Antrim Area Hospital, Antrim - 09 October 2012 - Regulation and ...

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6.0 Environment STANDARD 2.0 GENERAL ENVIRONMENT Cleanliness and state of repair of public areas; cleanliness and state of repair of ward/department infrastructure; cleanliness and state of repair of patient bed area; cleanliness and state of repair of toilets, bathrooms and washrooms; cleanliness and state of repair of ward/department facilities; availability and cleanliness of isolation facilities; provision of information for staff, patients and visitors. General environment C1 A3 C4 C5 92 N/A N/A Corridors, stairs lift 81 87 92 96 Public toilets 90 N/A N/A N/A Ward/department - general (communal) 92 91 97 85 Patient bed area 90 74 90 90 Bathroom/washroom 95 81 92 88 Toilet N/A 91 100 90 Clinical room/treatment room N/A 80 93 N/A Clean utility room 89 N/A 94 83 Dirty utility room 94 84 92 91 Domestic store 100 74 97 81 Kitchen 92 88 94 88 Equipment store N/A 75 N/A 84 Isolation 92 68 90 86 General information 75 69 83 85 Average Score 90 80 93 87 The above table outlines the findings in relation to the general environment of the facilities inspected. The findings indicate that there were some areas for improvement identified in all wards, notably Ward A3, where clutter and lack of storage impacted on the ability to clean and have contributed to the minimally compliant areas highlighted in red. The findings in respect of the general environment are detailed in the following sections. 6.1 Cleaning At the time of the inspection there was evidence in most areas to indicate compliance with regional specifications for cleaning. Inspectors observed that while cleaning mechanisms were in place to prevent the build-up of dust, debris and bacteria and subsequently 10
educe the potential risk for the transmission of infection, they were not always implemented or adhered to. In the main reception, public toilet, corridors and stairs, leading to the wards, some high and low level surfaces including sanitary equipment were dusty, the external windows required cleaning; there was debris in light fittings. However in general the cleaning of these areas was good. Ward A3 cares for patients with a variety of illnesses and inspectors noted the extremely busy footfall within the ward itself. The ward did not achieve compliance for the majority of areas within this standard and was overall partially compliant. The requirement for specialised medical equipment necessary for some of these patients and the lack of storage facilities pose additional difficulties and have impacted on the ability to effectively clean difficult to reach and cluttered areas of the ward. The challenge for domestic staff in cleaning Bay 1 was evident to the inspectors who had difficultly checking beds and the equipment behind beds due to this lack of space. Radiators could not be cleaned as clinical waste bags and personal belongings were stored on top (Picture 1), chairs and bedside tables also required cleaning, debris was noted behind beds and in some light fittings. Picture 1: Untidy ward, clutter affecting cleaning practices Throughout the wards cleaning in general was of a good standard, some dust was noted on high and low horizontal surfaces such as high density storage, floors, skirting and air vents, excess toilet rolls were noted in sanitary areas and there was debris in some light fittings. In some areas further work to improve cleaning standards is required. Shower chairs were stained in the shower rooms of Wards A3, C1 and C4. In Ward C5 the underside of the raised toilet seat was stained and in Ward A3 the toilet brush required cleaning. The inside of the macerator lid in the dirty utility room of Wards C4 and C5, the slop hopper and domestic sluice bowl in Ward C5 and the sluice, radiators 11
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5 and 6: Table 1 Areas inspected C1 A3 C4 C5
Page 7 and 8: 2.0 Background Information to the I
Page 9 and 10: 4.0 Unannounced Inspection Process
Page 11: Level of Compliance Percentage scor
Page 15 and 16: leading to the ward. The patient lo
Page 17 and 18: 6.6 Additional Issues Ward A3 Ward
Page 19 and 20: 7.0 Patient Linen STANDARD 3.0 PATI
Page 21 and 22: of the sharps box and its contents
Page 23 and 24: Picture 4: Exposed syringe with 10m
Page 25 and 26: Recommendations 11. The trust shoul
Page 27 and 28: Similar issues were identified in W
Page 29 and 30: 12.0 Key Personnel and Information
Page 31 and 32: 13.0 Summary of Recommendations 1.
Page 33 and 34: Reporting & Re-Audit Episode of Ins
Page 35 and 36: 16.0 Action Plan Antrim Area Hospit
Page 37 and 38: Ref number Recommendations 6. The t
Page 39 and 40: Ref number Recommendations 13. Furt
Page 41: Ref number Recommendations 20. The

Antrim Area Hospital, Antrim - 09 October 2012 - Regulation and ...

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