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Inspection report

Date of Inspection: 7 October 2013
Date of Publication: 7 November 2013
Inspection Report published 07 November 2013 PDF | 74.57 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 October 2013, talked with people who use the service and talked with staff.

Our judgement

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

Reasons for our judgement

The general cleanliness of the practice was very good. The treatment room and the decontamination rooms were clean and organised. Personal protective equipment such as gloves, masks, goggles and sharps and clinical waste bins were found in the treatment room. Liquid hand gels and paper towels were provided in the toilet. The dentist maintained stock levels for the personal protective clothing, equipment used for during examination or treatment and drugs. Cleaning equipment and materials were clearly marked for the required usage and to prevent the risk of cross contamination.

The dentist was aware of the importance of infection prevention and control including the decontamination of dental instruments.

The practice had two decontamination rooms one for the dirty instruments and one for the clean instruments. The dentist and dental nurse described the process for taking the used instruments from the treatment room to the separate decontamination rooms.They showed us the process followed to ensure all used equipment was cleaned and sterilised between each use.

Instruments were washed, rinsed and checked for debris. The autoclaves were finally used to sterilise instruments to ensure they reached the approved standard. Clean instruments were then moved via a hatch into the seperate clean room then stored in sealed packaging and date stamped according to the national guidelines. The decontamination and cleaning procedures were consistent with the infection prevention and control procedures and the national guidance.

Temperatures and cycle times were recorded each day and monitored by the dentist and the dental nurse. Preparations were undertaken in the morning and before the afternoon session before using the treatment room. This included checking all water lines and flushing through water to reduce the risk of water becoming contaminated.

The practice had written risk assessments for Legionella, statement of duties for cleaning, health and safety and use of control of substance hazardous to health (COSHH).

The practice had contractual arrangements for the service and maintenance of all dental equipment. Validation of technical dental equipment such as the autoclaves, washer disinfectant and x-ray machines were in place and recorded. Certificates viewed for the annual servicing supported this. An external contractor was responsible for the

removal of clinical waste and records showed waste was collected every two weeks.

We saw the dentist had information and copies of the national guidelines from the British Dental Association such as the code of the practice. We saw the HTM01-05 self assessment form completed for the practice, in preparation for the inspection from the Primary Care Trust (PCT). The self assessment showed the practice considered itself

to be compliant. Records of infection control checks and audits were in place. The dentist and the dental nurse were the responsibility for this.

Staff training records and certificates viewed showed staff had the required levels of competence and training in relation to infection prevention and control and radiography.