Wound Care Audit - Domiciliary Care

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  • Is there a current wound care policy aligned with NICE guidance, local NHS protocols, and best practice for community settings?
  • Are all wounds clearly assessed and documented using a recognised tool (e.g., TIME, wound assessment charts) at first visit?
  • Is the wound care plan personalised, including wound type, treatment objectives, dressing schedule, and review dates?
  • Are wound assessments updated at each visit with accurate documentation of progress, deterioration, or infection?
  • Are wound photos taken (with consent) and stored securely in line with data protection and clinical governance requirements?
  • Are appropriate escalation procedures in place for non-healing, deteriorating, or infected wounds (e.g., TVN, GP, hospital referral)?
  • Are carers and families provided with clear information on wound management, signs of infection, and escalation routes?
  • Are staff delivering wound care trained, assessed as competent, and supported with supervision in wound management?
  • Is pain assessed during wound care, and is analgesia considered before or during dressing changes as needed?
  • Are clean or aseptic techniques used appropriately based on the wound type, setting, and infection risk?
  • Are all dressing changes recorded with date, time, products used, wound appearance, and staff signature?
  • Is there secure and consistent storage or transport of wound care supplies, including safe disposal of clinical waste?
  • Are only prescribed or approved wound care products used in line with the local formulary or professional guidance?
  • Is hand hygiene followed before and after wound care, with PPE used correctly in the home setting?
  • Are staff able to identify different types of wounds (e.g., pressure ulcers, leg ulcers, diabetic wounds, surgical wounds) and apply suitable care plans?
  • Are service users’ nutritional and hydration needs assessed and supported if they are factors in delayed wound healing?
  • Are pressure ulcers graded correctly, and are equipment needs (e.g., cushions, mattresses) addressed and escalated when necessary?
  • Is the effectiveness of wound care monitored and changes made promptly when progress stalls?
  • Are families or informal carers involved in care appropriately, with clear boundaries and support for wound management where relevant?
  • Are dressings transported and stored safely between visits to protect sterility and ensure correct use?
  • Are service users with wounds assessed for mental capacity to consent to treatment, and best interest decisions documented where needed?
  • Are safeguarding procedures followed if a wound appears non-accidental, neglected, or worsening without explanation?
  • Is cross-agency communication (e.g., district nurses, GPs, hospitals) coordinated to ensure consistent wound management?
  • Are pressure-relieving aids used and monitored in the home environment, and reviewed for effectiveness?
  • Are missed visits or cancellations followed up to ensure no delay in essential wound care?
  • Is the psychological impact of chronic wounds recognised and referrals offered for emotional support if needed?
  • Are all sharps disposed of correctly in accordance with infection prevention and control standards?
  • Is wound care included in internal audits and reported through clinical governance structures?
  • Are learning needs identified and addressed through wound care training, updates, or peer review?
  • Is there evidence of positive outcomes (e.g., healing time, reduced hospital admission) from wound care provided?
  • Are staff encouraged to report and learn from incidents related to wound care (e.g., missed dressings, poor healing, infection)?
  • Is information about wound care recorded in a way that supports continuity between carers and across shifts?
  • Are wound-related risks considered in care plans and risk assessments (e.g., mobility, falls, diabetes, vascular disease)?
  • Is the home environment assessed to ensure cleanliness, privacy, and safety during wound care procedures?
  • Are service users’ choices, dignity, and autonomy respected during all aspects of wound care delivery?