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Inspection report

Date of Inspection: 7 November 2012
Date of Publication: 4 January 2013
Inspection Report published 4 January 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 7 November 2012, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and talked with stakeholders.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed and 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 treatment rooms were clean and well maintained with appropriate floor and surface coverings. There were dedicated hand washing facilities in each of the treatment rooms. Staff told us that protective equipment, including visors, gloves and aprons were used when cleaning and sterilising equipment. We saw evidence of appropriate protective equipment in place and accessible in the surgeries. We saw sharps containers that were appropriate and not overfilled.

People told us that they had always found the practice to be clean and tidy. One person commented that it had always been; “Really clean”. People also confirmed that staff had always worn disposable gloves, aprons, and masks and provided goggles for them, if needed.

All clinical staff were trained and competent in decontamination procedures. There was a newly built separate decontamination / sterilisation room, which was not up and running at the time of our visit. However we were shown and told how the workflow system process from the dirty through to the clean area would operate.

We were informed that the lead infection control person from the local PCT had been involved in giving advice and guidance regarding the installation of the decontamination room. The PCT also regularly monitored the management of infection control within the practice. During our visit the decontamination lead nurse demonstrated the decontamination process. We observed that correct practices were undertaken as per good infection control practice guidelines.

We saw that sterile instruments were bagged and dated with the sterilisation date and use by date.

Waste contracts were in place for the collection and disposal of clinical and domestic waste.