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

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

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Contents<br />

1.0 Inspection Summary 1<br />

2.0 Background Information to the Inspection Process 5<br />

3.0 Inspections 6<br />

4.0 Unannounced Inspection Process 7<br />

4.1 Onsite Inspection 7<br />

4.2 Feedback <strong>and</strong> Report of the Findings 7<br />

5.0 Audit Tool 8<br />

6.0 Environment 10<br />

6.1 Cleaning 10<br />

6.2 Clutter 12<br />

6.3 Maintenance <strong>and</strong> Repair 13<br />

6.4 Fixture <strong>and</strong> Fittings 13<br />

6.5 Information 14<br />

7.0 Patient Linen 15<br />

7.1 Management of Linen 15<br />

8.0 Waste <strong>and</strong> Sharps 16<br />

8.1 Waste 16<br />

8.2 Sharps 16<br />

9.0 Patient Equipment 18<br />

10.0 Hygiene Factors 19<br />

11.0 Hygiene Practice 21<br />

12.0 Key Personnel <strong>and</strong> Information 23<br />

13.0 Summary of Recommendations 24<br />

14.0 Unannounced Inspection Flowchart 25<br />

15.0 RQIA Hygiene Team Escalation Policy Flowchart 26<br />

16.0 Action Plan 27

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