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Archived: Robinspool Dental Practice

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Inspection report

Date of Inspection: 22 August 2014
Date of Publication: 2 October 2014
Inspection Report published 02 October 2014 PDF | 68.13 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 22 August 2014, talked with staff and reviewed information sent to us by other regulators or the Department of Health. We were accompanied by a specialist advisor.

Our judgement

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

Reasons for our judgement

When we visited the practice on 28 February 2014, we found the patients were not protected from the risk of infection because appropriate guidance had not always been followed. The practice did not have cleaning schedules for the premises. The risks of patients contracting infection from waterborne bacteria had not been minimised. There was no risk assessment in place for Legionella. The practice did not have records of staff who had received immunisations and were not able to identify when staff required a booster to their vaccination. We set a compliance action in respect of this. We received an action plan which set out what actions were to be taken, to achieve compliance.

During this inspection we found the practice had taken effective action and achieved compliance.

We saw there were written decontamination procedures for the practice regarding the cleaning of instruments, and staff members we spoke with were familiar with these. We observed how these were put into practice. A staff member demonstrated the process for cleaning dental equipment in the decontamination room. The room had a clear layout going from dirty to clean areas. We saw the instruments were manually washed, rinsed and placed in an autoclave for sterilisation. The instruments were then removed from the steriliser, labelled, dated and put onto treatment trays. We noted during the process the staff member wore appropriate personal protective clothing at all stages of the process. We found the process was completed in line with the current professional guidance and internal policies and procedures. This meant the practice now had robust systems in place to ensure the risk of cross infection was minimised.

We saw that water systems were checked for Legionella, which is a bacteria risk in water or cooling systems. There was an up to date risk assessment in place to show that this had been carried out. The risk assessment ensured that the practice was meeting the necessary regulations to ensure the safety of patients, staff and the public. This meant that the service had taken the appropriate steps to control Legionella bacteria.

We found the machines used for the sterilisation and cleaning of equipment were regularly checked and serviced. We saw logbooks for validation of equipment and saw these were checked regularly and were up to date.

A comprehensive cleaning schedule was in place with clear responsibilities outlined, which covered all areas of the premises. The cleaning schedule was monitored by staff to ensure all areas were cleaned and to the appropriate standard. We saw evidence all clinical staff were up to date with hepatitis B vaccinations and this had been recorded and was reviewed regularly.