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

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10.0 Hygiene Factors STANDARD 6.0 HYGIENE FACTORS Hand wash facilities; alcohol hand rub; availability of PPE; availability of cleaning equipment and materials Hygiene factors C1 A3 C4 C5 Availability and cleanliness of wash hand basin and 96 94 95 97 consumables Availability of alcohol rub 100 100 100 100 Availability of PPE 92 100 100 86 Materials and equipment for cleaning 91 83 98 81 Average Score 95 94 98 91 All wards achieved compliance in this standard and for the section availability of alcohol rub. Wards A3 and C4 also achieved full compliance in the availability of PPE. With the exception of Ward C1, the number of sinks in the bays was not in line with local and national guidance. In the clean utility room of Wards C1 and C4, the taps at the clinical hand washing sink were not elbow or sensor operated, in Ward C1 they were not mixer taps and the hot water ran at a high temperature. Some sinks and taps in Ward A3 required more detail cleaning. Issues affecting compliance in Wards C1, C4 and C5 were in regard to either empty dispensers or damaged dispensers, and stock including face and eye protection not always available. Only staff in Ward C1 stored chemicals in accordance with COSHH regulations. In Ward C1, RGNs did not know the dilution rate for the disinfectant in use, decanted disinfectant bottles were not dated and lid of containers of cleaning wipes were not closed therefore rendering the wipe ineffective, a similar issue in Ward C5. Wards C5 and A3 were partially compliant for the section concerning materials and equipment for cleaning, issues identified were in relation to staff practice such as equipment needing a more detailed clean, not stored correctly and in poor repair. In Ward A3, dirty mops were stored on the domestic cleaning trolley and mop handles were not in line with NPSA colour coding guidance. 22
Recommendations 11. The trust should ensure that hand washing sinks and consumables are available, clean, working and in a good state of repair. 12. The trust should ensure that all cleaning products are stored in a locked cupboard, in line with COSHH regulations. 13. Further attention to detail is required to ensure that equipment used for the general cleaning purposes of a ward is clean, used and stored appropriately and is fit for purpose. 23
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 and 14: educe the potential risk for the tr
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: Picture 4: Exposed syringe with 10m
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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