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Inspection report

Date of Inspection: 6 September 2012
Date of Publication: 4 October 2012
Inspection Report published 4 October 2012 PDF

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 6 September 2012, 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, talked with carers and / or family members and talked with staff.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

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

Reasons for our judgement

We spoke with three members of staff about their knowledge of infection control. They all demonstrated an understanding of key infection control principles including the importance of hand washing and wearing personal protective clothing such as disposable gloves and aprons when they attended to people’s personal care.

We reviewed training records and found that all staff had undertaken training on infection control with the exception of two new starters who were to be booked to attend training in due course.

There were effective systems in place to reduce the risk and spread of infection. We saw that York House had in place an infection control plan and risk assessment. We saw that various infection risks such as MRSA, diarrhoea and vomiting, scabies and laundry management had been assessed, with actions in place to reduce the risk of the spread of infection clearly documented. We saw that York House carried out regular legionnaires tests and that an annual review of infection control procedures was taking place.

We also found that each person had an infection control care plan in place and found that where a person had an open wound this care plan was regularly reviewed to ensure that the risk of an infection being contracted was reduced. York House also had in place outbreak management plans and we saw evidence that these were worked towards when an outbreak of diarrhoea and vomiting happened earlier in the year.

We saw that regular cleaning took place at York House. Cleaning staff were employed and we saw cleaning schedules in place which confirmed that daily cleaning tasks were undertaken. However, the provider may find it useful to note that although we were told that peoples rooms were thoroughly cleaned on a monthly basis we could find no documented evidence which confirmed that this had been carried out and we noted that some bedrooms had foul odours.

We reviewed infection control procedures in place at York House. We found the policy to be in date and noted that due regard had been given to relevant national guidance. It is a requirement of the Health and Social Act 2008 for providers to have regard to this guidance when deciding how they will comply with registration requirements.