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Inspection report

Date of Inspection: 6 December 2012
Date of Publication: 15 January 2013
Inspection Report published 15 January 2013 PDF | 82.2 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 6 December 2012, talked with people who use the service and talked with carers and / or family members. We talked with staff.

Our judgement

Patients were cared for in a clean, hygienic environment.

Reasons for our judgement

Patients told us they always found the practice clean and had no concerns over cleanliness or infection control.

Records showed the clinic had policies and procedures in place to manage cleanliness and infection control. All clinical staff had annual training in infection control.

An identified lead for infection control had been appointed and when we spoke to them, they understood their responsibilities.

Staff we spoke with told us they had been trained in infection control and the staff training records confirmed this. The notes from recent staff meetings demonstrated that infection control was a regular agenda item. There was information available to patients using the service, and visitors, about the control of infection.

Audits had been regularly completed to show that good standards of hygiene were being achieved. These considered things such as hand hygiene, instrument decontamination and sterilisation, general infection control and the use of personal protective equipment.

The clinic had a designated sterilisation room. However, we saw that the hand washbasin did not comply with Health Technical Memorandum (HTM) 01-05. There were no long lever/sensor operated taps and the sink had an overflow. We looked at records and saw that the Primary Care Trust had inspected the practice in August 2011 and also identified that the hand washbasin did not comply with relevant guidance.

We spoke with the practice manager who showed us estimates for the alterations of the hand washbasin that she had obtained in November 2011 and passed to the provider.

The provider may wish to note that clinical areas should be furnished taking account of the guidance issued by the Department of Health in order to provide and maintain a clean and appropriate environment that facilitates the prevention and control of infection.

There was a system to ensure that reusable items of equipment were only used for one patient before being reprocessed by being decontaminated and sterilised. There was special equipment to undertake this reprocessing and the records showed that this operation had been completed correctly.

The clinical areas in the practice had hand washing facilities. We noted that instruments were bagged and dated after cleaning. There was a clear process to ensure that clean and dirty instruments did not contaminate each other.

There was a system for safely handling, storing and disposing of clinical waste so that it was unlikely to result in cross contamination.

Staff followed good hygiene practices. These included wearing clean uniforms, washing their hands thoroughly and using personal protective equipment such as disposable gloves, aprons and face masks.

There were procedures to help ensure that water used in the practice complied with purity standards. This included using specially treated water for clinical processes that could generate water vapour which could be inhaled. Also, a check had been completed to ensure that no special measures needed to be taken to guard against legionnaire's disease.