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Inspection report

Date of Inspection: 14 October 2011
Date of Publication: 14 November 2011
Inspection Report published 14 November 2011 PDF | 87.24 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 reviewed all the information we hold about this provider, carried out a visit on 14/10/2011, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

We found that the registered provider had met the compliance action set at our last review of compliance by making sure that staff attended training on infection control, however more could be done to make sure that the home is fully compliant with the Department of Health’s Code of practice on the prevention and control of infections and related guidance.

User experience

On this occasion we did not speak to people about this outcome area.

Other evidence

At our last review of compliance we found that the registered provider was not making sure that the people they supported were protected from the risk of infection because staff had not being trained on infection control.

The improvement plan stated that senior staff on duty was to monitor the cleaning schedule sheets on a monthly basis. Staff would be put on COSHH training. The acting manager would monitor internal issues dealt with by the operations assistant and sign the maintenance book to evidence it had been checked. The provider would refurbish the kitchen by the end of October 2011.

We found that staff had attended training on infection control. During our tour of the service and its grounds we saw it looked clean and smelt fresh.

At the last review of compliance we showed the operations manager a copy of the Department of Health’s Code of practice on the prevention and control of infections and related guidance; they told us they did not have a copy. The impact of the new legislation was explained to the operations manager. We advised that in order to comply with the Department of Health’s Code of practice on the prevention and control of infections a suitably trained member of staff should be nominated to be the homes Infection Prevention and Control (IPC) lead. The IPC lead would be responsible for overseeing the homes infection prevention and control arrangements that includes an annual statement about Bevan House infection prevention and control: risk assessments; quality audits and monitoring systems; cleaning schedules; policies and procedures; reporting; and staff training.

Following this visit we contacted the acting manager, they told us they had not obtained a copy of Department of Health’s Code of practice on the prevention and control of infections and related guidance. They told us that a member of staff had been nominated as the homes IPC lead; they were responsible for overseeing the homes infection prevention and control arrangements. An annual statement about the homes infection prevention and control had not yet been completed.

We advised the acting manager that they should obtain a copy of the Department of Health’s new guidelines on the prevention and control of infection and that the service. We also advised the acting manager that Bevan Houses new infection prevent and control lead was responsible for compiling an annual report regarding the service infection control arrangements.