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Archived: Contemporary Dental

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Inspection report

Date of Inspection: 16 January 2014
Date of Publication: 20 February 2014
Inspection Report published 20 February 2014 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 16 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, 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

The practice appeared clean and tidy when we visited and surgical areas were clutter free. The patients we spoke with told us that the practice was always tidy and appeared clean when they visited for appointments. One person told us, “It always looks clean and tidy when I have appointments”. Whilst another person said, “Everywhere in the practice is clean and tidy, and staff always wear protective equipment”. These comments showed patients were happy with the environment they were treated in.

There were effective systems in place to reduce the risk and spread of infection. We spoke with the dental nurse about their infection control training and the cleaning duties they undertook. We saw the surgery was cleaned after each days practice and the dental nurses cleaned surface areas throughout the surgery after each patient and at the end of the day. All practice staff had undertaken relevant training in infection control and demonstrated familiarity with the standards expected. For example they wore appropriate personal protective equipment (PPE), routinely washed their hands when re-entering the surgery and after contact with non-surgical equipment. The dental nurses ensured PPE was available to patients during treatment such as aprons and safety glasses. However, the provider may like to note packs of PPE gloves and hand washing liquids were stored on working surfaces and could lead to cross contamination.

The provider had assessed their facilities at the practice in relating to meeting government essential standards for decontamination in dental practices. A recent self-audit showed that essential standards could be maintained with the current environmental facilities at the practice. However they had also recognised that to achieve best practice improvements were required. We saw from their audit that this was planned for 2016 and heard the provider had already received one quote for the work.

We examined the facilities for cleaning and decontaminating dental instruments. Instruments were cleaned and decontaminated in a small hygiene area screened off from the main surgery upstairs and in a separate area downstairs. We looked at how instruments were cleaned and found there were clear flows from ‘dirty’ to ‘clean.’ The dental nurses showed us how instruments were decontaminated and sterilised. A separate bowl was used during the rinse stage of decontamination when hand washing instruments.

The nurse showed us how they used a magnifier to check for any debris or damage throughout the cleaning stages. We saw the practice used standard bench mounted autoclave and ultrasonic machines which ensured equipment was safely cleaned. The cleaned and dried equipment was placed in date stamped sealed view packs which provided sterility of instruments for twelve months. Equipment checks were carried out during each surgery session which ensured the equipment was in good working order.

We read the practice policies and procedures for management of infection control. The provider had a copy of the Department of Health’s Department of Health’s HTM 01 – 05 guidance. This publication is related to the Health and Social Care Act 2008. The staff we spoke with were familiar with this document and the way we saw them work demonstrated how they put their knowledge into practice. We observed how waste items were disposed of and stored. The provider had a current contract with a clinical waste contractor for regular removal of clinical waste. We saw that the differing types of waste were appropriately segregated at the practice. This showed that the staff acted in accordance with current guidance.