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Reigate Specialist Orthodontic Practice

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 23 January 2014
Date of Publication: 27 February 2014
Inspection Report published 27 February 2014 PDF | 84.41 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 23 January 2014, talked with people who use the service and talked with staff.

Our judgement

Patients were protected from the risk of infection because appropiate guidance had been followed.

Reasons for our judgement

There were effective systems in place to reduce the risk and spread of infection.

Policies and procedures covered all areas of infection control from the decontamination process of the dental instruments to the practice environment to staff uniforms and personal protective equipment (PPE).

We saw that the practice was clean and well maintained. In all the patient areas, including the examination rooms, the surfaces and floors were covered in easy to clean materials which allowed high levels of hygiene to be maintained throughout the working day.We were shown a cleaning rota that was being implemented within the practice and this was signed by the staff .The cleaning equipment was colour coded; this ensured that the appropriate cleaning equipment was used in the appropriate areas within the practice. We saw that general and clinical waste bins were covered and that appropriate signage was used. We saw that clinical waste was stored safely, in a locked container, outside the practice, until collection. We were told by the registered manager that waste was collected by an approved provider; monthly. This meant that the registered person was taking reasonable steps to ensure patients and staff were protected from the potential risk associated with waste products and cross infection.

We saw that the practice had a dedicated decontamination room for the decontamination and sterilisation of orthodontic instruments.We observed an orthodontic nurse run through the decontamination process undertaken to sterilise re-usable dental instruments.A chart confirmed that the autoclaves used for sterilising equipment were tested each morning and a book containing print outs from each sterilising cycle was kept to confirm the autoclave was working at the appropriate temperature. We saw that there were clear instructions on the wall for the setting up, lunchtime and close down procedure for the decontamination room to ensure safe working practices were maintained. During the demonstration the nurse explained that they were protected from any threat of infection by wearing personal protective equipment including eye protection, mask and heavy duty gloves.

The decontamination room was clearly segregated into dirty and clean areas along with a separate area for staff hand washing. Hand washing technique posters were displayed at all the hand washing sinks throughout the practice along with liquid soap and paper towels.A good supply of aprons, gloves, masks and eye protection was available; ensuring that staff were protected during the procedure and high levels of infection control were being maintained.

In the treatment room we visited, clean and dirty areas were clearly marked. We saw that the Registered Orthodontist Nurse wore clean uniforms and that personal protective equipment (PPE) was available for use for both staff and patients, for example masks and eye protection.A separate hand washing basin, hand wash and sanitizer were used in the treatment room.Staff we spoke to were able to describe good infection control and hygiene practices before, during and after a consultation.This demonstrated that staff practised good standards of hygiene.

We were told by staff that Infection control audits were undertaken within the practice. We saw evidence that Infection control was a regular agenda item at staff meetings. At the last staff meeting surgery routines were discussed around “start of the day procedures “and “preparing for the next day”. We saw evidence that an infection control meeting took place in October 2013 where the new infection control policy was discussed and we saw that this policy was now on the wall in the decontamination room. This showed that high levels of infection control procedures were in place.

We saw records that demonstrated all staff had received Occupational Health checks including receiving vaccinations against Hepatitis B. This helped to ensure patients would be protected against the risk of infection.