Wound Care Audit - Domiciliary Care

Q1 | Unanswered

Is there a current wound care policy aligned with NICE guidance, local NHS protocols, and best practice for community settings?

Q2 | Unanswered

Are all wounds clearly assessed and documented using a recognised tool (e.g., TIME, wound assessment charts) at first visit?

Q3 | Unanswered

Is the wound care plan personalised, including wound type, treatment objectives, dressing schedule, and review dates?

Q4 | Unanswered

Are wound assessments updated at each visit with accurate documentation of progress, deterioration, or infection?

Q5 | Unanswered

Are wound photos taken (with consent) and stored securely in line with data protection and clinical governance requirements?

Q6 | Unanswered

Are appropriate escalation procedures in place for non-healing, deteriorating, or infected wounds (e.g., TVN, GP, hospital referral)?

Q7 | Unanswered

Are carers and families provided with clear information on wound management, signs of infection, and escalation routes?

Q8 | Unanswered

Are staff delivering wound care trained, assessed as competent, and supported with supervision in wound management?

Q9 | Unanswered

Is pain assessed during wound care, and is analgesia considered before or during dressing changes as needed?

Q10 | Unanswered

Are clean or aseptic techniques used appropriately based on the wound type, setting, and infection risk?

Q11 | Unanswered

Are all dressing changes recorded with date, time, products used, wound appearance, and staff signature?

Q12 | Unanswered

Is there secure and consistent storage or transport of wound care supplies, including safe disposal of clinical waste?

Q13 | Unanswered

Are only prescribed or approved wound care products used in line with the local formulary or professional guidance?

Q14 | Unanswered

Is hand hygiene followed before and after wound care, with PPE used correctly in the home setting?

Q15 | Unanswered

Are staff able to identify different types of wounds (e.g., pressure ulcers, leg ulcers, diabetic wounds, surgical wounds) and apply suitable care plans?

Q16 | Unanswered

Are service users’ nutritional and hydration needs assessed and supported if they are factors in delayed wound healing?

Q17 | Unanswered

Are pressure ulcers graded correctly, and are equipment needs (e.g., cushions, mattresses) addressed and escalated when necessary?

Q18 | Unanswered

Is the effectiveness of wound care monitored and changes made promptly when progress stalls?

Q19 | Unanswered

Are families or informal carers involved in care appropriately, with clear boundaries and support for wound management where relevant?

Q20 | Unanswered

Are dressings transported and stored safely between visits to protect sterility and ensure correct use?

Q21 | Unanswered

Are service users with wounds assessed for mental capacity to consent to treatment, and best interest decisions documented where needed?

Q22 | Unanswered

Are safeguarding procedures followed if a wound appears non-accidental, neglected, or worsening without explanation?

Q23 | Unanswered

Is cross-agency communication (e.g., district nurses, GPs, hospitals) coordinated to ensure consistent wound management?

Q24 | Unanswered

Are pressure-relieving aids used and monitored in the home environment, and reviewed for effectiveness?

Q25 | Unanswered

Are missed visits or cancellations followed up to ensure no delay in essential wound care?

Q26 | Unanswered

Is the psychological impact of chronic wounds recognised and referrals offered for emotional support if needed?

Q27 | Unanswered

Are all sharps disposed of correctly in accordance with infection prevention and control standards?

Q28 | Unanswered

Is wound care included in internal audits and reported through clinical governance structures?

Q29 | Unanswered

Are learning needs identified and addressed through wound care training, updates, or peer review?

Q30 | Unanswered

Is there evidence of positive outcomes (e.g., healing time, reduced hospital admission) from wound care provided?

Q31 | Unanswered

Are staff encouraged to report and learn from incidents related to wound care (e.g., missed dressings, poor healing, infection)?

Q32 | Unanswered

Is information about wound care recorded in a way that supports continuity between carers and across shifts?

Q33 | Unanswered

Are wound-related risks considered in care plans and risk assessments (e.g., mobility, falls, diabetes, vascular disease)?

Q34 | Unanswered

Is the home environment assessed to ensure cleanliness, privacy, and safety during wound care procedures?

Q35 | Unanswered

Are service users’ choices, dignity, and autonomy respected during all aspects of wound care delivery?