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Inspection report

Date of Inspection: 17 January 2014
Date of Publication: 20 March 2014
Inspection Report published 20 March 2014 PDF | 71.91 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 17 January 2014, talked with people who use the service and talked with staff. We reviewed information given to us by the provider.

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.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. The practice had an up to date infection control policy. The policy took account of published decontamination guidance.

The dental nurse who was the infection control lead demonstrated the decontamination process. The demonstration was in line with published guidance. It included wearing personal protective equipment, manually washing instruments, inspecting under an illuminated magnifying glass, sterilising and bagging and date stamping.

The nurse told us the autoclave was tested daily and weekly to ensure it was working effectively. The strips to check the temperature and pressure of the machine were seen. Records of the tests staff carried out were also seen. Checks were carried out every six months by a contractor and the repair/ service sheets were filed appropriately.

The practice had daily surgery “setup” and “set down” tasks. This included cleaning the clinical areas of the surgery and flushing the dental lines. The surgery was cleaned by a contracted cleaner every day. We were told that they used separate cleaning tools. The dental nurse was responsible for cleaning the surgery between patients. On the day of our visit the surgery was visibly clean and well maintained.

There were appropriate arrangements in place for the safe storage and disposal of clinical waste. A contract was in place with a disposal company for the collection of clinical waste monthly. Clinical waste was stored in a secure location until it was collected. Hand gel, gloves and paper towels were available in both surgeries. A legionella risk assessment had been carried out in March 2013 to test the safety of the water. All water used in dental lines was purified.