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Archived: Waterside Dental Care

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Inspection report

Date of Inspection: 30 July 2013
Date of Publication: 23 August 2013
Inspection Report published 23 August 2013 PDF | 70.82 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 30 July 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.

Reasons for our judgement

The practice consisted of three treatment rooms, one equipment decontamination room as well as two waiting rooms and a reception area. We saw there were patient information leaflets that explained the care, treatment and choices available for people that used the services.

During our inspection, the areas we saw in the dental practice were well maintained. The environment where treatments were carried out were clean and appropriate. We saw that policies and procedures for infection prevention and control were in place. During the inspection we saw that staff had attended training in infection control on a regular basis.

We saw the appropriate application of required infection prevention and control procedures and techniques in place in the areas we observed.

There was a daily and weekly surgery environmental checklist in place which included checks for cleanliness of the environment and equipment and waste disposal processes. We looked at recently completed checklists, which showed that regular audits were taking place.

The staff we spoke with understood the importance of infection prevention and control, including decontamination, and could clearly describe their own roles and responsibilities within this area. The head dental nurse was the identified person with specific responsibility for infection prevention and control.

The head dental nurse told us that preparations were undertaken prior to using the treatment rooms. This included checking all the water lines in the dentist’s chair and performing appropriate cleaning cycles before and after use. We were informed the treatment rooms were cleaned by the clinical staff between each patient using appropriate equipment to agreed standards.

Staff using the treatment rooms had systems in place to ensure that clean and used (dirty) dental instruments and equipment were kept separate in sealed containers. During our discussions with the head dental nurse, we found they were aware of implementing government guidance on decontamination within dental practices.

The head dental nurse showed us, and explained to us, the process for managing used instruments within the treatment room to ensure clear and separate areas for clean and dirty instruments. There was a dedicated decontamination room which had a clear pathway where contaminated (dirty) instruments followed to become clean. We were told the dental nurses rinsed and washed the instruments and then checked for any debris under magnification for any debris before autoclaves were used to sterilise them to the approved level of sterilisation. Clean instruments were stored in sealed packaging and date stamped according to national guidelines. The staff we spoke with had the required levels of competence and training in relation to these areas.

Validation of the technical dental equipment such as autoclaves and x-ray machines was in place and recorded on a daily basis. We also saw evidence of external servicing.

The practice had a policy in place to prevent exposure to blood-borne viruses. There was a supply of gloves, aprons, wipes, paper towels and hand gel available within the decontamination and treatment rooms.