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Cellular Pathology Services Limited

All reports

Inspection report

Date of Inspection: 23 January 2014
Date of Publication: 5 March 2014
Inspection Report published 05 March 2014 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 January 2014, observed how people were being cared for and talked with staff.

Our judgement

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

Reasons for our judgement

We observed that procedures were in place to ensure that the restricted laboratory environment was safe for those working within it. This included appropriate clothing and hand washing facilities. We noted that there was appropriate systems and equipment in place to manage any spills of any infectious or hazardous material. Samples are delivered by courier in containers designed to not cause spillage and placed in a hatch before collection by staff to ensure that the laboratory area is not contaminated.

Clinical waste was stored in locked ventilated fire resistant cabinets for the appropriate length of time before being bagged in clinical waste bags and disposed of in either the secure clinical waste bin located outside the premises or through cremation. Clinical waste was collected on a four weekly basis.

We identified that the immunisation status for all staff was up to date and all staff were fully immunised.

We viewed the standard operating procedures which identified the correct ways to work in the laboratory and the measures to take to ensure the environment remained safe. This included a comprehensive cleaning rota and the guidance for the disinfection of instruments used.