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Great Oaks Dean Forest Hospice Good

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Inspection report

Date of Inspection: 13 December 2013
Date of Publication: 25 December 2013
Inspection Report published 25 December 2013 PDF | 86 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 13 December 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed. People were cared for in a clean, hygienic environment. A whole service audit had been started and infection control policies were due to be reviewed with reference to current guidance.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. An infection control lead had been identified for the service. They were not on duty during our inspection but we saw that they were in the process of reviewing the systems in place. Appropriate reference material and guidelines were being used to inform the review. This included identifying and completing appropriate audits. An audit of the use of hand gel had been completed and a more comprehensive audit of infection control practices was underway. Monitoring systems were in place to ensure that appropriate standards of cleanliness and hygiene were maintained in relation to the premises and equipment at the Day Hospice.

We saw that the provider’s infection control policy included all appropriate information that staff might need to refer to. This was due to be reviewed to include any updates for 2013. All staff completed infection control training. This included information about sources of infection, hand hygiene, use of personal protective equipment (PPE) and management of body fluid spillages. The registered manager told us that staff carried spare PPE with them when attending people at home, in case supplies at the person’s home had run out. We also saw that appropriate guidance had been sought by the provider to manage an infection that a person using the service had experienced.

The staff we spoke with demonstrated appropriate knowledge of the provider’s policy. One staff member said, “Infection control is drummed into us.” They told us that the provider was very clear about protecting people from the risk of infection as when staff were unwell they were not permitted to work. We observed that the premises were clean and well maintained. The bath had been cleaned after use and a notice attached to it to say it was clean and ready for use. A person who used the service said, “They appear to be very much on the ball with hygiene and cleanliness.” They told us that staff washed their hands before and after attending to them.