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

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and cupboards in Ward A3 domestic store required more thorough cleaning. In the treatment room of Ward A3 the inside of the two fridges was grubby, and there were gaps in the fridge temperature checks. There was no documentation to record failures in the cold chain and the fridge containing medication was overfull and unlocked, a similar issue in Ward C4. Inspectors in Wards A3, C1 and C5 observed that adhesive tape was used to attach labels or posters to surfaces which in some instances had left a sticky residue, impeding the cleaning process. Lime scale was observed on taps. Particular care is required to ensure that lime scale is removed from taps and fittings as recent evidence has shown that lime scale may harbour biofilms and the build-up of lime scale can interfere with good cleaning and disinfection by masking and protecting pathogens. Cleaning issues such as dusty horizontal surfaces; skirting, windows frames and excess toilet rolls were identified in rooms designated for isolation purposes. Additionally in Ward A3 side room, where a patient had a known infection, the light switch, wall panel, mirror, blind, underside of the bedside table and bed frame all required a more detailed clean and the waste pipe below the wash hand basin had a significant build-up of residue. Ward kitchens achieved a compliant score however there were some issues in regard to more attention to detail when cleaning equipment, horizontal surfaces and flooring that need addressed. In Wards C5 and A3 decanted products were not labelled, in Ward A3 gaps in the temperature recordings for the fridge were noted. 6.2 Clutter The provision of clutter free wards and effective utilisation of space and good stock management assists with effective cleaning. Of particular note was Bay 1 in Ward A3, a six bedded bay with little space between beds, either vertically or horizontally, creating a very cluttered appearance. Similarly in Ward A3, the nurses’ station was cluttered with equipment, boxes were stored under the reception desk, the shower room beside Bay 5 was cluttered with 3 raised toilet seats and two shower chairs which would have created difficultly for patients accessing the shower. Space was not sufficient to allow for effective storage of equipment in the domestic store and items were observed on the floor of the dirty utility room. In Ward C4, the ENT day procedure clinic is located in the treatment room and patients for all procedures are required to wait in the corridor 12
leading to the ward. The patient lounge is utilized for minor day procedures; the room was small and cluttered with patients and equipment. The clean utility room, dirty utility room and equipment stores in Ward C5 did not have sufficient space to allow for effective storage of supplies and equipment. Stock was noted on top of cupboards and on the floor (Picture 2), the emergency access was blocked with stored equipment. Inspectors in all wards noted the lack of available storage facilities however in Ward C1 inspectors were impressed with the overall clutter free environment. 6.3 Maintenance and Repair Picture 2: Ward C5 cluttered store room Wards C1 and C4 had been refurbished in June 2012 and were generally in good repair (Picture 3). However in all wards inspected and corridors leading to the wards, inspectors noted wall, skirting, door and paintwork damage. Picture 3: Newly renovated shower room Inspectors in Ward C1 noted stained flooring in some renovated rooms. The ward manager advised that the recently laid flooring had been surveyed by the trust architect and estates who agreed that the flooring was defective. It was expected that the contractor would remove and 13
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 and 12: Level of Compliance Percentage scor
Page 13: educe the potential risk for the tr
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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