You are here

Archived: Sheffield Dialysis Unit

All reports

Inspection report

Date of Inspection: 23 January 2013
Date of Publication: 1 February 2013
Inspection Report published 1 February 2013 PDF | 81.26 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 23 January 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 protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

All the patients we spoke with told us that they did not have any concerns about the cleanliness of the service. Their comments included: "It's nice and clean, they clean the bottom of trolleys and they always ensure that there are clean covers on the bed." "No concerns about cleanliness." "They wash everything down when a patient finishes dialysis."

During the inspection we observed staff using appropriate personal protective equipment and cleaning the bed areas when a patient had completed their dialysis. We also saw staff washing their hands and using hand gel and disposing of waste appropriately.

We saw that there were numerous posters on safe hand washing procedures on display to advise patients and visitors. In the staff room we saw an infection control section on the notice board which included posters on personal protective equipment and MRSA.

We looked at the hand hygiene audit that was completed monthly at the service. It gave details of the service overall compliance and action required as a result of the audit. For example an action recorded was to speak to all the patients about the importance of hand washing. We also looked at the service's hygiene and infection control audit tool that was completed in December 2012. We saw that it covered a range of areas which included the following: dialysis chair cleanliness, waste disposal, sharps handling and disposal, decontamination and disinfection.

We looked at the individual training records of two staff members and we saw evidence that they had received regular refresher training on infection control.

We saw that there were four isolation rooms available within the dialysis unit to allow for patients who were suspected as having a healthcare associated infection to be isolated. The manager informed us that one of the isolation rooms was retained to be used for people on holiday in the area and two were utilised for regular use for patients receiving dialysis.

We looked at all areas within the service including the patient beverage kitchen area, all the toilet and washing facilities, dialysis unit, isolation rooms, staff rooms and the domestic's room. We found the domestic's room was very well organised and that there was an ample supply of disposable mop heads, cleaning equipment and supplies. The mop buckets were also empty and clean. We saw that a sink within the room used by doctors to hold their clinic had not been cleaned adequately and that the step up to the examination bed had muddy shoe marks on it. The manager informed us that he would speak to the cleaning company to ensure that the items were cleaned to an appropriate standard. We also looked at the storage of the clinical waste bins located outside the building and we found that each individual clinical waste bin was locked and stored securely within a locked compound.