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Maxted Meaden Dental Practice

All reports

Inspection report

Date of Inspection: 25 February 2013
Date of Publication: 11 May 2013
Inspection Report published 11 May 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 25 February 2013, observed how people were being cared for and talked with people who use the service. We 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. We were shown the practice infection control policy and several infection control and dental water line audits. Clinical and non clinical areas were kept clean and there was a general cleaning schedule in place. Cleaning materials were appropriately stored and colour coded. All staff involved in exposure risk procedures had been vaccinated against Hepatitis B and we were shown records that illustrated their immunity.

Decontamination of instruments was performed in surgeries and sterilisation took place in a separate sterilisation area. We noted that clean and dirty zones were designated. Guidance on the instrument decontamination/sterilisation process was available for staff to use in both surgeries and the sterilisation area. We observed adequate personal protective equipment for staff to use when carrying out decontamination and sterilisation of instruments. There were maintenance schedules and certificates of testing for all sterilisers. The practice also conduced and recorded tests for the ultrasonic cleaner. A log book was kept to show that all sterilisation cycles were fully completed. There was guidance on hand-washing above all hand-washing sinks and information on what to do if a sharps injury occurred was located in the sterilisation area.

We asked a nurse to show us how she processed dirty instruments. We were shown how instruments were transported in appropriate boxes to and from the sterilisation area. The nurse then went on to correctly describe the entire instrument decontamination/sterilisation process. We saw that instruments which had been sterilised were appropriately packaged and stamped with sterilisation expiry dates.

A Legionella risk assessment had been carried out and recommendations had been implemented. The practice regularly checked the dental water lines for the presence of bacteria and disinfects these as required. Clinical waste was disposed of appropriately and in accordance with current guidance and this was evidenced by waste disposal slips and a clinical waste disposal contract.