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Great Wyrley Dental Practice

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 23 May 2013
Date of Publication: 26 June 2013
Inspection Report published 26 June 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 23 May 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, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We reviewed information given to us by the provider and reviewed information sent to us by commissioners of services.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

We discussed infection control, looked at cleaning records and looked around the dental practice. We spoke with two people over the telephone who told us that the dental practice was always clean.

We asked about infection control and decontamination training. We were told that in-house and external training was provided. We saw training certificates, which showed that staff undertook training regarding infection control.

We watched a member of staff undertaking the decontamination process. This showed us how dirty equipment was sterilised to ensure it was safe to reuse. Decontamination of used equipment was completed in a dedicated decontamination room. We saw that personal protective equipment (PPE) such as gloves, aprons and eye protection was available for use to reduce the risk of cross infection. Hand hygiene instructions were on display by each hand wash sink. This helped to remind staff of the correct procedure to follow to ensure effective hand hygiene.

We saw that staff manually washed and rinsed the instruments, before using equipment to sterilise them. Following sterilisation, instruments were stored in pouches and dated according to national guidelines. We looked at the equipment in pouches and saw they were within the date to be used.

We saw records detailing the maintenance and cleaning tasks carried out on equipment used in the decontamination of dental equipment. This helped to ensure that sterilisation equipment was in good working order. This checklist also recorded the tasks to be completed in each dental treatment room. We were told that staff cleaned the dental treatment room between each patient but this was not recorded. The provider may wish to note that evidence was not available to demonstrate that staff were following effective cleaning regimes in between each patient. The staff member we spoke with was aware of her responsibilities for maintaining infection control standards. We saw that infection control checklists were on display in the decontamination room.

The dental nurse that we spoke with told us that staff had two uniforms. Uniforms were changed on a daily basis meaning staff had one to wash and one to wear. We saw that staff were smartly dressed in clean, short-sleeved uniforms so they could wash their hands thoroughly to reduce the risk of contamination from clothing.

We discussed the cleaning of dental water lines and were told about the systems used to ensure that they were free from bacteria. We saw that instructions for staff were on display in the decontamination room. This helped to reduce the risk of cross infection.

We were told that a cleaner was employed. We saw the colour coded mops and buckets and the instructions that recorded where these could be used. We saw a cleaning schedule that detailed the tasks and the frequency they were to be completed. We looked around and saw that the dental treatment rooms, reception and waiting areas were all clean and clutter free.