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Archived: Greenwich Primary Care Drug and Alcohol Service

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Inspection report

Date of Inspection: 14 January 2014
Date of Publication: 23 January 2014
Inspection Report published 23 January 2014 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 14 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We 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.

People were cared for in a clean, hygienic environment.

Reasons for our judgement

On the day of our visit we were taken on a tour of the building and went into two toilets. The building and toilets were clean and tidy.

There were effective systems in place to reduce the risk and spread of infection. Staff we spoke with said that cleaning was undertaken daily by contract cleaner. The did not detail the cleaning which had to be completed but stated that all cleaning undertaken would be in line with any legal requirements. We asked to see the completed cleaning schedules, but were told that the cleaner did not have to complete anything on each visit. The registered manager told us that staff also were responsible for house-keeping and tidying things away at the end of the day. Staff we spoke with also confirmed this and that all staff took turns with house-keeping. We saw the staff house-keeping rota for one month which showed who was responsible for each day of the month the service was open. The registered manager said that they would look into introducing a cleaning checklist to confirm the cleaning which had been completed. We asked the registered manager about the use of a colour coded system for cleaning the various areas. They said they were not able to confirm this but would take this up with the cleaning company. We did not see evidence of a colour coding system with the cleaning materials when being shown the cleaning cupboard.

The registered manager said that they also checked the cleaning which had been done and would raise concerns when necessary with the contractor, but they had no formal process for recording their checks. Staff we spoke with said that nurse also had responsibilities for cleaning the clinical areas and they completed a cleaning checklist. We reviewed the nurses cleaning checklist for six months and found that these contained duties such as checking the clinical bin had been emptied and whether the bin lid had been swabbed.

The nurse told us that they were also responsible for carrying out weekly checks on the balance of gloves and sharps bins in storage. We saw the completed weekly checklists for six months and these highlighted when staff were required to items.

Records showed that a six monthly health and safety audit was completed which looked at certain areas of infection control, such as whether clinical waste bins were in working order and whether all rooms in the building were in a clean condition.

The provider had a Control of Substances Hazardous to Health (COSHH) folder which detailed information such as identified hazards, composition of products and first aid measures. We observed that all COSHH products were kept in locked cupboards.

The provider had an infection control policy in place which stated that all staff were expected to follow good infection control principles. The policy also gave details of good basic hand hygiene and the use of personal protective equipment (PPE), such as gloves and aprons.

Staff we spoke with said that they used PPE when dealing with people where necessary. We saw in the clinical consultation and treatment room that there were adequate supplies of gloves, tissues and anti-bacterial gel, sharp bins and syringes. The room also contained a hand-washing basin. The nurse said that clinical waste was emptied on a daily basis into a larger locked bin outside the building and all clinical waste was collected fortnightly. This meant that there were effective arrangements for managing waste.