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Inspection report

Date of Inspection: 17 February 2014
Date of Publication: 18 March 2014
Inspection Report published 18 March 2014 PDF | 86.92 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 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Patients were protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection.

We spoke with four patients. They told us they felt the premises were kept clean. One patient said it was “definitely” clean. Another patient said, “I think it’s brilliant, excellent.” Another patient said it was, “Oh spick and span.” Patients told us the dentist wore gloves and a mask when providing treatment and they were asked to wear protective glasses.

We observed two consultations in a treatment room with the permission of the young patients and their parent. We saw that the treatment room was clean and that items in the room such as the chair and cupboards were in good condition. We also saw staff wore uniforms and used gloves and masks. Patients were also provided with eye protection. We saw that the dental nurse wiped different areas and replaced the head rest cover and lamp cover after the patients had left. This meant staff members followed appropriate infection control procedures.

A dental nurse who was the infection control lead for the practice told us regular cleaning took place and they followed a daily checklist about what tasks needed to be done at different times. They also told us logs were kept and they completed a monthly audit regarding cleaning. We saw a cleaning frequencies document and some cleaning logs. We also saw that a cleaning audit had been completed in January 2014. This meant systems were in place for checking that cleaning was taking place in accordance with instructions. The staff member also told us there were enough gloves, masks and aprons and we saw these were available.

We saw the separate decontamination room. A dental nurse explained the decontamination and sterilisation processes that were followed from taking the dirty instruments through to the room to clean and make ready for use again. We observed that clean and dirty instruments did not contaminate each other. This meant patients could be assured that they were protected from the risk of infection because appropriate guidance was followed.

We saw that the decontamination room was clean. However, the provider may find it useful to note that the grouting was discoloured around the sink used for cleaning dirty items and the separate sink for hand washing. We also saw that the sinks each had two taps that were not sensor-operated or lever operated mixer taps. A small area of the work surface where dirty instruments were placed was also damaged and paint appeared to be missing from the bottom of a cabinet in this area. We also saw some scratch marks on some areas of the floor. This meant there was a risk that some areas in the room would be more difficult to keep clean.

We also saw that an item was fixed into the floor, which was not in use. The dentist told us this had been where a chair had previously been fitted. We saw that a risk assessment had considered this and a sticker was on the item to highlight the slips and trips risk.

We discussed the decontamination room with the dentist, who was also the provider. They told us they planned a full refurbishment of the room within 18 months, which would include new equipment such as a washer disinfector and new cabinets and sinks. They showed us an action plan regarding the refurbishment. They also told us they would be making some improvements by 5 April 2014, which would involve grouting around the sinks and changing the taps for the hand washing sink. This meant they had plans in place to take action. The dentist also told us they ensured they followed the Health Technical Memorandum (HTM) 01-05 guidance. HTM 01-05 is a document that has been issued by the Department of Health and is used to guide service providers in the area of decontamination.

We saw that the practice had policies and protocols in place in relation to cleanliness and infection control. This meant that effective systems were in place to reduce the risk and spread of infection.

We saw that the infection control policy