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Inspection report

Date of Inspection: 8 February 2013
Date of Publication: 6 March 2013
Inspection Report published 6 March 2013 PDF | 82.09 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 8 February 2013, 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 and reviewed information sent to us by commissioners of services.

Our judgement

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

Reasons for our judgement

There were systems in place to reduce the risk and spread of infection. The people we spoke with expressed no concerns about the cleanliness or the hygiene standards. They described the practice as, “Absolutely spotless” and “Stunning”. People confirmed dental staff always wore personal protective clothing to include short sleeved uniforms and disposable masks and gloves to help safeguard them from the risk of cross infection.

Staff were confident that infection control procedures were effective. They told us they had recently received training in procedures to ensure people were not placed at risk of cross infection. We observed all clinical and patient accessible areas to be clean and tidy. We saw the practice had policies and procedures in place in relation to infection prevention and control. There were suitable arrangements in place for the safe removal of clinical waste. We advised staff to ensure sharps (needles) boxes were dated and signed when assembled. Where a member of staff had sustained a needle stick injury we saw the incident had been well documented. Staff had also signed to say they were aware of the procedure to follow for needle stick injuries and were able to explain the procedures to us. Staff we spoke with confirmed their work-related vaccinations were up to date.

The practice did not have a designated central room for sterilisation and decontamination of instruments. The principal dentist told us they had a plan in place to move to best practice. Some instruments were cleaned in a room upstairs and others in a ground floor surgery. We saw that the rooms did not provide two dedicated sinks for decontamination, as required. We spoke with the lead nurse with designated responsibility for infection prevention and control. They shared the records they maintained to monitor that equipment was working correctly and that the necessary checks had been done.

Dental nurses described the processes used to clean and sterilise instruments to ensure equipment was cleaned to minimise the risk of cross infection. However, the provider may wish to note that internal audits relating to infection control had not been carried out. Disposable aprons were not being routinely used when cleaning instruments. In addition, one magnification device used to check instruments was not working.