Muckamore Abbey Hospital, Antrim - Regulation and Quality ...

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6.5 Information Cleaning schedules for nursing staff detailing all equipment and staff responsibilities were not available. Information leaflets for visitors on general infections and MRSA and Clostridium difficile were not available. A poster on the colour coding of cleaning equipment was displayed at the reception area of the ward, however some nursing staff were not able to describe the correct colour coding to the inspectors. Addition Issues The RQIA Mental Health and Learning Disability Team inspection carried out in September 2011 and highlighted the lack of privacy screens between beds and that the shower rooms did not have enhanced privacy measures. These recommendations have not been actioned. Recommendations 1. The trust should ensure that the systems and processes in place for environmental cleaning, provide the necessary assurance that cleaning is carried out effectively and that all staff are aware of their responsibilities. 2. The healthcare environment should be repaired and maintained, damaged fixtures and fittings replaced to maintain public confidence and to help reduce the risk of the spread of infection. 3. Detailed nursing cleaning schedules should be developed. 4. The trust should ensure that all staff are aware of the importance of monitoring drug fridge temperature consistently. 14
7.0 Patient Linen STANDARD 3.0 PATIENT LINEN Storage of clean linen; handling and storage of used linen; ward/ department laundry facilities. 7.1 Management of Linen Both sections were compliant in the storage of clean and used linen. There were some areas identified for improvement such as the storage of clean linen on unsealed wooden shelves these require sealing to provide a cleanable surface. There was a mix of traditional flat white linen and new sleep knit bedding, some pieces of the flat linen inspected were frayed. The inspectors observed bundles of towels stored in sanitary areas. The towels were stored on open trolleys and therefore exposed to possible aerosol contamination. Boxes containing freshly laundered patients personal clothes were noted on the floor of the central sanitary lobby, the boxes were over flowing and as a result clothing was spilling directly on to the floor. Used linen skips were also stored in this area, the frame of the skips were dusty and required cleaning. Recommendations Patient Linen Storage of clean linen 85 Storage of used linen 92 Laundry facilities N/A Average Score 89 5. The trust should ensure the correct storage of clean linen in designated area which is clean and fit for purpose. 15
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary An unannounc
Page 5 and 6: Table 2 General Environment Recepti
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: particularly around windows frames.
Page 15: drawers and free standing units, bo
Page 19 and 20: 7 The trust should monitor the impl
Page 21 and 22: 10.0 Hygiene Factors STANDARD 6.0 H
Page 23 and 24: 11.0 Hygiene Practices STANDARD 7.0
Page 25 and 26: 12.0 Key Personnel and Information
Page 27 and 28: Reporting & Re-Audit Episode of Ins
Page 29 and 30: 16.0 Action Plan Ref No. Recommenda
Page 31 and 32: Ref No. Recommendations Designated
Page 33: Ref No. Recommendations Designated

Muckamore Abbey Hospital, Antrim - Regulation and Quality ...

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