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Inspection report

Date of Inspection: 19 July 2013
Date of Publication: 23 August 2013
Inspection Report published 23 August 2013 PDF | 78.07 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 19 July 2013, sent a questionnaire to people who use the service and talked with people who use the service. We 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 and 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. When we visited the practice we spoke with staff about the cleaning routines and infection control training. Practice staff had undertaken relevant training in infection control within the last year. Staff told us their competencies in the workplace in good infection control techniques were monitored and recorded through clinical supervision.

The provider had assessed their facilities at the practice in relating to meeting government HTM 01-05 standards for decontamination in dental practices. The provider had completed regular self-assessments in relation to published best practice guidance. The audits indicated that the facilities and management of decontamination and infection control was managed well. We examined the facilities for cleaning and decontaminating dental instruments. We found that there were clear flows from ‘dirty’ to ‘clean.’ One of the dental nurses showed us how instruments were decontaminated and sterilised. 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 in each treatment room which provided sterility of instruments for the recommended 12 months. Equipment checks were carried out during each surgery session and recorded to ensure the equipment was in good working order.

We read the practice policies and procedures for management of infection control. The provider had a copy of the Department of Health’s Infection Control Code of Practice guidance. The provider had given responsibility for infection control to a member of staff. We spoke with this person who showed good awareness of the code’s principles and requirements for auditing of practice and the recording of cleaning processes.

We observed how waste items were disposed of and stored. The provider had an on-going contract with a clinical waste contractor. We saw that the differing types of waste were appropriately segregated, labelled and stored at the practice.

We looked at the consulting rooms where patients were examined and treated. The rooms and equipment appeared clean. The nurses explained that they had cleaning duties between patients and at the end of treatment sessions. We observed nursing staff cleaning areas between patient appointments. There were completed records for cleaning schedules. Each person we contacted to comment on the practice said the practice appeared clean when they visited.

We saw staff members had supplies of gloves, masks and eye protection. We also saw that consulting rooms had eye protection supplied for patients. Staff had facilities to wash their hands in dedicated ‘clean’ sinks which demonstrated good practice in preventing the spread of infection. Staff told us the importance of good hand hygiene was included in their infection control training sessions.