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Inspection report

Date of Inspection: 24 May 2011
Date of Publication: 12 July 2011

People should be cared for in a clean environment and protected from the risk of infection (outcome 8)

Not met 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

Our judgement

People were not protected from the risk of infection in the service due to poor arrangements for cleaning up bodily fluids. Further improvements were also needed to identify and manage infection risks in the laundry and kitchen.

Overall, therefore, we found that there are areas of non compliance with this outcome.

User experience

People using the service said they thought the home was kept “reasonably clean”. Visitors to the home said the home was always clean, but had an odour of urine.

Other evidence

We spoke with domestic staff who advised that there was a basic cleaning schedule for the service that staff were provided with when they joined, but that there were no records to show what cleaning had been done each day, with the exception of the carpets which were recorded in the diary when they had been cleaned. Staff said that there was a steamer machine which was used for cleaning furniture at night, but there were no records to show that this happened.

None of the staff knew who the infection control lead for the service was and the manager told us that this role fell to the deputy manager, but that this had not been clearly defined.

We asked staff to tell us how they cleaned up urine spills and other bodily fluids from the carpet. They told us that they could ask a cleaner during the day to do it, but that most of the time it was just soaked up with paper towels and no cleaning products were used. Staff said they had access to the cleaning cupboard when the cleaners were off duty, but that this was upstairs and not easily accessible to them in a hurry.

We saw that staff used gloves and aprons when providing care and changed these between each person they helped.

One staff member told us they had reported a hygiene problem in the kitchen recently, but were concerned that the issue had not been taken seriously by management. They said they had been told it was not a priority.

The laundry room was muddled and we saw that clean and dirty laundry were kept in same area near to each other.