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Archived: Rex Muller Dental Surgery

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Inspection report

Date of Inspection: 15 May 2013
Date of Publication: 6 July 2013
Inspection Report published 06 July 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 15 May 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

All the patients we spoke with told us that the treatment rooms and waiting area were clean. We observed a treatment room that had been cleaned and prepared for the next patient.

We asked staff to demonstrate how they prepared the room between patients. They showed us how the chair was cleaned as well as all touch surfaces. All items used were disposed of or decontaminated. Staff told us that they followed the practice infection control policy and procedures. These included the processes for decontamination, sterilisation, hand washing and sharps injury.

We were shown how instruments that required decontamination were processed. Decontamination took place in the single treatment room. The dental treatment room had two sinks. One sink was used for hand washing and the other sink for dirty instruments. Dirty instruments were taken on the tray used by the dentist straight to a bowl in the appropriate sink. Dirty instruments were pre-soaked, rinsed and put in the ultrasonic cleaner. The instruments were rinsed again, placed on trays and put through the autoclave. When clean, the tray with the instruments was placed on a clean surface away from the dirty area. The clean, dry instruments were then put in prepared pouches and date stamped.

The three registered dental nurses who worked in the practice had undertaken Infection Control Champion training and demonstrated a good knowledge of cross infection risks. They described the updated Department of Health advice and guidance on decontamination in dental practice. Daily tests were carried out for the cleaning machines. We saw the checks and results were recorded.

Bottled water was used in the treatment room, this was treated every week, flushed through and tested. No problems had been identified. An annual water quality check was also carried out.

Dental nurses were responsible for the daily cleaning of the treatment room as well as cleaning between patients. In addition, there was a weekly thorough clean of the whole area, including x-ray and other equipment, when the practice was closed. There were cleaning check lists as well as equipment check lists. These were all recorded, dated and seen at the inspection.

We saw that there was personal protective clothing available for staff. Sharps bins were labelled and in place. There was occupational health provision and hand hygiene training in place.