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Archived: Filton Blood Centre

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Inspection report

Date of Inspection: 28, 29 January 2014
Date of Publication: 5 March 2014
Inspection Report published 05 March 2014 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 28 January 2014 and 29 January 2014, 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, talked with staff and reviewed information given to us by the provider.

Our judgement

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

Reasons for our judgement

We spoke to donors in both the donor centre and the mobile blood donation session. They did not raise any concerns with us about cleanliness and infection control. They did make the following comments: “I see the staff washing their hands frequently or using the hand gels”, “I have never had a problem with infection at the injection site” and “They rigorously clean the injection site each time” (the injection site is the venpuncture site).

We looked around the donor centre and found it to be clean, tidy and well organised. The storage areas were clean and tidy and clinical equipment was clean and appropriately stored. The centre was cleaned in the evenings when no donors were donating. On the Tuesday and Thursday when the centre was open for longer hours, cleaning staff visited to remove clinical and domestic waste. The centre had designated hand washing facilities, with liquid soap and paper towels. Supplies of sanitising hand gels were located on the tables by each of the donation couches. Signage was displayed in respect of hand washing techniques. The guidance was in line with the national patient safety agency ‘clean your hands’ campaign.

Cleaning logs were kept for the donor centre and had to be completed at the beginning and end of the day. There were twice daily tasks that had to be completed (work surfaces, named equipment and the couches), weekly tasks (named equipment) and monthly cleaning tasks (named equipment). The cleaning logs were reviewed and signed off by the donor carer supervisors.

At the start of a mobile blood donation session, a venue assessment was completed by the session supervisor, and signed off by the qualified nurse. This included a check on the cleanliness of the premises. All venues were required to have toilet facilities and hand washing facilities. Where premises were not suitably clean or sanitary, facilities services could be called in or the session cancelled.

Donor carers and nurses did not routinely wear gloves (personal protective equipment (PPE)) when undertaking venepuncture but had access to supplies of gloves if needed. Donor carers would put on gloves if a donor started to bleed after the needle had been removed from their arm, or they had to deal with other body fluids. All staff who worked for NHS Blood and Transplant were offered screening and advice regarding the hepatitis B virus immunisation programme.

The donation couches and surrounding items of equipment and machinery were cleaned in between donors use and prepared for the next donor. Sanitizing wipes were used to clean all items. The couches were cleaned at the start of the mobile blood donation sessions during the set up procedures and then in between each donor.

The centre manager and senior nurses had lead responsibility for infection control and prevention in the donor centre and mobile blood donation sessions. All donor carers and qualified nurses received infection control training as part of their annual mandatory training. This was confirmed in our discussions with donor carers and qualified nurses.

Infection control audits were completed regularly on a national basis. We were shown a re-audit report called ‘Effectiveness of donation related infection control procedures’ dated June 2013. The audit had re-looked at hand hygiene practice and had found that 98% of staff were compliant with the hand hygiene requirement. Compliance with arm disinfection was 97%.

Following donation, samples of all blood supplies were tested for a number of specific infections, for example HIV and the hepatitis B virus. Donations were screened for the West Nile Virus (WNV) on a discretionary basis. Donors had to consent to the tests being carried and could not donate blood without that consent being given. These precautions were in place to safeguard the recipient of that blood product.