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Inspection report

Date of Inspection: 22 September 2011
Date of Publication: 16 December 2011
Inspection Report published 16 December 2011 PDF | 49.75 KB

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 reviewed all the information we hold about this provider, carried out a visit on 22/09/2011, looked at records of people who use services, talked to staff, reviewed information from stakeholders and talked to people who use services.

Our judgement

Remyck House has addressed the majority of concerns we had identified previously. However, the provider must continue the programme of improvements that have been commenced to ensure people who use this service benefit from a home that is clean and hygienic.

Overall, therefore improvements were needed for this outcome.

User experience

One resident told us the home had dedicated domestic staff that cleaned their bedroom daily and that the home was clean.

Other evidence

Following our last visit, the home provided us with an action plan to improve their compliance with this outcome. The action plan included that bedroom checks had been completed daily by a senior care assistant. The manager had carried out checks each week since our last visit. The provider told us that hand washing procedures had been displayed throughout the home to remind staff about good hand hygiene practice. They also told us that hand rub gel was made available in the reception area, nurse station and along corridors.

The provider also stated in their action plan that a copy of “The Health and Social Care Act 2008 Code of Practice for health and adult social care on the prevention and control of infections and related guidance” was made available at the home for use by the manager and other members of staff. The manager had also attended infection control training provided by Hampshire County Council Partnership in Care Training (PaCT) and had arranged to cascade the training to staff.

During our visit, domestic staff told us they were aware of their responsibilities regarding cleanliness and infection control. We observed staff wearing appropriate protective clothing, such as gloves and aprons. We saw that red bags (used for soiled waste) were being used for disposing of paper towels and other domestic waste.

A member of staff who was responsible for laundry explained how they used the red bags to carry soiled laundry from bedrooms to the laundry, and then opened the bags to place the content into the washing machine. They were not aware that the type of red bags being used by the home were designed to be washed, and therefore not designed to be opened once sealed.

The guidelines on a notice on the wall of the laundry room stated that the tumble dryer filter needed to be cleared of fluff after every use. We saw a large build up of dust and the filter was broken.

The staff told us they had cleaning schedules to ensure each area was cleaned thoroughly, although the cleaning of the filter was not included on the schedule. We saw records that had been signed by the member of staff responsible for carrying out the cleaning on the schedule.

The kitchen area appeared clean but the staff told us, and records showed, that they had not been able to clean the cooker due to not having enough time. We discussed this with the provider who said that the reduction in staff hours was a trial and was being reviewed as it was not effective.

We saw mops being stored in buckets that had dirty water in. The mops and buckets were left outside where residents could access if they wanted to. The provider told us that a new procedure for cleaning and storing mops would be circulated to all staff immediately.

Rushmoor Borough Council (RBC) carried out a follow up environmental health inspection on the same day as our visit. They reported concerns directly to the provider regarding risks of infection control and scalding. The provider supplied risk assessments to RBC that they shared with us, that stated how the risks would be reduced.

We looked at training records that showed staff had received training in infection control. The staff we spoke with told us they understood the training in infection control they had received.