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Mydentist - Mount Avenue - New Milton

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Inspection report

Date of Inspection: 26 June 2013
Date of Publication: 30 July 2013
Inspection Report published 30 July 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 26 June 2013, checked how people were cared for at each stage of their treatment and care 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.

People were cared for in a clean, hygienic environment.

Reasons for our judgement

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

People we spoke with told us they thought the premises were kept clean and hygienic and dental care staff took precautions they expected to see. One person we spoke with said, “They always masks and gloves and give me glasses to wear”.

The practice had access to an edition of a Department of Health document published on 31 March 2013 called “Health Technical Memorandum 01-05: Decontamination in primary care dental practices” (HTM01-05). It describes in detail the processes and practices essential to prevent the transmission of infections and ensure clean safe care. It also set out two standards of compliance for dental practices. These were the “essential quality requirements" that they had to meet and “best practice” which were ideal and desirable. Dental practices are expected to be fully compliant with the essential quality requirements.

The following evidence showed that the standard of best practice had been achieved.

There was a range of relevant written infection control policies and procedures. These included decontamination of instruments, disposal of waste, cleaning frequencies, hand hygiene and management of blood borne viruses. This meant there was relevant guidance and information for staff to refer to.

A dedicated decontamination room was used for and a decontamination technician employed to carry out most of the cleaning and sterilisation of dental instruments.

Dental instruments were transported in covered boxes from the practice's four treatment rooms to the decontamination room.

There was a clearly defined dirty to clean workflow in the decontamination room. Two separate sinks were in place for washing and rinsing instruments and equipment included two ultrasonic cleaners, two hand-piece lubricators a washer disinfector and two vacuum sterilisers.

An illuminated magnifying glass was used to inspect instruments after they had been washed and disinfected. This was to ensure there was no residual contamination, debris or damage before they were sterilised.

We saw that sterilised dental instruments were stored appropriately and safely.

Records we looked at showed that the full range of tests, validation and servicing were carried out on equipment used for cleaning and sterilising instruments. This ensured they worked effectively and safely.

We saw that “daily surgery checklists” were completed in each treatment rooms. They set out the frequency with which equipment and areas of the practice were checked and cleaned at the start, during and end of each session.

Infection control procedures were regularly checked or audited to ensure they were followed properly. The most recent had been completed on 21 June 2013. We saw that an action plan had been developed as a result of the audit.

We observed four people either receiving check-ups or treatment. During these sessions we noted dental care staff used protective clothing and equipment appropriately such as gloves and masks. We also saw that equipment and surfaces were cleaned between each person who saw a dentist and at the end of a treatment session in accordance with the daily surgery checklist.

Documents we looked at showed that clinical and other hazardous waste produced by the practice was managed properly. They also showed there was a programme in place for renovation and repair work to two of the four treatment rooms and the decontamination room.

Staff told us they received regular training about infection control and instrument decontamination. Records we looked at confirmed this.