Royal Victoria Hospital, Belfast - 27 September 2012

1.0 Inspection Summary
The unannounced inspection undertaken to the Royal Victoria Hospital
on the 17 July 2012 identified issues of minimal compliance within
standards 2-7 of the Regional Healthcare Hygiene and Cleanliness
Standards in two of the wards inspected. In line with the follow up
process an unannounced inspection was undertaken on the 27
September 2012 the following areas were inspected:
• Ward 4C - Orthopaedic
• Ward 5A - Vascular
Inspection Outcomes
On the inspection of 17 July 2012, 23 recommendations were made in
relation to Standards 2-7. Seventeen have been addressed, two have
been partly achieved, four have been repeated, there are no new
recommendations.
The main reception area still remained minimally compliant; this area
has been highlighted on the three previous inspections and requires
immediate and sustained attention. The inspectors acknowledge that
refurbishment of the main door, which was damaged in January 2011
is scheduled to commence in November. However the following issues
have not been addressed:-
• Dust on the decorative plants, skirting and the sprinklers.
• The public phone was grubby and there were paper labels on the
wall near the telephone.
• In the public toilets of the main reception the access panels under
the hand wash sinks were dirty.
A high standard of cleaning, and well maintained public areas such as
the reception, corridors and public toilets promotes public confidence in
the standards set by the hospital.
Improvements and Developments since the previous Inspection
The follow up inspection found that good progress had been made to
address areas identified at the previous inspection.
Ward 4C -The inspection team found that 77 per cent of the action
points identified for improvement had been addressed.
Ward 5A -The inspection team found that 68 per cent of the action
points identified for improvement had been addressed.
The results of the follow up audit demonstrate that staff have worked
hard to improve both practice and knowledge following the inspection
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