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Archived: The Fold Dental Surgery

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Inspection report

Date of Inspection: 3 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF | 79.54 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 3 December 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.

Reasons for our judgement

The people that we spoke with told us they had no concerns about the cleanliness and hygiene at the practice. People we asked told us that the dentist and nurses always wore masks and disposable gloves and offered them glasses to protect their eyes during treatment. This was confirmed during our observation of a patient consultation.

All the nurses had undertaken training for infection prevention and control and this was updated on an ongoing basis. The nurses spoken with demonstrated a clear understanding of the infection control procedures in place which meant they were able to minimise the risk and spread of infection for the people using the service.

We saw that personal protective equipment was available and being used by staff. We saw that hygienic hand washing facilities were provided in the treatment rooms, decontamination room and toilets.

Two of the dental nurses talked us through how they cleaned and prepared treatment rooms at the start of the day and between appointments. This included wiping down all surfaces, the chair and fittings and appropriately storing used dental instruments ready for decontamination. This supported good infection prevention and control practices. We saw that there was telephone wiring around the skirting board and part of the floor in the ground floor treatment room. The provider may find it useful to note that this made it difficult to clean these areas effectively. Also there should also be coving between the floor and the wall to prevent accumulation of any dust or dirt. This was discussed with the provider. We were told the ground floor treatment was only used once a fortnight but the issues highlighted would be addressed.

The practice had a dedicated decontamination room where all the cleaning, checking and sterilisation of instruments took place. We found the decontamination area was clean, tidy and well organised. There were defined dirty to clean work flows and the appropriate equipment was available. One of the nurses talked us through the process in place for making sure that all instruments used were thoroughly cleaned and sterilised between each use. We were shown how instruments were passed through a hatch into the decontamination room from the treatment room on the first floor. Instruments from the ground floor treatment room were safely transported to and from the decontamination area in lidded containers. They showed us how they rinsed and then sterilised used instruments using appropriate equipment. These were then bagged for future use and the bags were dated. We saw records that showed the equipment being used was regularly checked to ensure it was working effectively.

We found there were procedures in place for the safe disposal of clinical waste with specific containers for a variety of waste for example, a sharps bin, further ensuring effective infection control. We saw that all the bins were foot operated to avoid staff having to touch them. We saw that in the first floor treatment room the dentist and dental nurse were using bins in cupboards to dispose of their gloves. To access the bins they had to touch the access flaps with their hands. This was discussed with the dentist as it was not conducive to good infection control. We were told that they would stop this practice and use the foot operated bin that was available. This will further enhance the infection control procedures in place.

There was a range of decontamination and infection control procedures in place. We found that there were schedules in place to ensure staff knew how, when and where to clean to ensure cleanliness and infection control was adequately managed. We saw that not all the schedules had been completed at the required frequencies. We did not see anything to indicate the tasks had not been completed. However the provider may find it useful to note that completing the schedules as required would ensure there was no risk of tasks not being completed.