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Inspection report

Date of Inspection: 11 April 2013
Date of Publication: 1 May 2013
Inspection Report published 1 May 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 11 April 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People 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. A new decontamination room had been built which included a clear flow from dirty to clean, with separate entrance and exits doors for dirty and clean instruments. At the time of our inspection the practice was using a manual washing process, whilst they were waiting to receive training on the washer disinfector which had been installed. Staff were able to demonstrate appropriate manual washing techniques and use of the ultrasonic bath. All instruments were checked under an illuminated magnifier for cleanliness before being put into the autoclave for sterilization.

Individual instruments were packaged after sterilization following best practice guidelines. General examination instruments were sterilized on individual trays per person. These trays were not packaged as they were used on the same day. If for some reason they were not used within this time period they were reprocessed and sterilized.

Daily checks were undertaken on the decontamination equipment and the cleanliness of the dental surgeries. These checks ensured the appropriate infection control processes were undertaken at the start and the end of the day. Infection control policies were available to all staff and staff had signed to say they had read it. Regular infection control audits were undertaken and the water had been tested as to whether there was a risk of developing legionella's disease. No concerns were highlighted in the audit or the water testing.

The practice was visually clean on the day of our inspection. The practice had a dedicated cleaner and they were able to demonstrate knowledge of good cleaning practices.

Individual dental surgeries were cleaned in-between people using the service to ensure there was no cross infection. This involved renewing protective covers on all equipment and wiping down the dental chair and all surfaces.

Staff wore appropriate personal protective equipment (PPE), and changed their gloves, face shield and apron in-between working with people. Staff also changed their PPE at each stage of the decontamination process.

Hand washing facilities were available in the decontamination room and in each dental surgery. Staff demonstrated good hand hygiene on the day of our inspection.

There were appropriate procedures in place to dispose of clinical waste. A contract was in place to ensure regular disposal of all clinical waste, including sharps and waste amalgam.