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The National Hospital for Neurology and Neurosurgery Good

All reports

Inspection report

Date of Inspection: 12 November 2012
Date of Publication: 20 December 2012
Inspection Report published 20 December 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

We reviewed all the information we have gathered about The National Hospital for Neurology and Neurosurgery, looked at the personal care or treatment records of people who use the service, carried out a visit on 12 November 2012 and observed how people were being cared for. We checked how people were cared for at each stage of their treatment and care, talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

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

Reasons for our judgement

People were cared for in a clean, hygienic environment. When we asked patients about the cleanliness of the hospital most told us that they thought it was clean. We received the following comments:

“It is very clean.”

“They change your bedding regularly.”

“Excellent cleanliness. They totally cleaned the bed.”

“I’ve been impressed by the cleaning. They have regularly changed my bed clothes.”

“The bathrooms could do with being cleaned more regularly.”

Every NHS inpatient healthcare facility in England with more than ten beds assesses itself annually against cleanliness standards through its PEAT (Patient Environment Action Team). An assessment was undertaken by the trust at the hospital in March 2012. This rated the hospital as good or excellent for all measures. For example, the score for cleanliness (patient equipment) was excellent and the score for cleanliness (all areas except patient equipment and waste receptacles) was good. In the hospital’s 2011 / 12 Outpatient questionnaire 82% of patients said the clinic room was extremely or very clean.

When we visited the hospital we did not find any areas where it was not clean. On the wards we visited there was hand washing basins available for staff in every bay, disposable gloves were available and there was access to hand gel dispensers. When we visited the Neurosurgical Intensive Care Unit we noted that the sluice was in the corridor though a busy set of doors. We observed nurses struggle to remove full bedpans through the double doors and noted this may present a potential infection control risk.

There were effective systems in place to reduce the risk and spread of infection. Staff told us there was an infection control lead who provided specialist knowledge if required. Regular audits were undertaken, such as in hand-washing.

When we visited David Ferrier ward we asked staff how they would know if a piece of equipment, for example a commode, was clean. They told us the commode would be tagged once it had been cleaned. The provider might like to note that when we visited the ward none of the commodes had been tagged. This meant there was potential for a dirty commode to be used.