You are here

Hillton Dentistry Gillingham

All reports

Inspection report

Date of Inspection: 4 December 2012
Date of Publication: 25 December 2012
Inspection Report published 25 December 2012 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 4 December 2012, 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, talked with staff and talked with stakeholders.

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.

People told us that the practice was "always clean and well maintained." We were told that the practice was cleaned each day by staff.

We observed staff preparing the room between patients. They demonstrated that all touch areas (this included the chair, the tray, surface areas and the light) were cleaned. We saw that all items used were disposed of or decontaminated appropriately. We observed that the staff had a clear understanding of their cleaning responsibilities.

We saw that appropriate personal protective equipment, such as disposable gloves, aprons, masks and eye protectors were available and were in use in all clinical areas.

We observed how instruments that required decontamination were processed. The practice had two sinks and an autoclave (a device used to sterilise equipment) in five of the six consultation rooms. We saw that each consultation room had a sink used for hand washing and another sink for cleaning used instruments. Where the consultation room had no autoclave, we saw that instruments were transported in secure boxes to a designated consultation room with an autoclave in place.

There was a clear process in the consultation rooms to ensure that clean and dirty instruments did not contaminate each other. We were informed that all staff had received training in infection control, staff training records that we looked at provided further evidence of this.

Staff were observed to be manually checking instruments after use and prior to washing and the sterilisation process. We saw that any residual matter would be cleaned, and then the instrument was washed prior to sterilisation.

The practice had two new decontamination rooms which were built to comply with the Department of Health: Decontamination Health Technical Memorandum 01-05: Decontamination in primary care dental practices. These were not in use at the time of the inspection as they were waiting to be commissioned for use.

We saw that the practice had an inspection report from the Dental Practice Advisor (DPA) in relation to the Department of Health: Decontamination Health Technical Memorandum 01-05: Decontamination in primary care dental practices. Recommendations had been made as a result of the inspection and we saw that a clear action plan of how the recommendations had been met, were in place. The action plan had been approved by the DPA and the recommendations were recorded as no longer outstanding.

We spoke with the NHS Dental Contracts and Performance Manager for this practice and they confirmed that they had no concerns about the way this practice managed their infection control procedures.