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Archived: The Norfolk Hospice

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All reports

Inspection report

Date of Inspection: 14 February 2013
Date of Publication: 13 March 2013
Inspection Report published 13 March 2013 PDF

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 14 February 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.

Reasons for our judgement

People were cared for in a clean, hygienic environment. We found all areas of the service were very clean and orderly. The communal bathroom and toilet areas were regularly cleaned and checked. This was shown by a record being completed in all such rooms, each time that area was cleaned. Records also had the time of when the cleaning routine was completed. Such communal areas had appropriate washing and drying facilities. All hand washing areas contained clear instructions on how to wash hands to support infection control.

There were policies and procedures in place covering infection control, these were dated and reviewed regularly. Staff had training for infection control on a regular basis, supporting their knowledge and ensuring practices and procedures were updated.

We saw plastic aprons and gloves available in the areas they where needed. Hand sanitising gel was placed within the building, including at the main entrance, for everyone to use. On our tour of the building, that was well maintained, we saw that items such as taps, mirrors and shelving were clean. Although areas contained a recording sheet for staff to sign and date each time they were cleaned, the provider may wish to note that there was no audit in place to ensure such cleaning routines were always completed.

We saw there were infection control practices in place that helped reduce the risk of infection being transmitted from person to person. For example, any item that could potentially be seen as a risk regarding the spread of infection was replaced at the end of each consultation. Any use equipment, such as slings or examination tables, were washed after every use. We saw this was the case as we looked at various areas of the service.

The kitchen area that was used daily by people attending the hospice had a serving hatch into the main kitchen where hot meals were prepared. We were told that dirty crockery and other used items were never passed over through the serving hatch. Such items were taken out through an alternative route, to prevent cross contamination and maintain the cleanliness of the main kitchen.

Vehicles were also regularly maintained and cleaned. We saw that all blankets were stored in sealed containers in vehicles. There was an ongoing schedule to clean seats, seat belts and the full interior of the vehicles that people were transported in.