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Archived: Dovecott Care Home

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Inspection report

Date of Inspection: 18, 19 April 2013
Date of Publication: 30 May 2013
Inspection Report published 30 May 2013 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 18 April 2013 and 19 April 2013, observed how people were being cared for and talked with staff. We reviewed information sent to us by commissioners of services.

Our judgement

People were not always protected from the risk of infection because appropriate guidance had not been followed.

Reasons for our judgement

There were some systems in place to reduce the risk and spread of infection. In the hall and in the toilets we found signage such as “Catch it, Bin it, Kill it” and “Now wash your hands.” There was a foam hand sanitiser in the entrance porch and the exit leading to the car park. The provider had procedures in place for the management of infectious diseases. There was also a policy in place for infection control. We have not been informed by any external agency of any outbreaks of infection at the home.

We spoke with two care workers one of whom was the deputy manager. They were able to demonstrate knowledge and awareness for infection prevention and control. They told us they had received training in this area and one of them told us that they had completed a train the trainer course in infection control. However, the training records we looked at did not contain any confirmation that training had taken place. The deputy manager was aware of their responsibilities for reporting any infection outbreaks to the Health Protection Agency (HPA).

We saw protective clothing such as gloves and aprons were available for care workers.

We completed a tour of the building and found the home was generally clean, well maintained with appropriate floor and surface coverings. We looked at three mattress and found these were clean and in good condition. We found one bedroom to be malodorous and the carpet in the ground floor hall outside the smoke room was dirty and stained. We found the ceiling in the kitchen was stained but other wise the kitchen was clean and tidy.

We found bars of soap and cloth hand towels in bedrooms. We asked the staff where they washed their hands when they had assisted people with personal care tasks, they told us they used the sink, soap and towel in the persons bedrooms despite knowing this was an infection control risk.

We found that there was no cleaning schedule in place. The deputy manager told us a cleaner attended twice a week. At other times the cleaning was carried out by the care workers.

The cook told us they used to have a cleaning schedule for the kitchen but that this was no longer in use. Information from the North East Lincolnshire Council website showed the home scored 3 – generally satisfactory, in the last inspection by the food standards agency in November 2011.

We spoke with the deputy manager about the system for laundering clothes. They described the process for segregating dirty and clean linen. In one of the bathrooms we visited we found there were clean clothes stored on top of a trolley which was situated near the toilet. This increased the risk of infection to people using the service.

We had been informed by the local authority that there had been concerns raised about the infection control practices in the home in January 2013. We asked the manager about the report she had received from the infection control nurse following this visit and about the action she had taken in response to this. Although she did not have a copy of the report available to her, she told us that one of the main concerns included storing clean laundry on a trolley in the bathroom. She said she did not have an action plan to address shortfalls identified in the report.