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Pinhoe Dental Centre Limited

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Inspection report

Date of Inspection: 31 October 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF | 89.19 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 31 October 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We sent a questionnaire to people who use the service, talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed. 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. We saw that the provider had a detailed policy for hygiene and infection control. They employed a cleaner to ensure all public and surgery areas were cleaned each day and we saw they used a recognised colour coded cleaning equipment process. We saw how the dental nurses cleaned all surgery equipment between patients and maintained safe and uncluttered working areas.

There was suitable and adequate provision of hand hygiene facilities including specific hand-wash basins, liquid soap and disposable hand towels. We saw all staff followed the provider’s hand hygiene policy and were able to describe their roles in infection control across the practice. We saw the correct use of personal protective equipment (PPE) and heard from patients how they saw all dental staff wearing PPE when they provided treatment. All the patients we spoke with told us they found the practice clean and tidy. One patient told us, “It even smells clean here”; another person said, “It’s spotless here, I’ve no concerns at all”; whilst another said, “I’ve been coming here for twelve years and its always clean and tidy”. These comments showed patients were happy with the level of cleanliness provided.

We examined the facilities for cleaning and decontaminating dental instruments. Instruments were cleaned and decontaminated in dedicated hygiene area. We looked at cleaning of instruments for all the surgeries and found there were clear flows from ‘dirty’ to ‘clean.’ The dental nurse with lead responsibility for hygiene and infection control showed us how instruments were decontaminated and sterilised. There were separate hand washing and dental instrument cleaning areas. A separate sink was used during the rinse stage of decontamination when hand washing instruments. The process the nurse described and demonstrated followed the guidance recommended in the Department of Health’s HTM 01 – 05 decontamination guidance document for dentists and dental practices.

The nurse showed us how they used an illuminated magnifier to check for any debris or damage throughout the cleaning stages. We saw the practice used non vacuum sterilisers. Once the equipment was placed in date stamped sealed view packs they provided sterility of instruments for up to twelve months. Equipment checks were carried out during each surgery session and recorded to ensure the equipment was in good working order. These checks meant patients could be assured that dental equipment used during examinations and treatment met current hygiene standards.

We saw the practice kept records of correct waste segregation, secure storage of waste and waste removal. A recognised company was contracted to remove clinical waste regularly. We saw single use items were used once and disposed of safely.

However, the provider may wish to note that clinical waste stored securely in the locked garage was not stored in containers which might prevent access by vermin.

The dental nurses showed us completed records of decontamination equipment maintenance; there were records of daily tests and checks of the autoclave and sterilising units. X-ray machines had installation and calibration certificates. In the staff records we looked at we saw that all dental nurses and dentists had completed training in infection prevention. This showed the provider had taken steps to ensure appropriate standards of hygiene and infection control.