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Archived: Antrim House

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Inspection report

Date of Inspection: 8 March 2013
Date of Publication: 28 March 2013
Inspection Report published 28 March 2013 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 8 March 2013, 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. People were cared for in a clean, hygienic environment.

Reasons for our judgement

Our previous inspection of 10 December 2012 found that arrangements continued to be inappropriate in one particular treatment room. We had found that the date had expired on instruments that had been sterilised, which should have been re-sterilised. We had found that tray lining paper and cups were exposed that increased the risk of infection spreading.

During this inspection, we found that improvements had been made. We looked at the treatment room where we had previously identified issues. The room was clean, tidy, and did not have any dental instruments stored in the drawers past the expiry date. The practice manager explained that since the previous inspection a new system had been adopted, where dental instruments were removed from each treatment room at the end of the day. The instruments were placed in boxes, stored in the decontamination room, and checked in the morning before they were placed back in the surgery. The practice manager said, "This is to make sure we have not missed anything."

We looked at the instruments that were stored in the decontamination room. All the instruments were clean and within the expiry date, apart from one pouch which had no date on it. The sterilisation date would help determine when the instruments were next due to be sterilised. The practice manager immediately put this aside to re-sterilise. This meant that appropriate action was taken to ensure that instruments were safe for use. Records showed that regular checks were carried out that ensured instruments were sterilised at the correct timeframes. This meant that systems were in place to identify when instruments needed to re-sterilised.

We found that tray lining paper, which is used to put dental instruments on, was in a cupboard which was closed. Cups that would be used for people to rinse their mouth were not exposed, they were stored in a cupboard to minimise the risk of infection spreading. This meant that practices were followed appropriately, and checks were in place that ensured shortfalls were identified.