An audit of oral hygiene care in a residential care setting: brushing up on standards

Background/Aims Oral care remains one of the most neglected practices in residential care settings, largely because of the lack of standardised protocols, insufficient staff training and limited awareness of the significance of oral care for older adults. This article presents findings from an audit carried out in an Irish residential care setting, which assessed compliance with the organisation's oral care policy and best practices. Methods A convenience sample of 40 residents’ oral care plans and oral hygiene practices was reviewed. Data were collected using an adapted clinical audit tool and analysed with Microsoft Excel using descriptive statistics. Results The findings revealed inconsistent practice, highlighting the need for targeted training and stronger policy adherence. Findings from the audit also highlighted the value of evidence-based care to enhance resident wellbeing and support ongoing quality improvement in oral hygiene within the residential care setting. Conclusions The findings highlight a need for clinical staff to brush up on oral care practices across residential care settings, ensuring practice aligns with policy and promotes the dignity, comfort and wellbeing of older adult. Implications for practice Training should guide staff in developing and reviewing individual oral health care plans to ensure they reflect residents’ current needs. Evidence-based oral care practices should be promoted, and staff should be supported in addressing the specific oral health needs of older adults.