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Inspection report

Date of Inspection: 7 May 2013
Date of Publication: 31 May 2013
Inspection Report published 31 May 2013 PDF | 82.97 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 7 May 2013, talked with people who use the service and talked with staff. We talked with other regulators or the Department of Health.

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

People informed us that the practice was always clean. One person commented, “It’s had a total makeover. It’s nice and clean.” People told us that they were given protective equipment to wear during their treatment to help prevent cross infection and eye injuries. In addition, they said that staff also wore protective equipment.

The service was working towards meeting best practice standards for dentistry set by the Department of Health in guidance known as HTM 01-05. This guidance advises dentists how they should remove infectious or hazardous materials from dental instruments so they are properly cleaned after every use. This is known as decontamination.

The practice had four treatment rooms. We saw that these rooms, the decontamination room and waiting area were clean and tidy. The practice had been recently modernised and refurbished. The provider told us and our own observations confirmed that one surgery was still awaiting refurbishment. We checked this treatment room and noted that the flooring required attention in order to meet best practice guidelines for infection control. The provider was aware of this and informed us that he was taking action to address this.

There was an infection control policy in place so all staff were clear about what was good practice. Staff had access to and used personal protective equipment such as gloves and disposable plastic aprons. This helped to ensure that people and staff, were protected against acquiring a health care associated infection.

We saw staff wore clean uniforms. The uniforms had short sleeves so they could wash their hands thoroughly. The practice had a policy that uniforms including shoes were not worn outside the workplace to reduce the risk of contamination from clothing. We noted that relevant staff had hepatitis B vaccinations to safeguard them in the workplace. Hepatitis B is a virus that produces liver disease in humans. It can be transmitted via the blood or bodily fluids of infected people. The provider may find it useful to note that although all relevant staff had received Hepatitis B vaccinations, we did not always see evidence that they had received follow up blood tests to demonstrate the vaccinations had been effective in producing immunity to the disease.

We concluded that people were cared for in a clean, hygienic environment and there were effective systems in place to reduce the risk and spread of infection.