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Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 13 February 2014
Inspection Report published 13 February 2014 PDF | 83.38 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 8 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with other regulators or the Department of Health.

Our judgement

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

Reasons for our judgement

We saw that there were systems in place to reduce the risk and spread of infection. We spoke with staff and people who used the service about cleanliness in the practice. People we spoke with said, "I'm always asked to wear an apron and protective glasses when I am sitting on the chair" and, "I've never seen anything that would cause me to be concerned about cleanliness".

The practice had a dedicated decontamination room for cleaning, sterilising and packing instruments. The room was set out so that dirty instruments did not come in to contact with clean. The decontamination room was accessed through the ground floor surgery. Dirty instruments from the first floor surgery were transported to the decontamination room in sealed plastic boxes to ensure people were protected against the risk of cross contamination. We spoke with staff who showed us the procedures they followed to ensure that instruments were cleaned, sterilised and stored correctly. We saw that instruments were sealed into individual packs and the use by date was recorded. This meant that the provider acted to ensure that infection control risks were reduced.

The acting practice manager showed us audits were carried out to ensure that good standards of infection control were maintained. We also saw the records of daily checks and monitoring of the equipment used to sterilise and clean the instruments. This ensured that any problems with equipment could be identified quickly and addressed.

Appropriate waste disposal arrangements were in place, including the disposal of contaminated waste. This meant people were protected from the risk of infection because appropriate guidance had been followed.

One of the dental nurses had been nominated as the infection prevention and control (IPC) lead for the service. They demonstrated a good understanding of their role and responsibilities.