Tissue Viability and Pressure Ulcer Prevention Audit - Care Homes

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