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Archived: Claremont Hospital

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Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 6 February 2014
Inspection Report published 06 February 2014 PDF | 85.84 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 8 January 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information given to us by the provider and reviewed information sent to us by other regulators or the Department of Health. We talked with other regulators or the Department of Health.

Our judgement

Patients were cared for in a clean, hygienic environment.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection. We saw the policy on infection prevention and control for staff working at the hospital. We were informed by the director of nursing that all staff working at the hospital had information about their responsibilities to maintain effective infection control and they had received training. They told us that they had identified the outpatient manager as their infection control lead for the hospital.

The infection control lead said each department had a named person who was responsible for ensuring staff had received training and completed audits on practices relating to the control and prevention of infection. Audits were carried out monthly or every three months, depending on local policies. The infection control lead told us they received the analysed findings for each department with an overview. Therefore they were able to identify where there were gaps, take action and use the information when organising training and practical sessions for staff groups. They showed us the last training agenda. We noted that the day was organised so that staff from different departments with different levels of responsibility were able to get involved. They accommodated different styles of learning to reflect those who attended the sessions. Some staff who attended the day said, “It was really good. I now check the things I did without thinking.”, “It was fun and at the same time important messages were given out.” “It brought it home that it was not just the nurses and support workers who had to follow the procedures. It should be applied right across the board including patients.” This meant staff groups were encouraged to take ownership, maintain good practices and promote infection control.

We carried out a tour of the premise and spoke with patients and staff to find out their views on the cleanliness of the hospital. One patient said they had always found the areas they had visited to be clean and well maintained. Another patient said that they expected good facilities, as this is an independent hospital and they had not been disappointed.

The director of nursing and the out patients manager explained their planned refurbishment and replacement of floor covering to promote cleanliness and hygiene. They also explained that most surgical instruments were disposable and therefore the sterilisation of instruments had been minimised. This was one of the measures taken to avoid the spread of any infection.

Dedicated members of staff were seen carrying out cleaning duties throughout the hospital during our inspection. The director of estates was responsible for the maintenance of cleanliness and hygiene standards in the hospital. They told us that they received audits from each department and they analysed them and ensured necessary actions were taken when required. Communal areas and treatment rooms we looked at were clean and smelt fresh. There were hand washing facilities and bins were provided to dispose of domestic and clinical waste. Sharps bins were made available where necessary. The domestic staff we spoke with explained their responsibilities in maintaining the cleanliness of the hospital and how their duties had been arranged to achieve this. One of the staff told us that the consulting rooms were occupied most days and therefore these areas were cleaned during the evening or in the morning before the start of appointments. This meant services within the hospital were organised to ensure patients and relatives experienced less disruption.

We noticed staff using personal protective equipment (PPE) such as gloves, masks and aprons appropriately. The outpatient manager said they carried out spot checks on staff within all departments to ensure staff had attended refresher training on ‘correct hand washing technique’. They had records of these checks and analysis on how departments were performing.

The doctors we spoke with said they had attend