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Inspection report

Date of Inspection: 23 January 2013
Date of Publication: 14 May 2013
Inspection Report published 14 May 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 23 January 2013, observed how people were being cared for and talked with people who use the service. We 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. There were effective systems in place to reduce the risk and spread of infection.

Reasons for our judgement

We noted that the practice was clean and well maintained. The three patients we spoke to told us that the practice was always very clean and tidy when they visited. This was supported by results of the continuous patient satisfaction survey in relation to the questions on cleanliness of the surgeries and waiting areas.

It was demonstrated through direct observation of the cleaning process and a review of practice protocols that the Departments of Health’s guidance known as HTM 01 05 on the essential quality requirements for infection control were maintained. The practice also has an action plan in place demonstrating how they will meet best practice guidelines for infection prevention control. This meant that the practice can demonstrate that they are compliant with current infection control guidelines. A quarterly audit of infection control had been carried out and was observed by us and was in line with current guidelines. Patients could be assured that they are protected from the risk of infection.

The registered manager told us they were the designated infection control lead. The practice had a decontamination policy which was observed by us. This was supported by a series of practice protocols in relation to infection control. This meant that effective systems were in place to reduce the risk and spread of infection. All staff we spoke with recognised the importance of maintaining good infection control procedures. All staff had undergone update training in infection control. This supported the ethos of the practice in relation to a commitment to regular update training. The two surgeries were observed, they were very clean and free from clutter. This meant that patients could be assured that they were protected from the risk of infection.

The dental nurse demonstrated to us the decontamination process this validated the various practice protocols in place for infection control. The dental nurse showed us the process from taking the dirty instruments through to clean and ready for use again. Due to limitations of the building, decontamination takes place within each surgery.

It was clearly observed by us that clean and dirty instruments did not decontaminate each other. This meant that patients could be assured that they are protected from the risk of infection.

When instruments had been sterilised they were pouched and stored until required. All pouches were dated with an appropriate expiry date of 21 days. The dental nurse told us that regular checks were made to ensure that the expiry dates were not exceeded. This was supported by the use of a stock rotation protocol which we observed. The registered manager also demonstrated to us that systems were in place to ensure that the ultrasonic cleaner and autoclave used in the decontamination process were working effectively. The registered manager showed us the latest pressure vessel testing certificates for the autoclave and compressor. The manager also showed us the maintenance contract for the autoclave thus demonstrating that it is safe and effective for use. This meant that decontamination equipment was maintained to the standards set out in current guidelines, ensuring that patients could be confident of receiving safe and effective care.

The decontamination processes described by the dental nurse were in line with current decontamination guidelines as laid down by the Department of Health. This meant that patients could be assured that they were protected from the risk of infection because appropriate guidance had been followed.

The drawers in each surgery were inspected by us in the presence of the dental nurse. These were very clean and tidy and free from clutter. All of the instruments were pouched and it was obvious which items were single use. The single items were clearly new. All surgeries had the appropriate personal protective equipment available for staff and patient use. This meant that patients were protected from the risk of infection.

The dental