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Inspection report

Date of Inspection: 21 February 2013
Date of Publication: 28 March 2013
Inspection Report published 28 March 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 21 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 risk of infection because appropriate guidance had been followed.

Reasons for our judgement

We spoke with 4 patients including some of their older children during the inspection. Their comments did not really relate to this outcome however one person who used the service did say: “Its always clean”.

All areas of the dental practice appeared clean and hygienic, including the waiting areas and the treatment rooms. We were told clinical areas were always cleaned between each patient.

The practice had policies and procedures in place for the prevention and control of infection. Personal protective equipment (PPE) was available for staff when carrying out dental procedures.

The practice had a decontamination room which was clean and well organised. We were told by the provider that all staff had received training in infection control. We also saw evidence of this from training records and certificates. This meant that all staff employed by the service had sufficient knowledge to keep patients and themselves protected from infection.

One of the dental nurses was the designated infection control lead and was responsible for ensuring the monitoring of cleanliness throughout the clinic and for the effective decontamination of instrumentation. This person was able to explain and show us the process clearly.

We saw there were clear procedures in place for the decontamination of equipment which were in line with HTM 01-05 standards. HTM 01-05 is a document issued by the Department of Health which sets out essential requirements and guidance in relation to decontamination in dental practices. Records were available which showed that cleaning and sterilization equipment was tested regularly and serviced in line with the manufacturers' guidance to ensure that it was working properly.

We saw that sterilised equipment was then packed, labelled and stored appropriately prior to use. We looked at some of this equipment and found that instrument packs were dated with sterilisation and expiry dates.

Liquid soap and paper towels were used by staff. The practice has a specialist contract in place for the safe removal of amalgam and clinical waste.

All of this meant that the provider was following best practice guidance in terms of cleanliness and infection control.