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Brunswick Court Dental Practice Limited

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Inspection report

Date of Inspection: 13 June 2013
Date of Publication: 7 August 2013
Inspection Report published 07 August 2013 PDF | 78.98 KB

People should be cared for in a clean environment and protected from the risk of infection (outcome 8)

Meeting this standard

We checked that people who use this service

  • Providers of services comply with the requirements of regulation 12, with regard to the Code of Practice for health and adult social care on the prevention and control of infections and related guidance.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 June 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed.

People were cared for in a clean, hygienic environment.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection.

We inspected the surgery, the patient bathroom, the reception area, the waiting room and the decontamination area. We noted that these areas appeared clean and well maintained. We saw that there were adequate hand hygiene facilities in the surgery and the bathroom. This included hand-wash basins, liquid soap and disposable hand towels. We viewed cleaning schedules for the practice.

The dental nurse was responsible for cleaning areas in the surgery between patients. We asked the dental nurse to demonstrate how they prepared the room between patients. They demonstrated that the chair was cleaned and all used items were disposed of and decontaminated. All touch areas (areas that either the dentist, the dental nurse or the patient had contact with) were cleaned in between patients. We saw that disposable protective covers were used on equipment such as lighting and computer keyboards in the surgery.

The service was able to demonstrate that they operated in line with Department of Health guidelines. These guidelines provide primary care dental services with best practice on cleaning processes of medical equipment.

We saw records to demonstrate that all used equipment had gone through an appropriate cleaning and sterilisation process. The practice had a system in place for quality testing the washer-disinfector and the steriliser unit. We saw appropriate personal protective equipment (PPE) such as masks and gloves were available and in use.

We saw records to demonstrate that infection control audits had been carried out on a regular basis. The dentist was the nominated infection control lead for the practice. Their role was to oversee that all infection control procedures were adhered to and to advise staff on best practice. In discussion they demonstrated their knowledge and that they had kept up to date with new guidance.

Patients spoken with were all in agreement that standards of hygiene were maintained. They said that the surgery was always clean. One person said, “The cleanliness is excellent. It is always immaculate”. Another person commented, “They are always cleaning the surfaces. Every new instrument comes out of a package. The dentist wears a mask and I am given goggles and a bib”.

We saw the results of a survey carried out by the service and completed by 26 patients. Sixteen of the 26 respondents had rated the comfort and cleanliness of the service as ‘excellent’. All other respondents rated it as ‘good’. This meant that people received treatment in a clean and hygienic environment and they were protected from the risk of infection.

We saw staff meeting minutes showing that infection control audits had been discussed and the results reviewed. Staff spoken with had undergone regular infection control training. They confirmed that infection control procedures had been discussed during team meetings. We saw policies and procedures such as the management and disposal of clinical waste. The service had a contract with a waste disposal company to safely remove this waste.