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Inspection report

Date of Inspection: 6 January 2014
Date of Publication: 5 February 2014
Inspection Report published 05 February 2014 PDF | 79.29 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 looked at the personal care or treatment records of people who use the service, carried out a visit on 6 January 2014, 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 cared for in a clean, hygienic environment.

Reasons for our judgement

People who lived at the home and visitors told us they were happy with the standard of cleanliness at the home. One person said, "The cleaning ladies are very kind and thorough." Another person told us, "For an old building they do well to keep it looking so nice." One person said, "They change my bed linen and towels a lot, far more than I could ever do at home."

Some people in the home and staff had recently contracted the norovirus, which is a very contagious virus. The staff followed the correct procedures by alerting the local public health department and taking their advice to temporally close the home to all but essential visitors. Staff explained to us what processes they followed and said there had been ample supplies of protective clothing, masks and cleaning chemicals.

The provider had a policy on infection control which had last been updated in February 2012. There was a norovirus toolkit in place which we saw included a policy on how to handle an outbreak, records staff should keep on people infected, where protective equipment was stored and how to obtain extra supplies.

We saw the cleaning schedules which domestic and laundry staff completed each day, week and month. They had been consistently completed when required. Staff told us they liked the schedules as they could see when rooms and other areas had been thoroughly cleaned, if they had been absent from work, so could easily plan their week's work.

The provider asked the staff to complete a number of different checks each month. We saw the ones for health and safety, infection control, care management, office harm, company vehicles and general maintenance. Staff told us they were given time to complete the checks and passed the results to the management team, who confirmed any actions to be taken. We saw details of when actions had been completed or were in progress. On one check it gave details of when carpets required replacement and when they had finally been laid. Another detailed the training staff had completed in infection control procedures.

We spoke to the staff member who was responsible for infection control procedures and saw the training schedule for staff and were informed how they linked to other infection control nurses in the community.

When we toured the home suitable signs were on display when any floor area had been washed and was still wet. Wheelchairs had been mainly stored in a designated area, but when we pointed out to staff two had been stored under a stair area they were immediately removed. A procedure was in place for the cleaning of wheelchairs which we saw was completed on a weekly basis.

Cupboard areas were generally clean and tidy. In an upstairs cupboard used for the storage of linen and towels, some duvets and pillows were on the floor. The provider may wish to note this could be an infection control hazard.

The provider may wish to note in all the toilet and bathroom areas the waste bins were very full, which could constitute an infection control risk. We were informed this was because of a shortage of staff over the previous weekend period and other staff had not been instructed to empty them. One staff member said, I just didn't think to empty them." One person who lived at the home said, "I wondered why they had not taken away my dead flowers, they are usually so good." The domestic staff were tasked during our visit to make the emptying of waste bins a priority that day.