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Marlborough Dental Studio Limited

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Inspection report

Date of Inspection: 20 January 2014
Date of Publication: 22 March 2014
Inspection Report published 22 March 2014 PDF | 72.3 KB

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 20 January 2014, 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 and talked with staff.

Our judgement

People were protected from the risk of infection.

Reasons for our judgement

One person told us “it’s always clean and fresh here.”

There were effective systems in place to reduce the risk and spread of infection. We asked staff to tell us how they prepared the room between people and decontaminated the equipment. They told us the dentist's chair and other static equipment was thoroughly cleaned with antiseptic wipes between patients. All of the work surfaces were zoned to indicate if they were 'clean' or 'dirty' areas which reduced the likelihood of cross infection.

We were shown how instruments that required decontamination were processed at the practice. Used instruments were placed in the ultra-sonic bath after being inspected and rinsed.They were sterilised in the vacuum autoclaves. The instruments were removed from the steriliser, labelled, dated and put onto treatment trays. We saw there were robust measures in place to prevent cross contamination between clean and dirty equipment. A dental nurse told us they used "as much disposable equipment as possible."

We saw evidence equipment was maintained and serviced in-line with manufacturers' recommendations. The service had an up-to-date infection control procedure in place that was routinely followed by staff. The ventilation system in the room was effective and the air conditioning meant staff worked in a comfortable environment.

The service was compliant with the essential requirements of Health Technical Memorandum 01-05: Decontamination in primary dental practices (HTM01-05). The HTM 01-05 was designed to assist all registered primary dental care services to meet satisfactory levels of decontamination. We noted appropriate infection control audits had taken place and there was a well maintained system in place for the removal of clinical waste.

Cupboards and general storage was well organised at the practice. The practice was clean and tidy throughout. Staff told us they wore protective equipment such as disposable gloves, aprons, masks and eye protection and were required to launder their uniforms daily. Staff also removed their uniforms before leaving the practice to reduce the risk of cross contamination.

The provider might find it useful to know the sinks in the treatment room had overflows. This meant there was a possibility of some residue debris in these areas. The dentist told us they were reviewing their use.

The practice manager and dental nurse were well organised and had devised clear policies to ensure people were protected from the risk of infection. These included policies on infection control, eye wash injury, waste management and hand washing.