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Inspection report

Date of Inspection: 13 August 2013
Date of Publication: 19 September 2013
Inspection Report published 19 September 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 13 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. 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.

Our inspection of 12 February 2013 found there were limited measures in place to prevent and control the spread of infection. Berkshire Health Limited did not have an infection control lead. There were no arrangements for an infection control advisor to support staff on infection control issues. There was no in depth infection control training. There were no risk assessments to identify and control risks of infection. Staff training in infection control was limited. The provider wrote to us and submit an action plan setting out how the shortfalls would be addressed.

During our visit on 13 August 2013, there were significant improvements since our last inspection. Improvements included access to external infection control expertise and support. There was a lead for infection control issues. The lead attended a practice managers' forum which included training in infection control. Nursing staff also had training in infection control. When we asked one of the nurses to describe the headlines from the training, she was able to do so. We saw the infection control training certificates for each nurse.

There were new arrangements for monitoring the cleanliness of the treatment room. These checks were divided into daily, weekly, and monthly tasks. There was a system in place for recording and monitoring the checks were done.

A risk assessment was in place to identify situations and practices within the service which could lead to contamination or to the spread of an infectious disease. Control measures were identified in the risk assessments. Staff were aware of the risks and how to minimise them.

As in our previous inspection, we found the facilities to be clean. Alcohol gel for maintaining hand hygiene was available throughout the premises. A traceability system was in place to cross reference individual patients to the medical devices which were used in their treatment. Staff told us the system would allow them to trace any incidences of infection between medical instruments and patients. On site decontamination was limited to one specialist piece of equipment. All other medical instruments used to treat patients were single use only.