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Archived: Ayrshire House Good

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Inspection report

Date of Inspection: 22 May 2013
Date of Publication: 21 June 2013
Inspection Report published 21 June 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 22 May 2013, 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 staff, reviewed information given to us by the provider and talked with commissioners of services.

Our judgement

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

Reasons for our judgement

We asked people who used the service if they thought the home was kept clean and tidy. The people we spoke with said they thought it was and did not have any concerns about the cleanliness of the home.

We saw in communal bathrooms towels and bath mats were in use. This meant there was a potential risk of cross contamination. People’s personal towels should be kept in their own rooms and bath mats laundered after every use to reduce risks associated with inadequate infection control

In the laundry room we saw there was a hand hygiene notice for staff on display. We did not see further notices around the home that advised visitors of the risks posed around hand hygiene. The provider may find it useful to note that easy read hand hygiene information on display may support and inform people who used the service about the importance of hand hygiene.

In communal bathrooms we saw people’s personal toiletries including prescription creams were on display. In one bathroom we saw a nail brush. The provider may find it useful to note that people’s personal toiletries should be stored in their rooms or if kept in a communal bathroom, in a sealed container clearly labelled. Nail brushes should not be shared due to risks of cross contamination.

We saw in the communal bathrooms there was a sanitising rota. We saw staff recorded daily when they had cleaned the bathrooms, records viewed saw that this could be up to four times a day. However, we did not see a sanitising rota in toilets. We saw in some toilets either the toilet brush or holder were dirty.

We looked at other cleaning schedules, the registered manager told us there was a ‘big’ clean during the first week of the month. The ‘big’ clean schedule did not fully demonstrate what cleaning was done during this time. The registered manager told us that this was in the process of being developed. We saw in the reception a seating area that was stained. During a tour of the building we found the home to be generally clean and tidy.

The care workers we spoke with told us a part of their role and responsibility was to clean. We asked if they had received training on infection control and one person had and the second was in the process of completing a refresher course. Records viewed confirmed what we were told.

We asked the care workers if they wore protective clothing for example gloves and aprons. Both care workers said they did but one care worker told us not all care workers did. They told us gloves were stored in the bathrooms but aprons were stored elsewhere.

We asked people who used the service if the care workers wore aprons and gloves when providing support with personal care. One person told us, “Staff wear gloves but not always aprons.” Another person said, “Yes, sometimes.”

We saw liquid soap was available in toilets and bathrooms but no paper towels were provided. We saw gloves were available in some bathrooms for care workers use but did not see aprons were available.

The owner and registered manager confirmed aprons were stored in the laundry room, this was situated on the ground floor of the house. They also told us that they did not have concerns that staff were not wearing appropriate protective clothing when providing personal care support. The storage of aprons meant they were not easily accessible for care workers and restricted their ability to respond to someone requesting unplanned support with personal care.

We asked staff about how clinical waste was managed and disposed of. We also asked how infected clothing was managed. A care worker told us there were no ‘yellow’ clinical waste bags and that any soiled waste was disposed of with the daily waste. They said that ‘red’ laundry bags used for soiled clothing which disperses in the washing machine were not available. When we discussed this with the owner and the registered manager they confirmed clinical waste bags were not available, however, laundry bags for soiled clothing were. This meant that not