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Bhandal Dental Practice - 14 Redhill

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Inspection report

Date of Inspection: 29 November 2013
Date of Publication: 24 December 2013
Inspection Report published 24 December 2013 PDF | 76.77 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 29 November 2013, checked how people were cared for at each stage of their treatment and care 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.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. We found that the provider had an infection control policy in place to ensure any potential risks were reduced. We found that the practice had a nominated infection prevention and control (IPC) lead. An IPC lead is responsible for processes in place to reduce the risk of cross infection and the cleanliness of the practice and support staff on infection control matters. Staff we spoke with were able to tell us who the IPC lead was and their responsibilities. Records showed that staff had received training in infection control. The staff we spoke with confirmed this. This meant that staff would have the knowledge and understanding to ensure any risks from cross infection were kept to a minimum.

We found that within the provider’s infection control policy there was a process for the decontamination of instruments to ensure reusable instruments were kept clean and sterile. The process followed was demonstrated to us by a dental nurse. During this process we observed the processes followed and checked the understanding and knowledge of the staff member. The staff member was able to explain checks that were carried out on a daily basis and where we could find evidence of these checks. Records showed that regular checks were being carried out to ensure equipment being used was fit for purpose. The decontamination process involved the use of a washer disinfector machine to clean instruments and an auto clave to sterilise instruments. An illuminated magnifier lamp was in place to check instruments were clean before they were bagged and date stamped ready for use. We found this process to be satisfactory to reduce any potential risk of cross infection.

We checked a number of instruments that were bagged ready for use and found them to be visually clean. The provider had a system in place for doing regular audits of their infection control procedures. They ensured there were appropriate checks for legionella. This meant that the provider had systems in place to ensure that the treatment of people was being carried out in an environment that was safe from cross infection.

We spoke to four people who told us that the staff always wore their personal protective equipment (PPE) when treating them. Staff we spoke with told us they always wore their PPE when treating people. Our observations confirmed this.

Our observations of the environment was that it was clean and tidy. People we spoke with told us the practice had recently been refurbished and was always clean and tidy. Records confirmed that there was a system in place to regularly clean the environment.