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Inspection report

Date of Inspection: 18 March 2014
Date of Publication: 13 June 2014
Inspection Report published 13 June 2014 PDF | 78.18 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 18 March 2014, checked how people were cared for at each stage of their treatment and care and reviewed information given to us by the provider. We were accompanied by a specialist advisor.

Our judgement

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. At the previous inspection staff were unable to show us any policy or guidance for them to follow in relation to infection control or decontamination of instruments. Staff were not able to show us when the autoclave was last serviced and there were surgical instruments in use which had not been packaged following the sterilisation process, which meant we did not know if these instruments had been suitably prepared for use.

At this inspection we found that staff were following the relevant guidance as set out in Health Technical Memorandum (HTM) 01-05 and the Health and Social Care Act (2008). The service showed us a certificate to demonstrate that the autoclave had been serviced recently.

At the previous inspection we found that there was an open clinical waste bag in an unlocked room. There were mouse droppings in a back room not used by members of the public and a member of staff was not sure about whether the surgery had a cleaner. At this inspection we found that all clinical waste was securely stored in a locked room and the provider had satisfactorily followed the guidance from the local environmental health office in regard to the mouse droppings. Staff showed us the schedule for the cleaner and told us how they monitored the cleanliness of the premises.

At the previous inspection the storage, preparation and use of decontamination products was not in line with the Control of Substances Hazardous to Health (COSHH) guidelines, as there was no evidence that the risks and hazards from chemicals had been assessed and actions taken to reduce risks. We had found hazardous chemicals in five separate areas of the building and none of these areas were locked. This meant there was a potential risk to people using the service. At this inspection we found that risk assessments were in place and all hazardous chemicals were in locked areas.