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Archived: Wansbeck Care Home Good

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All reports

Inspection report

Date of Inspection: 13 March 2014
Date of Publication: 23 April 2014
Inspection Report published 23 April 2014 PDF

People should be cared for in a clean environment and protected from the risk of infection (outcome 8)

Enforcement action taken

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 13 March 2014, talked with people who use the service and talked with staff. We reviewed information given to us by the provider and talked with other authorities.

Our judgement

People were protected not protected from the risk of infection because appropriate guidance had not been followed. People were not cared for in a clean environment.

Reasons for our judgement

Prior to our inspection, we received information of concern about infection control issues at the home. We therefore carried out an inspection to look at this regulation.

All providers of health and social care have to comply with the Code of Practice for health and social care on the prevention and control of infections, and related guidance. We found that criterion two of this code, which requires the service to provide and maintain a clean and appropriate environment was not being fully met.

We spent time looking around the home. We looked inside the laundry room on the ground floor. We saw that some clean, ironed items of clothing were lying on the floor in close proximity to soiled clothing. The manager told us that there was no system in place to ensure that clean and soiled clothes were stored separately. We concluded that there was a risk of cross contamination from soiled or infected linen. Paint was peeling off in various places around the laundry room. This meant that the room could not easily be cleaned.

We checked communal bathrooms and shower rooms. We noted that the bases of some of the shower chairs had not been cleaned and there were brown stains evident. We observed that many of the hot and cold water tap inserts were missing in bedrooms and bathrooms which meant that the taps could not easily be cleaned nor differentiated. In addition, areas of bathroom and shower room floors had not been cleaned, particularly in the corners where there was a build-up of dirt and debris.

We went into one person’s room and noticed that his wheelchair had not been cleaned and was covered in food particles. We asked the manager whether there was a system in place to ensure that wheelchairs were cleaned regularly. The manager confirmed that a system for cleaning wheelchairs was currently not in place. We also noticed that the person’s call alarm handset was thick with food particles and grime.

The home had a sluice room for the disposal of bodily waste. A sluice machine had been fitted which cleaned the continence equipment such as commode pots and urine bottles. The manager explained that this machine was currently out of use and had not worked since the 7 March 2014. The manager confirmed that this issue had been reported to their maintenance department. We noticed that some continence equipment was stored on the floor. The floor was unclean and covered with stains and debris. In addition, there was no rack to dry and store the continence equipment hygienically. We considered that this was an infection control risk. We asked staff how continence equipment was cleaned. They told us that they manually washed this equipment in a bathroom or shower room. This was an infection control risk because bacteria could be transferred during the manual cleaning process

We considered that effective systems to reduce the risk and spread of infection, were not fully in place.

We spoke with both the manager and area manager about our concerns. They told us that they were already aware of many of the issues we raised and had immediately started to address these. In addition, they were working with the local NHS Trust’s infection control team. This team visited the home during our inspection and confirmed that some improvements from their last visit had been made.