There are many areas in care homes that become easily contaminated with microorganisms (germs) for example door handles, toilets, waste bins, surfaces.

Furniture and floorings in a poor state of repair can have microorganisms (germs) in hidden cracks or crevices.

To reduce the spread of infection, the environment should be kept clean and dry and where possible clear from clutter and equipment.

Non-essential items should be stored and displayed in such a way as to aid effective cleaning

Keeping a high standard of environmental cleanliness is important in the care home as the residents are often elderly and vulnerable to infections.

The care home environment should be:

• visibly clean, free from non-essential items and equipment to help make cleaning effective
• well maintained and in a good state of repair
• routinely cleaned in accordance with the specified cleaning schedules:
  • a fresh solution of general purpose neutral detergent in warm water is recommended for routine cleaning. This should be changed when dirty or at 15 minutes’ intervals or when changing tasks
  • routine disinfection of the environment is not recommended. However, 1,000 parts per million available chlorine (ppm available chlorine (av.cl.) should be used routinely on sanitary fittings

Staff should:

• report any issues with the environment cleanliness or maintenance to the person in charge to ensure that the care environment is safe.  The person in charge should then act on problems reported to them
• be aware of the environmental cleaning schedules and clear on their specific responsibilities

Cleaning schedules should include:

• staff responsibilities 
• cleaning frequencies
• cleaning methods

Managing cleaning services

Cleaning services should be managed in a systematic way, and staff responsible for cleaning should be appropriately trained to carry out the tasks they are responsible for.

The care home manager is responsible for managing the cleaning service which has a number of essential elements outlined in the cleaning services diagram.

Select the Care Homes Cleaning Specification for full size version of cleaning services diagram.

Select the diagram for full size version

Cleaning Services

An effective service will include all of the elements above.

Care Homes Cleaning Specification

The Care Homes Cleaning Specification provides a guide to planning cleaning services. It has tools to help with the planning and recording of cleaning activities and with the management activities marked with a * in the diagram above. These include:

• a structure to identify all spaces within a care home and plan appropriate cleaning tasks and frequencies
• a set of weekly and monthly cleaning templates to be assigned to each space within a care home. These can be used to develop a schedule and to provide a method for recording all cleaning activity

The tools within the Cleaning Specification should be used by the care home manager in the planning, training of staff, delivery, and checking of standards of the cleaning services they provide.

Manufacturer’s instructions and recommended contact times should be adhered to.

Cleaning schedule and record

Table 2 provides an example of a cleaning schedule and record. These tools are examples and designed to support local practice, however care homes can use their own tools if preferred. If a local tool is used, it should reflect the standards set out in the Care Homes Cleaning Specification.

Table 2: Example cleaning schedule residents room

 

Standard operating procedures (SOPs) for all cleaning tasks.

Each SOP outlines the correct equipment, safety considerations, method, and outcomes required for each task. Table 3 shows the important steps that must be taken during the cleaning of floors.

Table 3: Example cleaning SOP: Floors

Process for checking

A process for checking the cleanliness of the care environment, to ensure standards are being maintained and to identify areas for improvement.

Decontamination of soft furnishings

Decontamination of soft furnishings may require to be discussed with the local HPT/ICT. If the soft furnishing is heavily contaminated with blood or body fluids, it may have to be discarded. If it is safe to clean with standard detergent and disinfectant alone then follow appropriate procedure.  

If the item cannot withstand chlorine releasing agents staff are advised to consult the manufacturer’s instructions for a suitable alternative to use following or combined with detergent cleaning. 

 

Note: When an organisation adopts decontamination processes not recommended in the CH IPCM the care organisation is responsible for governance of and completion of local risk assessment(s) to ensure safe systems of work.

 

Read the routine cleaning of the care environment literature review to find out more about why we do things this way for the care environment.