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Glendair Dental Practice - Alfreton

All reports

Inspection report

Date of Inspection: 19 February 2013
Date of Publication: 22 March 2013
Inspection Report published 22 March 2013 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 19 February 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Patients who receive a dental service from Glendair Dental Practice were protected from the risks of infection because appropriate guidance had been followed, and patients were cared for in a clean, hygienic environment.

Reasons for our judgement

The dental surgery had a sterilisation room, this was where all of the dental instruments were cleaned and sterilised. The instruments were manually cleaned before being placed into an autoclave to ensure that there was no cross infection between patients. An autoclave is a device for cleaning and sterilising dental instruments, which will kill bacteria with pressurised steam at over 100 degrees centigrade.

Within the sterilisation room the dental practice had two autoclaves. The practice manager said that they did not have a washer disinfector, as they were waiting for them to improve in quality and time for the wash cycle to complete. A dental nurse explained that they preferred to clean the instruments manually as they were then certain that they were clean. As per the regulations the dental practice has two separate sinks for use in the cleaning process.

We saw that the autoclave was calibrated and checked on a daily basis, with printed readouts for the staff to be able to ensure that the disinfection process was effective. In addition the autoclaves had indicator strips which showed that the machines had reached the correct temperature and for the required length of time. Both of these being crucial to ensure effective sterilisation in the autoclave. We saw that when the dental instruments were bagged after being sterilised, they had a sticker attached identifying when it had been sterilised. This was to allow staff to identify when the instruments had been sterilised as the instruments only remained sterile for a certain amount of time.

Within the dental surgery we saw that personal protective equipment was used, with gloves and masks for every member of staff. We saw how these were changed between each patient to cut down the risk of cross infection. We saw that there was a plentiful supply of ‘clean’ gloves and masks in each dental surgery.

We also saw that the dental surgery had a clinical waste contract, for collecting and disposing of soiled waste. This contract also covered the disposal of old fillings which are considered to be a ‘hazardous waste’ product.