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Inspection report

Date of Inspection: 4 February 2014
Date of Publication: 28 February 2014
Inspection Report published 28 February 2014 PDF | 71.43 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 4 February 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 and talked with staff.

Our judgement

People were cared for in a clean, hygienic environment.

Reasons for our judgement

We last visited this service on 2 May 2013. We told the provider that they were not meeting this essential standard. We said, “People were not protected from the risk of infection because appropriate guidance had not been followed.” At our last inspection we were concerned that personal protective equipment and specialist bags for handling soiled laundry were not always available. Additionally, a wash hand basin was in need of refurbishment and was not adequately maintained, toilet brushes and holders needed replacing and no cleanliness and infection control audits were in place.

In response to our concerns, the provider wrote to us and told us what actions they had taken to improve.

During this inspection, we found improvement had been made and there were now effective systems in place to reduce the risk and spread of infection. We saw that the wash hand basin and sink pedestal had been removed and replaced with a bespoke wash hand basin designed to prevent similar future deterioration. We noted that the room had been fully refurbished.

We saw all toilets in the building contained new toilet brushes and holders and noted that foot pedal operated clinical waste bins were now present in the two communal bathrooms. This meant that people and staff did not now have to lift the bin lid manually to deposit or remove clinical waste and this helped reduce the risk of cross infection.

We spoke with two people who used the service and both were complimentary about support workers’ standards of cleanliness. One of the people we spoke with told us, “The staff clean here every day and I help them as well. The kitchen and dining areas are always clean, it’s always clean and tidy here.” The other person commented, “I clean my bedroom on my own, but I help the staff clean the rest of the home. The toilets and bathrooms are always clean.”

We saw the provider had detailed policies in place in relation to infection control, food safety and hygiene and Control of Substances Hazardous to Health (COSHH). These provided staff with specific advice and guidance regarding infection issues, cleaning products and potentially hazardous substances that could be encountered when providing care. We saw that cleaning products and potentially hazardous substances and materials were stored in a locked and secure cupboard.

The registered manager told us that she was the identified lead for infection prevention and control at the service. This meant that the service had an identified person to take responsibility for infection prevention and control. The registered manager told us, and records confirmed that there were cleaning schedules in place for the daily cleaning of specific areas of the home. The registered manager also told us that she conducted a weekly audit and checks on the cleanliness at the home.

We saw that staff wore and had access to a large stock of personal protective equipment (PPE), such as gloves and disposable aprons. We also noted that dissolvable strip red coloured laundry bags were readily available, so that soiled clothing and bed linen did not have to be handled. This helped to make sure that people and staff were protected against the risk of acquiring an infection. One person told us, “We get red coloured bags for our laundry to put it in the washer.” One support worker told us, “There’s always plenty PPE readily available and we re-order it through our manager when we need more. She orders it on the computer.”

We were told by staff, and records confirmed there was regular training with regard to infection control and food safety and hygiene. One support worker told us, “Infection control and food hygiene training is mandatory, they are refreshed annually.”

We found that all communal areas of the buildings, including the toilets and bathrooms, kitchens, dining areas and lounges were clean, tidy and well maintained. Antibacterial hand wash was available in the communal bathrooms and toilets and no odours were evident th