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Inspection report

Date of Inspection: 14 March 2013
Date of Publication: 12 April 2013
Inspection Report published 12 April 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 14 March 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.

Reasons for our judgement

The practice was compliant with the essential quality requirements of Health Technical Memorandum 01-05: Decontamination in primary care dental practices (HTM01-05).The HTM 01-05 was designed to assist all registered primary dental care services to meet satisfactory levels of decontamination of equipment.

The practice facilities were clean and well maintained with appropriate floor and surface coverings. Chapter six of the HTM states a separate hand wash basin should be provided as hand hygiene was crucial in preventing the spread of infection and recontamination of instruments and devices. The practice had an up to date risk assessment for the availability of hand wash basin in all rooms where they were required. Where hand wash basins were available we saw that the appropriate hand washing procedure was displayed and the correct soaps, hand cleaning gels and moisturisers were available.

We saw evidence that protective equipment, including eye shields, face masks and gloves were available for staff to use when treating people. People were also given protective equipment to wear during their procedure. Both of the people we spoke with confirmed that staff wore protective equipment during the treatment and that they ensured that the people using the service did the same.

The practice’s decontamination policy and cleaning procedures for equipment between people was discussed with staff. They were able to describe to us that they understood requirements which ensured that people using the service were being protected from the possibility of cross infection.

We saw that there was a separate decontamination and sterilisation room. The decontamination area was divided into two areas for dirty and clean processes. There was a light and a magnifying glass available and these were used to examine instruments visually so staff could check that they were clean, functional and remained in good condition. We examined the decontamination room log book and this recorded the equipment cleaning and checks being undertaken by staff. The staff in the practice were responsible for cleaning all treatment rooms and communal areas at the end of a working day and between each person. Cleaning logs were maintained by all members of staff.

We also saw the arrangements for the cleaning and lubrication of hand-pieces (drills). We saw that all wrapped and sterilised instruments were dated with a use by date. An annual service agreement was in place with the suppliers for the maintenance of equipment in use in the decontamination room.

Dental nursing staff had received updated training in decontamination as part of their professional development. We saw that there were infection prevention and control policies and procedures in place.

The practice had a policy and procedures in place for the management and disposal of waste. We saw that all waste was stored safely away from the public within the practice premises and waste disposal contracts were seen for clinical waste and domestic waste. The practice also had a written scheme for prevention of legionella contamination in water pipes and other water lines. We noted there was a system in place for amalgam-related waste to be disposed, with an approved licensed carrier.