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

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

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1.0 Inspection Summary<br />

An unannounced inspection was undertaken to the <strong>Antrim</strong> <strong>Area</strong><br />

<strong>Hospital</strong>, on the 9 <strong>October</strong> <strong>2012</strong>. The hospital was assessed against<br />

the Regional Healthcare Hygiene <strong>and</strong> Cleanliness St<strong>and</strong>ards <strong>and</strong> the<br />

following areas were inspected:<br />

Ward C1 - Gynae <strong>and</strong> Early Pregnancy Unit<br />

Ward C4 - Elective Surgery <strong>and</strong> ENT<br />

Ward C5 - Surgical<br />

Ward A3 – Renal(Dialysis), Oncology, Haematology,<br />

Rheumatology <strong>and</strong> general medicine<br />

Inspection Outcomes<br />

The results of the inspection show all wards achieved an overall<br />

compliance level; in particular the staff in Wards C1 <strong>and</strong> C4 are<br />

commended for achieving compliance with each st<strong>and</strong>ard.<br />

Observation of staff in all wards indicated compliance with many<br />

sections within the st<strong>and</strong>ards.<br />

The main concern identified on this inspection was the variety of<br />

specialty services provided in Ward A3, such as Renal Dialysis,<br />

Oncology, Haematology, Rheumatology <strong>and</strong> general medical patients.<br />

This created a large footfall of staff in the ward <strong>and</strong> has impacted on<br />

some scores achieved. Of particular concern was the size <strong>and</strong> layout<br />

of Bay 1 where care was delivered to the renal dialysis patients. The<br />

trust should review the suitability of this ward to care for so many<br />

augmented care patients.<br />

Inspectors observed that the environment in general was clean,<br />

however lack of storage within all wards impacted on the ability to<br />

achieve clutter free ward environments. Of note is Ward A3 where the<br />

extremely cluttered environment has impacted negatively on cleaning<br />

practices.<br />

Inspectors found that further improvement was required in Ward A3 in<br />

the h<strong>and</strong>ling, storage <strong>and</strong> segregation of waste <strong>and</strong> hygiene practices<br />

st<strong>and</strong>ards. In the hygiene practices st<strong>and</strong>ard, Ward A3 scored a<br />

minimal compliance in the section effective cleaning of the ward <strong>and</strong><br />

partial compliance in h<strong>and</strong> hygiene procedures, safe h<strong>and</strong>ling <strong>and</strong><br />

disposal of sharps <strong>and</strong> correct use of isolation sections.<br />

Although all wards scored overall compliance for the st<strong>and</strong>ard<br />

regarding hygiene factors, the section on materials <strong>and</strong> equipment for<br />

cleaning, indicates that more work is required to improve practice in<br />

Wards A3 <strong>and</strong> C5. Further work is also required in these wards<br />

concerning correct use of isolation.<br />

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