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Archived: The Paddocks

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Inspection report

Date of Inspection: 8 May 2014
Date of Publication: 5 July 2014
Inspection Report published 05 July 2014 PDF | 81.77 KB

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

Not met 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 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

People were not cared for in a clean, hygienic environment.

Reasons for our judgement

We reviewed the infection control records for the home, we saw that the provider had a detailed infection control policy in place and that staff had received training on infection control. Staff were provided with a cleaning schedule to complete daily to confirm that cleaning tasks had been completed. These had been completed regularly in the past, but there had been an issue in recent days which we saw had been addressed by the manager quickly.

The bath in the ground floor bathroom was visibly dirty and stained. There were cobwebs on the window ledge and on the cistern for the toilet was an empty plastic pot with some yellow liquid inside. A person’s hair brush had been left on the heater cover in the bathroom along with window/glass cleaning spray, shampoo, conditioner, urine test strips, and sealing solution. These items were accessible to people who used the service and meant that they had access to products that could cause them harm if used inappropriately.

We were told that this bathroom was also used by the hair dresser. We noted that there was an upholstered chair in the bathroom, which had a stain on the seat of the chair. There was a pair of trousers and a bag of magazines also stored on this chair. Behind the chair we noted that there were various boxes and items stored. We were told that these were for the hair dresser to use. We noted that the boxes were not all sealed and items were therefore accessible to people using the service. Some of the items that were stored in this corner were red laundry bags, electrical extension leads which were visibly dusty and aprons. We also saw that there was a box of prescription ‘leg bags’ and catheters stored with the hair dressing items. In one box we found that with catheters there were also hair rollers and setting solution.

We noted that the carpets in the hallways had not been hovered. We were told by the manager that one member of staff was out of the home for the morning assisting with an appointment therefore the cleaning had not been done. We did however note that in one room which had recently been vacated there was a layer of dirt behind the door. We observed and discussed this with the manager who agreed that that this layer was not a recent build-up it would have taken more than a day to accumulate.

The fire extinguishers and picture frames in the home were observed to have a layer of dust over them. A room which had been vacated the day earlier had not been cleaned, the sink was dirty, and there was a half-eaten sweet left and a dirty glass left in the room. We also noted an unused incontinence pad on the floor of the room. The commode chair within the room, on close inspection, was dirty with yellow stains on the legs and under the seat. We also noted that the seat cover contained splash marks. Although this chair was not in use at present this still posed a risk of infection to people using the service because the room was open and therefore accessible to people.

We inspected the first floor shower room. We saw that this had not been cleaned after use. There was white powder on the bath seat. Pink residue was left on the floor of the shower unit and on the call bell and pedal bin. We saw that the toilet was dirty and also the hand wash sink was visibly dirty. We noted that there was a commode bowl placed underneath the sink. We lifted the lid and found that it contained urine and faeces.

We further inspected the laundry area for the home. We found that this was located away from the main part of the home. We noted that the provider kept the clean and dirty items in separate rooms which protected the clothes from the risk of cross contamination. The main laundry room for the home contained the washing machines, but we also noted that this was used as a store for items such as old carpets, wheelchairs, horse blankets, walking aids, and many other items. This room was also dirty and dusty and contained piles of rubbish which had not been thrown away.