and professional involvement
- • Accessible information and communication support
- • Preferences and concerns are reflected in plans
- • Feedback leads to a documented response or review
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ22 | Unanswered
Are community nursing, continence services, GPs, urology, pharmacy and other specialist recommendations accessible to staff and translated into clear day-to-day instructions?
Evidence to check
- • Current advice from community nursing, continence, GP, urology or pharmacy
- • Clear translation of specialist advice into daily staff guidance
- • Referrals and outstanding actions are tracked
- • Staff can locate the latest instructions
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ23 | Unanswered
Following hospital admission, discharge, outpatient review or catheter change, are care plans, catheter records, supplies, medicines and staff handovers updated without delay?
Evidence to check
- • Discharge summaries, outpatient letters and catheter-change documentation
- • Prompt updates to plans, records, supplies, MARs and handovers
- • Evidence staff are briefed before changed care starts
- • Reconciliation of catheter care and medicines after transfer
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ24 | Unanswered
Are emergency contact details, out-of-hours arrangements, prescribed spare equipment and contingency plans available so catheter problems can be escalated promptly and safely?
Evidence to check
- • Current contact details for community nursing, GP, continence and out-of-hours services
- • Prescribed spare supplies and equipment available
- • Contingency plan for urgent catheter problems
- • Staff can explain the escalation route
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ25 | Unanswered
Are catheter-related incidents, infections, blockages, dislodgements, trauma, missed changes and emergency escalations recorded, investigated and used to improve practice?
Evidence to check
- • Catheter incident, blockage, infection and dislodgement logs
- • Investigation considers resident, practice, equipment and system factors
- • Immediate safety action and family communication where relevant
- • Learning is shared and checked through observation or re-audit
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ26 | Unanswered
Are staff able to explain when they must not attempt catheter insertion, change, irrigation or problem-solving because it is outside their assessed competence or the resident's current instructions?
Evidence to check
- • Role boundaries and competency records
- • Staff can describe tasks requiring clinical escalation
- • Records show staff sought advice rather than acting outside competence
- • Supervision or retraining follows identified gaps
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ27 | Unanswered
Do catheter care audits include observation of practice, catheter records, care plans, staff questioning and resident or representative feedback, rather than checking documentation alone?
Evidence to check
- • Audit sample includes observation, records, staff discussion and resident or representative feedback
- • Audit covers different shifts and catheter types where possible
- • Findings distinguish paperwork from safe practice
- • High-risk findings are escalated immediately
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCameraQ28 | Unanswered
Where catheter care issues are identified, do action plans have named owners and timescales, with governance oversight and re-checks confirming that improvements are sustained?
Evidence to check
- • Action plans have owners, deadlines and completion evidence
- • Governance tracks overdue actions and recurring themes
- • Re-audit or observation confirms actions are effective
- • Service can evidence sustained improvement in safety, comfort and infection prevention
Supporting NotesNo notes yet.Notes are stamped with your name, date and time.Photographic Evidence
Attach photos for any answer, including positive evidence.
Image filesCamera
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