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Inspection report

Date of Inspection: 14 November 2012
Date of Publication: 13 December 2012
Inspection Report published 13 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 14 November 2012, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

Effective systems were in place to reduce the risk and spread of infection.

We observed that the service appeared clean, hygienic, tidy, orderly and well maintained. There was evidence that equipment and stock was well organised and in plentiful supply.

The registered manager was the designated infection control lead and thus responsible for all infection control issues within the service.

We spoke with three people using the service. Two people told us that they had been attending the service for many years and had always found it to be clean and hygienic. They said that the room where they had their blood samples taken was always clean and staff wore protective clothing when taking their blood samples.

We were provided with the current Infection Control policy and procedure and the Department of Health guidance for microbiology laboratories. The policies outlined various standards that were expected of the clinical staff, including for example, hand hygiene, clinical waste disposal, immunisations, blood spillage procedures, cleaning regimes, the use of personal protective equipment and the collection, packaging, handling and delivery of laboratory specimens.

It was confirmed that the staff and a person employed privately were responsible for cleaning the service.

We saw that there was some evidence, in the form of cleaning schedules, to show what areas within the laboratory had been cleaned by staff. The provider may wish to note that cleaning schedules were not being maintained for the other areas of the service for example the toilet, kitchen, waiting area and staff room. This was brought to the registered manager’s attention in order that all staff understood their responsibilities and there was a clear audit to demonstrate the areas cleaned within the service to ensure standards of hygiene and cleanliness were maintained.

We saw that cleaning equipment was available. The provider may wish to note that different colour coded cleaning materials such as buckets and mops, for use in specific areas of the service, were not available. This was brought to the registered manager’s attention in order that arrangements were in place to minimise contamination and prevent infections as far as reasonably practicable.

The clinic room, where blood samples were taken appeared clean. There were appropriate hand washing facilities, hand wash and disposable paper towels available for staff. We saw that staff wore uniforms and observed that laboratory specimens were handled with care to avoid spillage and contamination.

The two staff we spoke with told us they had received infection control training however we did not sample records to confirm this.

We observed that arrangements were in place for the collection of clinical waste by a recognised waste contractor. The clinical waste, including sharps and dressings within the practice were well managed. We sampled signed consignment documents to confirm waste collection and those documents were filed and well managed.