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Inspection report

Date of Inspection: 8 February 2014
Date of Publication: 29 March 2014
Inspection Report published 29 March 2014 PDF | 76.33 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 8 February 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People were cared for in a clean, hygienic environment.

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

Reasons for our judgement

We saw the provider had effective systems designed to assess the risk of and prevent, detect and control the spread of a health care associated infection.

We saw policies for infection control; decontamination; clinical sharps injuries and exposure to blood and body fluids; waste management and MRSA and decolonisation. The clinical director showed us infection control related audits, with nil to low risk outcomes being found. Legionella water risk assessments were also examined and water samples were checked monthly by an approved contractor.

The nursing staff we spoke with demonstrated a good understanding of the need to maintain a clean environment and hand hygiene training had been recently arranged.

There was an air change system in place in the main clinical area, and records showed this was being properly maintained.

We found the clinical area was spacious, well lit and airy, with separate areas for people to change and to recover from the procedure.

The provider had a system in place for the sterilisation of surgical instruments and records relating to this were also examined.

Surgical sharps were also being disposed of properly.

The clinical areas were clean and free of unnecessary equipment.Cleaning frequency records were examined.