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Inspection report

Date of Inspection: 7 May 2013
Date of Publication: 30 May 2013
Inspection Report published 30 May 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 7 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

People were protected from the risk of infection because appropriate guidance had been followed.

Reasons for our judgement

We saw one surgery in use and the dental nurse demonstrated the cleaning routine during people’s appointments to decrease any risk of cross contamination. They told us people were offered eye shields when undergoing treatment to prevent splashes. People we spoke with told us they were offered these and a paper bib to protect their clothes. Other comments included: “The surgery is always spotless.” “Always wears gloves.” “I am offered a mask to cover my eyes when I have treatment, in case I get splashed. I have always been very impressed with the standard."

The dentist had made improvements in the separate sterilisation room which is a room that is equipped to sterilise dental instruments. The provider may find it useful to note that the Department of Health guidance that sets out in detail the procedures essential to prevent the transmission of infections the room did not have the recommended third sink for hand washing. We saw the practice was meeting the rest of the standards as described in the guidance.

One of the dental nurses showed us how 'used' dental instruments were transferred to the sterilisation room within a sealed box. There was a separate sterilisation room that was divided into 'dirty' and 'clean' areas to ensure there was minimal risk of cross contamination. The nurse explained the procedure for cleaning and inspecting the instruments under a light magnifier before they were placed into one of the two autoclaves (a device used to sterilise medical equipment). We saw the internal audits the staff completed to ensure equipment was working. In addition, there were service contracts and regular maintenance checks carried out for both the vacuum/steam pressure autoclaves in place. We saw the checks were carried out each day to ensure the temperature and pressure reached the optimum level to destroy any lingering bacteria.

We found that hazardous substances such as amalgam mercury (used in silver fillings) and oxygen cylinders were stored safely. There were systems were in place for the safe storage and disposal of their clinical waste.