Musgrave Park Hospital, Belfast - 10 March 2011 - Regulation and ...
Musgrave Park Hospital, Belfast - 10 March 2011 - Regulation and ...
Musgrave Park Hospital, Belfast - 10 March 2011 - Regulation and ...
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A sample of the different services group risk registers were reviewed.<br />
Risks have been identified in relation to IPC, estates <strong>and</strong><br />
environmental cleanliness.<br />
The summaries provided evidenced that all risks have been reviewed<br />
with a proposed action <strong>and</strong> rescored accordingly. The risk register<br />
table has not been colour coded in the residual risk score column<br />
making it difficult at first glance to identify that the risk has been<br />
reviewed in line with the risk management strategy. It is suggested<br />
that the risk register is appropriately colour coded for easy of<br />
underst<strong>and</strong>ing.<br />
Recommendations<br />
1. The trust should ensure that all policies <strong>and</strong> procedures are<br />
reviewed <strong>and</strong> updated as necessary.<br />
2. The trust should develop an Infection Prevention <strong>and</strong> Control<br />
policy review/development timetable <strong>and</strong> an Infection<br />
Prevention <strong>and</strong> Control strategy.<br />
3. The trust should ensure controls assurance documentation<br />
clearly outlines agreed timeframes for actions required.<br />
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