You are here

All reports

Inspection report

Date of Inspection: 15 February 2013
Date of Publication: 29 May 2013
Inspection Report published 29 May 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 15 February 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 staff and reviewed information given to us by the provider.

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. An infection prevention and decontamination lead person had been appointed under the supervision of the provider. We were told that this lead person along with the practice owner supervised the decontamination protocols and procedures. We saw that the whole team had training on decontamination in March 2012 and that daily, weekly and monthly checks were in place.

There was a well appointed decontamination room which we noted was shared by the adjacent practice. We saw that separate doors at either end of this room provided access from the individual practices. We found this to be very well equipped with well defined "Dirty" and "Clean" areas. We saw that all used instruments were transported using locked containers. A nurse showed us the decontamination procedure and we saw that it complied with the Department of Health guidelines on decontamination (HTM 01 05). We saw that personal protective equipment was readily available and that the staff were following correct procedures regarding hand hygiene. We noted that the autoclave had a computerised print out of each cycle, which was logged accordingly, and observed that the bagging and storing of instruments was being done correctly.

We saw that the hand washing facility in the surgery was fit for purpose, and noticed that the lay-out of the adjacent rooms was done paying particular attention to cross-infection and hygiene. We noticed that the whole clinical area was uncluttered and arranged to enable all surfaces to be easily cleaned.

We saw that service and maintenance records were in place and that the autoclave had been serviced in September 2012.

Waterlines in the dental units were treated with disinfectant and up to date Legionella risk assessments were seen.

Clinical waste audit, protocols and policies were in date and evidenced. Sharps boxes were seen in the surgery and decontamination room. We saw evidence that this was being collected by a registered carrier.

A good understanding of what to do if there was a blood spillage was shown by staff.