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Inspection report

Date of Inspection: 19 January 2012
Date of Publication: 13 March 2012
Inspection Report published 13 March 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

Our judgement

Overall the provider was meeting this outcome. We found the provider had systems in place to ensure the practice was clean and people were protected from the risk of infection.

User experience

We did not speak to people who used the service about this outcome. We noted that the practice appeared clean and well maintained. We were told that the practice was cleaned each evening by the domestic staff and dental nurses were responsible for cleaning and preparing the surgery for the next patient. The practice manager was the lead person with regard to cleanliness and control of infection in the practice.

Other evidence

A staff member demonstrated how the surgery was prepared between patients including cleaning of the chair, all items used were disposed off or put in an appropriate storage box for decontamination. We saw that a record for the cleaning of dental water lines was completed daily.

Health and safety information was displayed in the surgery with reference to use of equipment and safety guidance to follow.

Staff wore uniforms and told us there were facilities available for changing. They were responsible for laundering their own uniforms. There was also personal protective equipment for staff available.

A senior nurse showed us the procedure followed for instruments that required decontamination. There was a designated room on the upper floor for this process. Instruments were taken to the cleaning area from the surgery in sealed colour coded boxes marked dirty. When initial cleaning had been completed the instruments were passed through to the sterilisation area where on completion of the process they were seal packed and dated. There was a clear process in place to ensure that clean and dirty instruments did not contaminate each other. All sterilised instruments had a 60 day life span if unused the process was repeated.

There was a system for quality testing the washer-disinfector and the autoclave each day. A signed record for this procedure was available in the room.

The decontamination room had two sinks, one for hand washing and the other for washing instruments. The lead nurse explained how instruments were manually checked after the washing phase. They said any residual matter would be cleaned and the instrument re-washed prior to sterilisation.

We were shown service agreements and up to date certificates for the checking and maintenance of the decontamination, sterilisation and water systems testing. There were service agreements for the management of waste including clinical, hard and soft waste. On looking round the practice we saw designated waste disposal areas externally with appropriate bags and containers for the different types of waste removal.

The designated infection control nurse said they had received training to undertake this role. In addition other staff in the practice had attended infection control and relevant health and safety updates from internal and external training providers.

Evidence of up to date infection control audits was available for example instrument decontamination, general infection control audits.