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Inspection report

Date of Inspection: 25 February 2013
Date of Publication: 14 May 2013
Inspection Report published 14 May 2013 PDF | 89.54 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 25 February 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 risks of infection because appropriate guidance had been followed.

Reasons for our judgement

There were systems in place to reduce the risk and spread of infection. The practice had two separate decontamination rooms and all staff sterilising equipment had the appropriate skills and knowledge to ensure the processes were completed safely. The processes of decontamination and sterilisation of equipment was clearly written down to ensure all staff worked in a consistent and methodical way. Dirty instruments were stored correctly and were thoroughly soaked, scrubbed, cleaned and sterilised before being moved to the clean area. This reduced the risk of recontamination from dirty instruments. There was a designated hand washing sink but the upstairs decontamination room did not fully comply with best practice. It only had one sink but staff were using two seperate bowls one for soaking and one for rinsing. There was a plan in place to address this and regular audits highlighted any actions required to ensure full compliance with regulation and best practice.

We observed the dental nurse transporting, soaking, scrubbing, inspecting and sterilising tools used by the dentists. Staff had regular infection control updates and we saw that staff were sufficiently competent in the processes for sterilising and cleaning which helped prevent the spread of health acquired infections.

There were clear cleaning schedules to be completed by staff during the day, between people’s treatments, and out of hours. Cleaning materials were plentiful and locked away. We spoke with staff who confirmed that they wore gloves, masks and aprons and we observed them washing and disinfecting their hands. People using the service commented on the cleanliness of the practice and the hygiene protocols observed by staff. Staff had adequate facilities to wash their hands effectively and there were hand washing leaflets displayed. They wore uniforms and changed into their own clothes when leaving the premises. This helped minimise the spread of infection.

We saw there were appropriate arrangements in place for the disposal of clinical waste and waste was locked safely outside waiting for collection. Records for waste disposal were seen. This meant people were protected from the hazards of clinical waste.We saw records which showed that staff had up to date certificates for Hepatitis B. Staff had received booster vaccinations and were fully protected.