You are here

Birchfield Dental Practice (New Milton)

All reports

Inspection report

Date of Inspection: 26 June 2013
Date of Publication: 1 August 2013
Inspection Report published 01 August 2013 PDF | 76.24 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 carried out a visit on 26 June 2013, observed how people were being cared for, talked with people who use the service and talked with staff. We reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

During our inspection visit we noted the practice was visibly clean. We checked three of the four dentist surgeries and observed decontamination of instruments was done within the surgery. This meant that the “best practice” standard could not be achieved. The manager told us the practice had submitted plans to the local council to extend the premises to allow for building of a separate decontamination room that could enable “best practice” to be achieved.

We saw there was a clear process within each surgery for ensuring the correct procedure for dirty to clean decontamination of instruments. We saw equipment was available to ensure that the decontamination process met with the requirements of the Health Technical Memorandum 01-05 (HTM01-05). The HTM 01-05 is the guidance that dentists are required to follow to ensure their practice is safe and minimises the risks of cross infection.

We were shown the decontamination procedure by one of the dental nurses who confirmed they had received training in the use of personal protective equipment and handling of clinical waste. They told us they were aware of the policy relating to blood-borne viruses and other cross-infection policies.

The practice manually washed soaked and washed instruments and then used an autoclave to sterilise them. An autoclave is a device used in dental practices to sterilise dental equipment. An illuminated magnifier was available to check for soiling on instruments after they had been cleaned. We observed staff used personal protective equipment during the decontamination process .We noted sterilised instruments were packaged and date stamped with the timescale in which they could safely be used.

The provider may wish to note in one surgery we found two dental hand piece instruments that were packaged but did not have a date stamped on them. The manager removed the hand pieces from the surgery when we brought them to their attention.

We saw that hand sanitising products were wall mounted and available throughout the practice.

When we checked the cleaning storage cupboard we saw the mop was not stored appropriately. It is best practice for mops to be hung up when not in use, in order to allow them to dry effectively. The manager told us they were changing their cleaning contractor at the end of the month.

We saw records that showed all areas of the practice were cleaned on a daily basis. People we spoke with during our inspection were very complimentary about the standard of cleanliness throughout the practice.

We saw records that showed regular infection control audits were carried out. We were told this provided an opportunity to ensure that the decontamination procedures would continue to meet with the requirements of the HTM 01-05 in the future.

We saw records that showed the autoclaves were validated each morning and records showed they were serviced regularly according to the manufacturer’s instructions.

We saw that there were policies and procedures in place to reduce the risk and spread of infection. For example, we saw the practice had infection prevention and control procedures in place, which stated all staff would be immunised against hepatitis B and that personal protective equipment would be used. During our observations on the day of our inspection visit, we noted staff wore their personal protective equipment appropriately.