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Inspection report

Date of Inspection: 15 August 2013
Date of Publication: 13 September 2013
Inspection Report published 13 September 2013 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

We looked at the personal care or treatment records of people who use the service, carried out a visit on 15 August 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

During our inspection we viewed the procedures for the decontamination and sterilisation of dental instruments to establish whether they met with the essential requirements of the Health Technical Memorandum (HTM) 01-05. The HTM is the guidance that all dentists must follow in order to ensure that their practice is safe and minimises the risks of cross infection.

We saw that treatment rooms were clean and well organised and that staff working at the practice demonstrated a good knowledge of infection prevention and control. When we spoke with staff they told us how they cleaned the treatment room and cleaned and checked the equipment between patients. This meant that people would be cared for in a clean

environment and would be protected from the risk of infection. There was a cleaning checklist in place for staff to record that cleaning tasks were being completed.

We looked at the procedures in place for decontaminating dental instruments. The cleaning of the instruments was undertaken in the surgery. Staff immersed instruments in cold water with detergent to remove visible debris before ultrasonic cleaning. Following ultrasonic cleaning, instruments were immersed in distilled water in a separate bowl to remove residual soil and detergents. To ensure all debris were removed, staff were required to visually inspect instruments under the magnifying light when they came out of the washer disinfector before placing them into the autoclave.

The member of staff on duty was able to explain to us the process they used for cleaning and sterilising the instruments. There were arrangements for staff to carry out routine checks to ensure that any instruments to be used were within their expiry dates. This meant that people would be protected from the risk of cross infection.

We saw that personal protective equipment was available for staff to use. Hand gel was located around the practice and hand washing facilities were also provided in treatment rooms. This meant that staff ensured that they and the people who used the practice would not be placed at risk of the spread of infection.

There was a designated infection control lead with responsibility for the management and monitoring of infection control in the practice. This included carrying out infection control audits. This was demonstrated by records seen. Regular checks ensured people were not being put at risk of cross infection.

We found evidence that the decontamination equipment used was subject to the correct validation, testing, maintenance and servicing. Records were held to document that the appropriate tests and servicing had been conducted.

We found that the provider was minimising the risks of cross infection. The provider’s practices for decontaminating instruments were in line with the HTM.