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Mitcham Dental Care Also known as Dakshu Babubhai Patel, Kesha Nishal Patel bhai Patel, Kesha Nishal Patel

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 26 March 2014
Date of Publication: 25 April 2014
Inspection Report published 25 April 2014 PDF | 69.67 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 26 March 2014, observed how people were being cared for and talked with people who use the service. We talked with staff, reviewed information given to us by the provider 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

The people using the service who we spoke with told us they had no concerns about the cleanliness of the practice. They told us they were given protective clothing and saw staff wore protective clothing and glasses also. The provider informed us that they are in the process of planning a refurbishment of the surgeries and this was to be phased so there was minimum disruption to people who used the service and staff.

There were effective systems in place to reduce the risk and spread of infection. We saw hand hygiene procedures on display in each surgery and clear guidance for staff on what to do if they had a sharps injury or exposure to blood or body fluids.

The practice had policies and procedures in place for the prevention and control of infection. We were shown the practice’s decontamination and infection control policy. This included instructions and guidance for dealing with; needle stick injuries, safe disposal of hazardous clinical waste, decontamination process of reusable instruments and equipment and hand hygiene. The manager told us there was a contract in place for regular collection and safe disposal of clinical waste including amalgam and sharp instruments. We noted that the clinical waste was kept in securely sealed bags and stored in a cupboard that was not locked. The provider informed us that a secure lock had been fitted the following day after our inspection was carried out to ensure access was restricted.

We spoke with a staff member who explained the procedure for the decontamination of instruments. Decontamination is required in order to minimise the risk of cross infection between equipment, patients and staff. We looked at the practice’s decontamination procedures. Dirty instruments were transferred safely in a ‘dirty box’ from the surgery to a separate dedicated decontamination room. There were two sinks used for ‘dirty’ and ‘clean’ instruments. We saw that personal protective equipment such as disposable aprons, eye protection, masks and gloves were worn in the decontamination room. The instruments were scrubbed and checked under a magnifying glass before being transferred into the steriliser. We saw sterilising strips were in use during each cycle to ensure the correct temperatures were reached. The sterilised instruments were bagged and labelled with expiry dates and placed securely in clean cupboards. We found all the bagged instruments to be labelled in date. The manager told us they frequently carried out infection control audits and did spot checks to make sure the decontamination processes were done correctly. We saw evidence of audits carried out monthly and any issues found were actioned and documented.