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We are carrying out a review of quality at The Belvedere Private Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 7 November 2012
Date of Publication: 24 February 2012
Inspection Report published 24 February 2012 PDF | 94.86 KB

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 7 November 2012, checked how people were cared for at each stage of their treatment and care and talked with staff.

Our judgement

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

Reasons for our judgement

We found the waiting area, hallways, theatre and recovery rooms in the hospital to be clean at the time of our inspection. However, the registered person did not have in place effective systems to ensure that patients, staff and others were protected from the risk of infection. For example there was no planned program of flushing-through little-used outlets to remove stagnant water to reduce the risk of Legionella infection. A risk assessment for Legionella was not available at the time of our visit and staff we spoke with could not provide confirmation of Legionella testing.

The wash basin sinks in the sluice room which led from the operating theatre were not working at the time of our visit. This raised concerns that staff could enter the sterile theatre zone from the sluice rooms without washing their hands. The hand wash sinks in the recovery rooms were not fit for purpose because there was no warm water and the faucet spouts flowed directly into the drain, which could lead to splash back and increase the risk of cross infection. The sink drains had strainers which were not in accordance with recommended guidance. There were no bins to dispose clinical waste in the recovery rooms.

The hospital had separate colour coded cleaning equipment including mops and buckets to clean specific areas. However, we saw that equipment was stored inappropriately with yellow mops lying in red buckets. Dirty mops and water were seen left lying in buckets in the sluice. This practice increased the risk of the spread of infection.