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Archived: Holmwood Residential Home

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Inspection report

Date of Inspection: 4 November 2013
Date of Publication: 28 November 2013
Inspection Report published 28 November 2013 PDF

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 4 November 2013, observed how people were being cared for and talked with people who use the service. We 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

We saw a notice in the entrance of the residential service which asked visitors to wash their hands when they arrived and left the service. When we arrived to the service a staff member asked us to wash our hands. This meant that appropriate actions were taken to reduce the risks of cross infection.

People told us that the residential service was always clean and tidy and that their bedrooms were kept clean. One person said, "It is always spotless." Another person said, "It is always clean." Another said, "I like to do it myself, they help me with the parts I cannot reach." Another said, "I try to do as much as I can in my own room." This meant that people's independence was respected.

A person's visitor told us, "As far as I can see it is always clean and tidy."

We looked around the residential service and found it to be clean and hygienic throughout and we noted that there were no offensive odours. This showed that the staff took appropriate actions to ensure that spills of body fluids were cleaned effectively. We saw that bathrooms, toilets and the laundry were provided with liquid hand wash and disposable towels for use to minimise the risks of cross infection. We saw that there were procedures in place which advised staff on how to wash their hands effectively.

We spoke with a member of the domestic staff who was knowledgeable about their roles and responsibilities relating to infection control. They showed us cleaning schedules, which showed when areas in the service and equipment had been cleaned and deep cleaned. They told us that they regularly undertook 'spot checks' in people's bedrooms to check that they had been cleaned to the required standard.

Two staff members told us that they were provided with adequate stocks of equipment such as disposable gloves and aprons for staff to use when supporting people in areas including personal care to minimise the risks of cross infection. During our inspection we saw the staff using gloves and aprons when preparing to support people with their personal care needs and cleaning. We looked around the service and found that there were gloves and aprons available in areas such as toilets, bathrooms and the laundry for staff to use.

We spoke with the domiciliary care manager who showed us a box which was provided to all domiciliary care workers. This box included gloves, aprons and hand sanitiser to use to minimise the risks of cross infection. They told us that staff could collect further gloves and aprons when needed.

We looked at the training records of six staff members which showed that they were provided with training in infection control and food hygiene. A member of the kitchen staff confirmed that they had been provided with this training.

We saw the provider's infection control policy which explained the actions that staff should take to minimise the risks associated with cross infection.

We saw the provider's legionella risk assessment and records of checks that were in place to ensure that the risks of legionella bacteria in the water system in the residential service were minimised.

A staff member told us that the food hygiene in the residential service had been inspected in 2012 and they were awarded a rating of 5, which was the highest rating available. During our inspection a food and safety officer undertook the food hygiene inspection for 2013. The registered manager showed us the report which they had been given at the end of this inspection which showed that they had been awarded a rating of 5. This meant that people were protected by the service's food hygiene procedures and processes.