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Archived: Abbeywood Outstanding

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Inspection report

Date of Inspection: 3 July 2013
Date of Publication: 26 July 2013
Inspection Report published 26 July 2013 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 3 July 2013, 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

There were effective systems in place to reduce the risk and spread of infection.

We last inspected this service on the 8 January 2013 and found the provider was not meeting the essential standards of quality and safety for Cleanliness and infection control. For example, we had concerns regarding the cleanliness of pillows in a number of bedrooms and the lack of facilities for staff to wash their hands in people’s bedrooms.

The provider sent us their action plan which addressed how and by when they would become compliant with the required standards.

Many of the people at Abbeywood Care Home had dementia and were unable able to tell us about their experiences. People who could communicate with us in a meaningful way told us their rooms and the rest of the home was clean. One relative we spoke with told us “It’s always spotless here.”

When we arrived we walked around the building with the registered manager. During this walk around we looked at all areas of the home including communal bathrooms toilets and other communal areas for example, lounge rooms, dining rooms and corridors. We noted improvements had been made.

We looked in ten of the bedrooms and found these were clean. We also checked the mattresses and pillows in these rooms and found them to be clean and hygienic. Many of the pillows had been renewed since our previous inspection and all had protective covers. We also noted regular audits had been undertaken regarding these areas.

We looked in all of the communal bathrooms and toilets and found that they were clean and hygienic. We noted hand sanitising, products and paper towels were readily available for people staff and visitors to use. This meant people staff and others could wash and dry their hands appropriately. However as discussed in the previous inspection report there was no provision for paper towels or liquid soap in people’s bedrooms for staff to wash and dry their hands. We discussed this issue again with the registered manager during our visit. They informed us the provider had told them it was not necessary to provide paper towels and liquid soap in people’s bedrooms because they were confident that staff followed the procedures around safe hand washing. The registered manager told us they regularly carried out “dip tests” on staff regarding their hand washing procedures and that they were happy with the findings of these tests, they were not however able to provide evidence that these “dip tests” had been carried out.

We observed clinical waste arrangements were in place. We checked the sluice room and bathrooms and found the majority of them contained appropriate clinical waste bins. We noted throughout our visit that staff had used these bins to dispose of soiled waste. We spoke with staff about the disposal of soiled waste and they demonstrated a good knowledge of the procedures in this area.

We observed staff wearing protective aprons and gloves in the appropriate circumstances, for example whilst carrying out personal care tasks and serving food. We noted that gloves and aprons had been supplied in sufficient quantities to ensure availability. We observed that soiled laundry was transported appropriately through the home and had been separated in to appropriate bags for example, soiled linen in red bags from other linen and people’s clothes. We also noted that where staff had used mops and buckets for cleaning these had been colour coded to ensure they were used appropriately.