Skin Integrity and Pressure Area Care Audit – Care Homes

Answered 0 / 32(0% complete)

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Score

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N/A counts as Yes (full credit). Unanswered reduces the score until completed.

Breakdown

0 Yes •0 No •0 N/A •32 Unanswered

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Answers Overview

0%Score (Yes + N/A)
Yes
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No
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N/A
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32

Questions

0/32 answered
  • Q1 | Unanswered

    Governance: Is there a current skin-integrity and pressure-area care policy with clear responsibilities, prevention arrangements and routes for obtaining clinical advice?

    Evidence to check

    • • Current skin-integrity and pressure-area care policy and named responsibilities
    • • Clinical advice and referral pathways and checks of implementation
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q2 | Unanswered

    Initial assessment: Are skin condition and pressure-damage risk assessed promptly on admission or return to the home, with existing damage documented and appropriate clinical input arranged?

    Evidence to check

    • • Admission or return skin assessments and pressure-risk records
    • • Documentation of existing damage and timely referral or clinical advice
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q3 | Unanswered

    Risk assessment: Do assessments consider relevant mobility, ability to reposition, nutrition, continence, sensory impairment, health conditions and previous pressure damage, with validated tools used appropriately alongside clinical judgement?

    Evidence to check

    • • Individual risk assessments and relevant clinical or care information
    • • Appropriate validated tool records and clinical judgement supporting the assessment
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q4 | Unanswered

    Review triggers: Are risk assessments and care plans reviewed at appropriate intervals and after changes in mobility, illness, nutrition, skin condition or other relevant needs?

    Evidence to check

    • • Assessment and care-plan review histories
    • • Reviews following illness or changes in mobility, nutrition or skin condition
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q5 | Unanswered

    Skin assessment: Do people at high risk receive a skin assessment by a trained healthcare professional, with staff carrying out ongoing observations within their competence and the agreed plan?

    Evidence to check

    • • Healthcare professional skin assessments for people at high risk
    • • Ongoing observation instructions and staff competence records
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q6 | Unanswered

    Recognition across skin tones: Can staff recognise concerning changes across different skin tones, including changes in colour, temperature, firmness, swelling or pain rather than relying only on visible redness?

    Evidence to check

    • • Training and competency checks covering assessment across skin tones
    • • Sampled observations documenting colour, warmth, firmness, swelling or pain concerns
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q7 | Unanswered

    Consent and privacy: Are skin checks and care explained accessibly and undertaken with consent or appropriate lawful decision-making, protecting privacy and dignity?

    Evidence to check

    • • Communication preferences and relevant consent or lawful decision records
    • • Resident feedback and consented observations of privacy during skin care
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q8 | Unanswered

    Individual plan: Does each person at risk have an individual prevention plan specifying skin checks, pressure relief, repositioning, equipment, moisture management and escalation arrangements?

    Evidence to check

    • • Individual prevention plans with skin checks, equipment and care instructions
    • • Staff knowledge checks and examples of escalation arrangements being used
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q9 | Unanswered

    Repositioning schedule: Is repositioning frequency and assistance based on assessed risk and current clinical guidance, clearly recorded and reviewed for effectiveness, comfort and changing needs?

    Evidence to check

    • • Assessed repositioning schedules and relevant clinical recommendations
    • • Reviews of skin outcomes, comfort and changes in required assistance
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q10 | Unanswered

    Delivery and recording: Are planned position changes delivered and recorded accurately, with missed or delayed support identified, escalated and addressed?

    Evidence to check

    • • Repositioning records compared with planned care and actual shift arrangements
    • • Actions on missed, delayed or inaccurately recorded support
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q11 | Unanswered

    Choice and participation: Are people supported to reposition independently where possible, with refusals or distress explored and safe alternatives or advice sought?

    Evidence to check

    • • Plans supporting independent movement and personal preferences
    • • Records of declined care, explored reasons and agreed alternatives or clinical advice
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q12 | Unanswered

    Safe techniques: Do staff use assessed handling methods and suitable aids to reduce friction and shear, avoiding rubbing or massage of pressure areas as a prevention measure?

    Evidence to check

    • • Handling plans, training and suitable repositioning aids
    • • Consented observations and staff checks confirming friction and shear are minimised
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q13 | Unanswered

    Support surfaces: Are mattresses, cushions and other pressure-redistributing surfaces selected to meet assessed needs, provided promptly and reviewed when needs change?

    Evidence to check

    • • Assessed mattress, cushion or support-surface requirements
    • • Provision records and reassessment following changes in needs
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q14 | Unanswered

    Equipment function: Are pressure-relieving systems correctly set up, checked and maintained in line with instructions, with faults escalated and safe alternatives available?

    Evidence to check

    • • Equipment setup instructions, function checks and maintenance records
    • • Fault reports and evidence safe replacement or contingency arrangements were used
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q15 | Unanswered

    Compatibility: Are pressure-relieving surfaces compatible with beds, rails, seating and the person's transfer needs, with entrapment or other equipment risks assessed?

    Evidence to check

    • • Equipment compatibility and relevant bed-rail or entrapment assessments
    • • Checks showing the surface, bed and transfer arrangements work safely together
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q16 | Unanswered

    Seating and heels: Are prolonged sitting, posture and heel pressure addressed through individual assessment, suitable positioning and any clinically advised offloading arrangements?

    Evidence to check

    • • Individual seating, posture and heel-pressure assessments or specialist advice
    • • Care observations and records of positioning or offloading arrangements
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q17 | Unanswered

    Device-related pressure: Where devices, splints or other equipment contact the skin, are pressure risks assessed and relevant sites checked under the care plan?

    Evidence to check

    • • Relevant device-related skin-risk assessments and observation instructions
    • • Recorded skin checks and action on pressure from devices or equipment
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q18 | Unanswered

    Moisture and continence: Are moisture, incontinence and perspiration managed through timely support and an individual skin-care plan, with suitable cleansing and prescribed or recommended protective products?

    Evidence to check

    • • Individual continence and moisture-management plans
    • • Care records and checks of cleansing or protective products and resulting skin condition
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q19 | Unanswered

    Fragile skin: Are dry or fragile skin, skin tears and other relevant risks addressed through gentle care, suitable products and adaptations to clothing, handling or the environment?

    Evidence to check

    • • Fragile-skin assessments and individual skin-care instructions
    • • Actions addressing skin tears, handling, clothing or environmental causes
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q20 | Unanswered

    Nutrition and hydration: Are nutrition and hydration concerns affecting skin health identified, monitored and referred appropriately, with recommended support followed through?

    Evidence to check

    • • Nutrition and hydration assessments, monitoring and relevant referrals
    • • Recommended support and follow-up on concerns affecting skin health
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q21 | Unanswered

    Pain and comfort: Are skin-related pain and discomfort assessed using appropriate communication support, with relief and clinical advice sought and outcomes reviewed?

    Evidence to check

    • • Appropriate pain assessments and communication support
    • • Comfort interventions, clinical advice and review of response
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q22 | Unanswered

    Early escalation: Are new discolouration, non-blanching changes, broken skin or other concerning findings reported promptly, with preventive action and clinical review arranged without waiting for a routine audit?

    Evidence to check

    • • Records of new skin concerns, recognition times and escalation
    • • Prompt preventive action, clinical assessment and follow-up
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q23 | Unanswered

    Wound assessment: Where damage is present, is assessment and classification undertaken by a competent healthcare professional, with a clear treatment plan and review arrangements?

    Evidence to check

    • • Competent clinical wound assessments and classification records
    • • Current treatment plans and planned clinical reviews
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q24 | Unanswered

    Wound records: Do records describe the site, extent and progress of damage consistently, with body maps or photographs used appropriately and securely under consent or other lawful authority?

    Evidence to check

    • • Wound charts, body maps and consistent progress records
    • • Relevant photograph authority, access controls and secure storage arrangements
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q25 | Unanswered

    Treatment delivery: Are dressings and other interventions delivered by staff with the required competence in accordance with the clinical plan, with supplies available and changes authorised appropriately?

    Evidence to check

    • • Treatment instructions, dressing records and role-specific competency evidence
    • • Supply checks and authorised changes to interventions
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q26 | Unanswered

    Deterioration: Are worsening wounds, possible infection or systemic illness recognised and escalated through appropriate urgent clinical pathways, with action and outcomes recorded?

    Evidence to check

    • • Records of deterioration, infection concerns or systemic symptoms
    • • Urgent escalation, clinical advice and documented outcomes
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q27 | Unanswered

    Complex and end-of-life needs: Are prevention and treatment adapted through clinical review for complex or end-of-life needs, balancing comfort, preferences and risk with decisions clearly documented?

    Evidence to check

    • • Relevant complex-care or end-of-life plans and clinical review decisions
    • • Documented preferences, comfort considerations and reasons for adapted care
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q28 | Unanswered

    Staff readiness: Are staff trained and assessed for their role in skin observation, prevention and escalation, with suitable staffing, equipment and specialist support available across shifts?

    Evidence to check

    • • Training, competency and shift support arrangements
    • • Equipment availability and access to clinical or tissue-viability advice
    Supporting Notes
    No notes yet.
    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q29 | Unanswered

    Handover and transfer: Are current skin findings, risk levels, equipment and care instructions communicated securely during handovers and transfers, with recommendations followed up?

    Evidence to check

    • • Sampled handovers and transfer information covering skin risks and instructions
    • • Receipt checks where needed and follow-up of recommendations
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q30 | Unanswered

    Reporting and safeguarding: Are pressure-damage incidents reviewed and reported through applicable routes, with safeguarding concerns considered on the facts and required notifications made?

    Evidence to check

    • • Pressure-damage incident reviews and reporting decisions
    • • Safeguarding assessments, referrals and required notifications where applicable
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q31 | Unanswered

    Learning and outcomes: Are new or worsening skin injuries, healing progress, missed care and resident feedback reviewed for underlying causes, with improvement actions checked for effectiveness?

    Evidence to check

    • • Reviews of skin injuries, healing progress, missed care and resident feedback
    • • Improvement actions and rechecks addressing underlying causes
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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  • Q32 | Unanswered

    Leadership assurance: Do managers and the Responsible Individual review skin-care practice, access to equipment and clinical support, and include findings and resource decisions in the quality of care review?

    Evidence to check

    • • Management and Responsible Individual reviews and quality-of-care findings
    • • Resource decisions and actions improving equipment, clinical support and care practice
    Supporting Notes
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    Notes are stamped with your name, date and time.

    Photographic Evidence

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