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Inspection report

Date of Inspection: 5 January 2012
Date of Publication: 1 February 2012
Inspection Report published 1 February 2012 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

Our judgement

People using the service are protected by effective arrangements based on national guidance for the prevention and control of risks from infection.

User experience

We spoke to four patients who described their experience of cleanliness and infection control. They all felt that the clinical areas of the practice were clean and that staff always wore gloves and masks when treating them.

Other evidence

The practice meets the best practice and essential quality requirements for decontamination in primary dental care. These requirements are set out in the Department of Health publication ‘Health Technical Memorandum (HTM) 01-05’. There are decontamination and infection control policies which cover all relevant areas. An Infection Prevention Society self-assessment audit was carried out in 2011. A legionella risk assessment was carried out on 18 March 2011. The provider Mr. Rajesh Patel is the infection control lead.

There is a separate decontamination room on the ground floor. This contains an autoclave and a washer disinfector which are both covered by maintenance contracts. The autoclave has a system which allows it to undertake automatic checks to ensure it is decontaminating instruments safely.

There is evidence of infection control training having been undertaken. These included an all-day course on decontamination and HTM 01-05 held on 18 June 2010, and other external courses attended by members of the practice team. There was also evidence of training in infection control being undertaken by two dental nurses as part of the National Examining Board for Dental Nurses course.

Decontamination and infection control issues are discussed at practice meetings which are held on a monthly basis. During a meeting held on 9 March 2011 the use of the autoclave was explained. On 16 June 2011 an audit of the cleaning of the practice was presented. This was undertaken as a cleaner had left the practice and cleaning was therefore now done by other staff. The audit had picked up examples of poor cleaning including dirty and dusty surfaces.