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Mydentist - Walton Road - West Molesey Also known as mydentist

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Inspection report

Date of Inspection: 21 January 2014
Date of Publication: 14 February 2014
Inspection Report published 14 February 2014 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 21 January 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were cared for in a clean, hygienic environment.

Reasons for our judgement

There were effective systems in place that reduced the risk and spread of infection.

All areas of the practice that we saw (which included the two treatment rooms) were clean and we saw that there were effective systems in place that reduced the risk and spread of infection. For example we saw that staff had a daily, weekly and monthly checklist for cleaning the surgery areas. Staff explained and showed us that the surgeries were separated into "clean" and "dirty" areas which ensured that used dental instruments did not contaminate clean instruments or equipment. Staff showed us how they would clean used instruments and told us that they were placed in a machine called an autoclave which sterilised them. We saw that clean instruments were stored in cupboards and drawers. These instruments were packed in sealed pouches marked with the expiry date. Staff told us that any instruments that had not been used within the appropriate time frame (as set out by the Department of Health) were re-processed and re-packaged. This showed us that staff followed local and national guidance that related to keeping the surgery and equipment free from contamination.

Staff told us that areas of the surgeries which included the dental chair, spittoon and instrument holder were all cleaned with a disinfectant spray between each patient. All of the patients that we spoke with and the survey responses we received told us that they felt the surgery was clean and that staff always wore gloves and aprons. We observed this during our visit. This showed us that staff were aware of their role to prevent infection or the spread of infection.

The practice employed an external cleaner to clean the surgery in all non-clinical areas. We saw the cleaner’s daily routine up until November 2013 but staff were unable to find the current checklist. We saw however that the cleaner used colour coded mops for different areas of the practice and that these were stored correctly. We saw that all areas of the practice, and this included the toilet, were clean. Staff told us they would give the cleaner a replacement checklist if they were still unable to find the existing one when the cleaner arrived that day. This meant that the provider was able to tell which areas of the practice had been cleaned at any one time.

We saw that the practice held various corporate policies that related to infection control and decontamination. We saw that staff had signed to say they had read the policies. All staff had received infection control training and we saw that clinical staff had received Hepatitis B vaccinations which reduced the risk of the spread of blood borne viruses. In addition to the decontamination policies and procedures, we also saw posters which related to good hand washing techniques. This told us staff were aware of their responsibilities related to minimising the risk of cross infection between patients and staff.

Each surgery had a sharps bin available for the disposal of used needles. The provider may wish to note that we found one sharps bin located on the floor of a surgery. The registered manager assured us this would be moved to an appropriate location away from the reach of patients. We saw that the bins were dated as well as evidence that the provider had a contract with a clinical waste collection company. We noted the two clinical bins stored to the rear of the practice were locked. This meant that the provider could be satisfied that they had suitable arrangements in place that related to the correct collection and disposal of clinical waste.