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Inspection report

Date of Inspection: 23 October 2012
Date of Publication: 21 November 2012
Inspection Report published 21 November 2012 PDF

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 23 October 2012, 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, talked with carers and / or family members and talked with staff.

Our judgement

There were no effective systems in place to reduce the risk and spread of infection.

Reasons for our judgement

We saw that hand wash and paper towels were provided for staff. They also had disposable aprons and gloves. Bins were foot operated and lined to reduce the risk of cross infection, except in the staff toilet.

People were not protected from the risk of infection because appropriate guidance had not been followed. We saw that clean and dirty linen was stored in a bath on the ground floor. An ironing board with a cloth cover and clean shirt on it was also stored in the bathroom. Tiles were missing off the bathroom wall. This meant that any splashes would be absorbed by the plaster wall.

We saw that the manager's office was only accessible by walking through a toilet. It was not possible to use the office without leaving the door to the toilet open. We saw staff standing in this toilet while talking to the manager. This means that the risk of healthcare associated infection was increased due to the risk of cross infection.

One bathroom on the first floor wasn't used and the bath was full of pillows, quilts and other items. The room was not clean or tidy. However, clean towels were stored in the sink. The toilet and washing facilities used by staff were very poor. The toilet floor was carpeted, although this was frayed and threadbare in places. There was a bar of soap in use and a cloth towel. The staff sleepover room was in poor condition and dirty. The handrails to the staff facilities were dirty.

We saw that some of the towels were in poor condition and were frayed and worn.

The manager told us that they had a copy of the latest guidance on how to provide a clean and hygienic environment for people. The home had been visited by the Primary Care Trust (PCT) infection control team in May 2012. The manager told us that following that visit they had set up cleaning schedules. We saw that these checks were only partly completed but the areas of the home used by people who lived there were clean. We could see that some areas of the home had improved since the PCT visit.