Royal Victoria Hospital, Belfast - 17 July 2012 - Regulation and ...

rqia.org.uk

Royal Victoria Hospital, Belfast - 17 July 2012 - Regulation and ...

16.0 Action Plan

Reference

number

Recommendations

Designated

department

Action required

Date for

completion/

timescale

1. The trust should work to improve, monitor and ensure

that environmental cleaning is carried out effectively,

that patient equipment is fit for purpose and that the

environment is in a good state of repair.

Nursing

PCSS

IPC

Work / negotiations in relation to the

cleaning manual are still ongoing. In

particular, there is discussion with

nursing/control of infection with reference to

bed cleaning. Once agreement is reached

the manual will be finalised.

Ongoing

All of these aspects will be monitored

through the programme of Environmental

Cleanliness Audits based on the

Cleanliness Matters Strategy and results

fed back through Balanced Scorecards.

2. The senior management within trust should ensure

that all staff are aware of their roles and

responsibilities in environmental cleaning.

Nursing

PCSS

IPC

‘Roles and responsibilities of Staff in

relation to Environmental Cleanliness and

Cleanliness of Equipment’ policy under

review.

Ongoing

Work / negotiations in relation to the

cleaning manual are still ongoing. In

particular, there is discussion with

nursing/control of infection with reference to

bed cleaning. Once agreement is reached

the manual will be finalised.

All of these aspects will be monitored

through the programme of Environmental

Cleanliness Audits based on the

Cleanliness Matters Strategy and results

fed back through Balanced Scorecards.

35

More magazines by this user
Similar magazines