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Inspection report

Date of Inspection: 1 August 2013
Date of Publication: 4 September 2013
Inspection Report published 04 September 2013 PDF | 74.71 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 1 August 2013, 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 and they were cared for in a clean, hygienic environment.

Reasons for our judgement

We saw the practice had a number of policies and procedures in place in relation to infection control. These included an up to date Infection Control Policy. We saw there were a number of standard operating procedures, for example; inoculation injuries and blood borne viruses, hand washing and personal protective equipment. We also found a number of protocols were available, including; maintenance of waterlines, decontamination of equipment and environmental cleaning. This meant that systems had been developed and implemented to reduce the risk and spread of infection.

We found the practice facilities were clean and well maintained with appropriate floor and surface coverings. There was hand washing facilities in each treatment room including soap and hand towels and hand washing posters were displayed. We saw that staff had access to personal protective equipment when working in the treatment rooms or the decontamination room. We found that daily cleaning records were kept. These showed that checks and cleaning had been carried out and was up to date on water lines and general cleaning of equipment and surfaces. This meant that people received their treatment in premises which maintained appropriate standards of cleanliness and hygiene.

We were shown the decontamination area which was separate to the treatment rooms. One of the dental nurses talked us through the process for decontamination and sterilisation of instruments. We were shown how the clean and dirty instruments were kept separate during the process. We found that dirty instruments were brought into the decontamination room using clear plastic boxes. We were shown how the ultrasonic bath was used and saw that time and temperature was checked and recorded every time it had been used. We found that regular checks were carried out on the autoclave which showed that cycles had been completed correctly and that the required temperature had been reached. We saw that clean instruments were bagged and dated appropriately and placed in drawers within the decontamination area.

We looked at a number of audit check sheets which logged all the daily checks carried out in the decontamination room and the diary which included the test strips used to check the autoclave daily. All of the daily audits were up to date and we saw that these were reviewed monthly by the practice manager. This ensured the maintenance of appropriate standards of cleanliness and hygiene in relation to equipment and reusable medical devices.

We saw that appropriate service agreements were in place for management of waste, including clinical waste and sharps. We saw designated waste disposal bins around the practice with appropriate bags and containers for the different types of waste removal.