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Inspection report

Date of Inspection: 27 January 2014
Date of Publication: 18 February 2014
Inspection Report published 18 February 2014 PDF | 73.22 KB

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Meeting this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

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 27 January 2014, talked with people who use the service and talked with staff.

Our judgement

People who use the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.

Reasons for our judgement

We found that people who use the service, staff and visitors were protected against the risks of unsafe or unsuitable premises. The premises was fit for purpose and well maintained and the provider had effective systems in place to monitor that the environment and equipment was safe for use. The two main surgeries were fitted out to provide zoned areas for practitioner's work and to facilitate effective decontamination procedures. There was a well laid out decontamination room with clear zoned areas for ‘dirty’ and ‘clean’ areas. A log was kept that showed the date equipment was cleaned and sterilised. Decontamination and infection control policies were on display so staff had clear directions to follow. The premises had appropriate fire safety equipment and the provider had effective systems in place to check the equipment was well maintained. There were clear systems in place for managing the segregation and disposal of clinical waste. We found that the service had policies in place regarding the safety and suitability of the environment and that records of checks and audits had been maintained. The waiting room, reception room and toilet were all visibly clean and well maintained. Appropriate equipment was in place for effective infection control precautions to be followed by staff. As the premises was a leased and listed building, it had not been possible to adapt access to fully meet the needs of disabled people, but the service had an appropriate referral system to another local practice in place. The entrance had effective security protocols in place.

The basement area was being treated for a long standing rising damp problem and the provider had taken appropriate steps to ensure this was being addressed with the landlord of the premises. This issue did not impact on the treatment rooms in use.

We found that part of the work surface in the decontamination room and a small part of the floor in a surgery was not sealed but the service took immediate action to address this to ensure all areas had appropriate work surfaces and flooring to ensure effective cleaning could take place.