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All reports

Inspection report

Date of Inspection: 10 August 2012
Date of Publication: 11 September 2012
Inspection Report published 11 September 2012 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

Our judgement

The provider was meeting this standard. Patients were cared for in a clean, hygienic environment and were protected from the risk of infection.

User experience

Patients we spoke with said that the clinic was always clean and well maintained.

Other evidence

There were effective systems in place to reduce the risk and spread of infection. The dentist was the person who led on infection control, which ensured there was a named individual responsible for overseeing standards and practices. There was an infection control policy that included procedures for the decontamination of instruments. The environment was clean and tidy on the day of the inspection.

The decontamination procedure was explained to us by a dental nurse. There was a dedicated decontamination room with separate sinks for hand washing, cleaning and rinsing instruments. The procedure ensured that reprocessed instruments were free from visible contaminants prior to sterilization in an autoclave. There were clearly identified clean and dirty areas that minimised the risk of clean instruments becoming contaminated. Sterilized instruments were packaged and stored appropriately, which ensured that they would not become contaminated before re-use.

We saw evidence that the clinic carried out decontamination audits in accordance with Health Technical Memorandum (HTM 01-05), which details the government standards for decontamination in dental practices. The last audit was carried out in June 2012. There was also evidence that the autoclave was checked regularly to ensure it was working effectively.

There was evidence that a risk assessment for legionella bacteria in the water supply system had been carried out in the past year. The result of the assessment was satisfactory.

The provider may find it useful to note that only after sterilization, were reprocessed instruments inspected under an illuminated magnifying glass to ensure that satisfactory standards of cleaning were achieved. This meant that instruments were not inspected as part of the cleaning process prior to sterilization, in accordance with HTM 01-05.