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Inspection report

Date of Inspection: 30 January 2014
Date of Publication: 22 February 2014
Inspection Report published 22 February 2014 PDF | 72.49 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 30 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 because appropriate guidance had been followed.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. We looked at the facilities available which included three treatment rooms, a separate decontamination room, staff facilities, a waiting area and reception. They were all very clean and well maintained.

We discussed the decontamination procedures with the registered manager who explained to us the procedure for the decontamination of instruments. Decontamination was required to minimise any risk of cross-infection between equipment, people using the service and staff. The procedures in place were in line with Department of Health requirements for dental practices.

We discussed the procedures followed with the manager and one of the dental nurses. They explained that all equipment used was checked regularly and in line with requirements. Records of this were maintained in the decontamination room and shown to us. We were therefore assured that staff followed protocols to ensure that all instruments used for their treatment had been cleaned and sterilised appropriately. Instruments that had been cleaned and sterilised were stored in sealed bags and dated ready for future use and if not used within a set period, usually a month, were re-sterilised.

We looked at the infection control audit in place. This identified any areas where action was needed and the measures taken. The provider might wish to note that this audit was only completed on an annual basis which may not identify issues of cross infection soon enough for the necessary action to be effective.

Contracts were in place for the removal of clinical waste. There were 'sharps' boxes in the surgeries and in the decontamination room for needles and separate clinical waste bins in each room as well as appropriate hand washing facilities. Staff wore protective clothing in the decontamination room and gloves, aprons and masks when in the surgeries. This ensured that the risk of cross infection was reduced. The staff records contained details of all staff's immunisation and regular training on infection control was in place.