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Inspection report

Date of Inspection: 4 December 2013
Date of Publication: 3 January 2014
Inspection Report published 03 January 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 4 December 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 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. Policies and procedures for infection control and prevention of cross contamination were in place. These were regularly reviewed.

In November 2009 the Department of Health published a document called 'Health Technical Memorandum 01-05 Decontamination in primary care dental practices' (HTM 01-05). This document, updated in March 2013, describes in detail the processes and practices essential to prevent the transmission of infections and to provide clean safe care. It is used by dental practices to guide them to deliver an expected standard of decontamination.

We saw that at this practice there were effective systems in place to reduce the risk and spread of infection. During our visit we spoke with two of the nursing staff and the registered manager about infection control and decontamination. They were able to demonstrate that they were aware of the safe practices required to meet the essential standards of HTM 01-05. They were aware of the need for personal protective equipment (PPE). We observed PPE being used appropriately.

The dental nurses explained accurately the processes and procedures in place to decontaminate instruments. They also described the checks they carried out to ensure that decontamination equipment was functioning properly. We saw records of the checks that were made by staff.

The practice had a designated decontamination room. Staff were able to describe the decontamination process to us and explain the dirty to clean workflow which they adhered to. This meant that contaminated and sterilised instruments did not come into contact with each other. The practice stored sterilised instruments in the decontamination room and had a procedure in place for their rotation. This meant that sterilised equipment was not at risk of recontamination.

Nursing staff were able to describe the cleaning procedures in operation within the surgeries. They ensured that clinical areas were appropriately cleaned between people and explained the clean and dirty areas in each surgery. The practice used single use equipment where ever possible.

Cleaning equipment at the practice followed the national guidelines for colour coding. This meant that equipment could be identified for use in different areas of the practice. Equipment used in high risk areas was stored separately from that used for general and non-clinical areas.