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Archived: Cartmel Old Grammar

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Inspection report

Date of Inspection: 5 December 2012
Date of Publication: 9 January 2013
Inspection Report published 9 January 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 5 December 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

People were placed at risk because care staff did not have detailed information about how to protect them from infection and areas of the home were not maintained in a hygienic condition.

Reasons for our judgement

We spoke with people who used the service but their feedback did not relate to this standard.

Care staff we spoke with told us they used disposable gloves and aprons when providing personal care to people and said these were available for them to use as they required. We saw a box of disposable gloves in the staff office and observed that care staff took the gloves as they needed. Disposable gloves were not available in individuals’ rooms or common toilets or bathrooms. Care staff had to ensure they had obtained gloves from the office before they could support people in their personal care.

Although care staff told us they were able to access protective equipment as they needed it, we saw an entry in a communication record, used by senior staff to pass information to each other, which stated disposable gloves were to be stored in a locked cabinet. This could have prevented care staff from being able to obtain more gloves as they needed them.

Individuals’ care records did not include details of the tasks which staff were not to carry out without the use of disposable gloves or aprons. One person’s records showed they had received assistance with an area of care which could have placed them and care staff at risk of infection. The individual’s care records did not state how staff were to provide this care or the protective equipment they were required to use. We looked at the service’s Infection Control policy. This did not give clear information about when staff were required to use disposable equipment to protect people from the risk of infection. The lack of detailed information for care staff about when to use protective equipment meant they could have placed themselves and people they supported at risk of infection.

We looked around the home and saw that most private areas were clean and free from offensive odours. However, one bedroom, which was not being used to accommodate people in the home, was being used to store a number of electric heaters. The manager of the home told us the heaters may be placed in people’s bedrooms in the event of the central heating not working. The room was untidy and unclean and there was a strong and offensive odour. The door to the ensuite bathroom was left open and the bath was dirty, the side was partly removed and it had a substantial amount of unidentified dirt in the bottom. The unhygienic state of the room meant it was not a suitable place to store items which may be placed in people’s rooms.

We found a plastic container in a communal toilet which was used to hold disposable bags to be used in the clinical bin and bags to be used in the waste bin. The container also held an unused and unwrapped incontinence product. The bottom of the container was encrusted with a layer of dirt and it was not a hygienic receptacle to hold personal incontinence products or disposable bags which staff were required to handle.

We looked in some bedrooms which were used by people who lived in the home. We found one bedroom where the ensuite toilet was badly stained and another room where an armchair was badly soiled around the arms and seat. This meant people who used these rooms were not provided with a hygienic environment in which to spend their time.

The provider may wish to note that some areas of the carpet in communal areas were stained and in need of cleaning.