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Inspection report

Date of Inspection: 9 March 2013
Date of Publication: 18 April 2013
Inspection Report published 18 April 2013 PDF | 92.72 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 9 March 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 and talked with staff.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

We spoke with four people who lived at Langholme who all told us they thought the home was clean and tidy.

We saw domestic staff were on duty during our inspection who carried out cleaning tasks in the home. We walked around the building and found it to be clean and tidy. The provider may like to note we found two bedrooms had an odour. Two bedrooms also had marks on bedside tables from cups / mugs and glasses that had not been cleaned. The home was going through a period of modernisation and building work. Therefore some areas were untidy as normal storage areas had been included in the areas being modified. For example information and supplies for the activities were on a desk in an upstairs corridor and looked cluttered and untidy.

Cleaning schedules were in place for staff which included guidance on the cleaning products to use and where to use them. The domestic staff had cleaning trolleys that were stored in an unlocked cupboard on the first floor. The cupboard also stored supplies of cleaning fluids. The trolleys had a lockable space for the storage of cleaning chemicals. However, air freshener and fabric fresheners were hanging on the trolley and not stored in the lockable space. The provider may like to note that this did not ensure that the control of substances hazardous to health (COSHH) guidance was followed and did not ensure people were fully protected.

The registered manager was aware of 'The Code of Practice for health and adult social care on the prevention and control of infections and related guidance' published by the Department of Health. The registered manager told us there was a designated infection control person for the home who ensured staff followed correct procedures.

The home had an infection control policy and procedure which provided guidance to staff regarding the control of substances hazardous to health (COSHH), personal protective equipment, laundry systems, clinical waste and cleaning spillages.

The training matrix showed that care workers, with the exception of two, had attended infection control and COSHH training. This ensured the control of infection was promoted in the home as staff were aware of the policies and procedures in place.

The laundry room was located on the first floor and systems were in place promote the control of infection. The room was equipped with washing machines, that had the facility to wash at high temperatures to reduce the risk of cross infection, and an industrial tumble drier. We were shown the systems in place in the laundry to reduce the risk of cross contamination. These systems included a clean and dirty area, with separate entrances for each, impermeable walls and floors and the use of alginate bags for when transporting and washing soiled linen. Alginate sacks are a tool to minimise handling of soiled material, and can be put straight into a washing machine were they will dissolve in the wash.

We saw protective gloves and aprons were provided for staff. Hand washing facilities were available throughout the home with liquid soap, paper towels and hand gel in place.