Tissue Viability and Pressure Ulcer Prevention Audit - Care Homes
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- Q1: Is there a current policy for tissue viability and pressure ulcer prevention based on NICE and NHS guidance?
- Q2: Are residents assessed for pressure ulcer risk on admission using a validated tool (e.g., Waterlow, Braden)?
- Q3: Are skin integrity and pressure risk assessments reviewed regularly or after any change in health or mobility?
- Q4: Are care plans clearly updated to reflect residents' skin care needs and any pressure-related risks?
- Q5: Are repositioning and turning schedules documented and followed for at-risk residents?
- Q6: Is equipment such as pressure-relieving mattresses and cushions provided and maintained appropriately?
- Q7: Are residents' mobility, hydration, and nutrition reviewed as part of pressure ulcer prevention planning?
- Q8: Are staff trained in recognising early signs of pressure damage (e.g., non-blanching redness, heat, swelling)?
- Q9: Are daily skin checks completed for residents with high or medium risk of pressure injury?
- Q10: Are wound assessments documented accurately and reviewed by qualified staff or tissue viability nurses (TVNs)?
- Q11: Is there a system for prompt referral to the TVN or community nurse when skin damage is identified?
- Q12: Are incidents of pressure damage reported, categorised correctly (grade 1–4), and recorded as per safeguarding or reporting requirements?
- Q13: Are families and residents informed about skin integrity plans and involved in care decisions?
- Q14: Are pressure ulcer prevention practices audited regularly and reviewed at governance meetings?
- Q15: Is data on new or deteriorating wounds monitored to identify trends or lapses in care?
- Q16: Are incidents involving pressure ulcers investigated to determine if they were avoidable or linked to poor practice?
- Q17: Are staff trained in appropriate application of barrier creams, dressings, and moisturisers?
- Q18: Is continence support factored into tissue viability planning (e.g., incontinence-associated dermatitis risk)?
- Q19: Are repositioning records complete, timely, and aligned with care plans and risk assessments?
- Q20: Are care equipment and bedding checked daily for creases, dampness, or faults that could increase skin risk?
- Q21: Are dietary needs related to skin health (e.g., protein, zinc, hydration) considered in nutrition plans?
- Q22: Are pressure ulcer themes discussed in clinical governance or quality assurance reviews?
- Q23: Is the home proactive in adopting new evidence-based practices for skin care and wound prevention?
- Q24: Are staff observed and supported in delivering effective personal care that maintains skin integrity?