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Archived: Egan Dental Care

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Inspection report

Date of Inspection: 13 May 2013
Date of Publication: 25 July 2013

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 13 May 2013, 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, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

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. We saw that there was a policy and procedure that said how good infection control practices were to be implemented. Records were in place including cleaning schedules to help ensure that good standards of hygiene were being maintained. This meant that patients could be confident that measures such as hand hygiene, instrument decontamination and sterilisation and general infection control were operating in a reliable way. A patient said, “I’m completely confident that the surgery is clean and hygienic. You can tell that things are neat and clean.” However the provider may find it useful to note that cleaning schedules lacked detail and limited evidence was available that regular audits had taken place. The practice manager acknowledged that this was an area for improvement and intended to ensure that more robust evidence of audits and detailed cleaning schedules were in place.

We observed that there was a system to ensure that reusable items of equipment were only used for one patient before being reprocessed by being decontaminated and sterilised. There was special equipment to undertake this reprocessing and the records showed that this operation had been completed correctly. Sterilised equipment and used items had been kept separate and clean items were stored in hygienic conditions to reduce the risk of recontamination.

We saw that there was a system for safely handling, storing and disposing of clinical waste. This meant that patients could be reassured that clinical waste was unlikely to cause cross contamination.

We observed that staff followed good hygiene practices. These included wearing clean uniforms, washing their hands thoroughly and using personal protective equipment such as disposable gloves, aprons and face masks. A patient said, “The dentist and the nurse wear masks and gloves when they’re doing your treatment and I think that they’re conscious about the need for good standards of hygiene.”

Records showed that the system for guarding against legionnaire's disease had been assessed and certified as being sufficient. Also, we saw that there were procedures in use to protect patients from water borne infections. These included using specially purified water for clinical processes. This meant that patients could be reassured that they were protected from contracting infections.