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Archived: Michael Shipway & Associates

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Inspection report

Date of Inspection: 7 January 2014
Date of Publication: 23 January 2014
Inspection Report published 23 January 2014 PDF | 71.41 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 7 January 2014, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

Patients were protected from the risk of infection because appropriate guidance had been followed. Decontamination procedures were followed and there were regular checks to ensure they had been effective.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. A member of staff showed us how instruments were decontaminated. The surgery had the latest version of the Department of Health Decontamination Health Technical Memorandum 01 - 05 in primary dental care practices. This document had given the staff detailed guidance on decontamination and infection prevention and control procedures. The practice also had an infection control policy. Each nurse was responsible for cleaning and sterilising the instruments used in the surgery they worked in.

Instruments had been safely transported from the surgeries to the decontamination room and staff there used personal protective equipment. A dirty to clean workflow was observed in a tidy environment. Instruments were scrubbed and checked for any debris under an illuminated magnifying glass. Non-vacuum sterilisation was used and instruments were autoclaved, dried and put in sterilised bags. Any bags not used at the end of the day were date stamped to be used within one year. Vacuum sterilisation could also be completed when required. Daily records were kept for the autoclaves and other records were well maintained to ensure that all equipment was checked and working effectively.

A completed environmental cleaning schedule was seen for a surgery and the decontamination room. Different coloured cleaning equipment was used for cleaning other areas of the practice to promote infection control. An infection control audit had been completed in September 2013 and the actions required for improvement were recorded and had been completed. This meant that patients benefitted from a reduced risk in cross infection. The provider might like to note that there was no record of a Legionella risk assessment that helped to ensure that all water provided in the practice was safe.

The practice had a plan to work towards best practice in decontamination but the washer was out of order. All staff had received correct immunisations and there were procedures to follow for needle stick injuries. The needles used prevented any contact with the needle point when used correctly. This meant that patients and staff were protected by the practice infection control procedures.