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Inspection report

Date of Inspection: 4 February 2014
Date of Publication: 26 February 2014
Inspection Report published 26 February 2014 PDF

Overview

Inspection carried out on 4 February 2014

During a routine inspection

Building Three had been set up with the help of a specialist pathology service and had been equipped to a high standard with laboratory services on two floors. The service had been accredited with the Clinical Pathology Accreditation (CPA). The CPA assessed and declared the competence of medical laboratories in the public and independent sector. The service did not have any direct contact with patients.

During our visit we met with senior management and laboratory staff. We were shown around all areas of the building and were able to observe practices within the laboratories.

The service followed appropriate procedures which meant that acceptable levels of cleanliness were maintained. Effective infection control procedures meant risks of the spread of infection were minimised.

Staff confirmed that they received appropriate levels of training and support. They confirmed they had received a range of mandatory training and training in more specialised topics appropriate to their role.

The service had effective procedures in place which monitored and improved the quality of the service they provided. We saw the service completed regular internal audits. The service was also monitored by other external agencies which helped to ensure that standards were maintained.