Belfast City Hospital, Belfast - 20 October 2011 - Regulation and ...

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Additional Issues 6.2 Clutter 1. In Ward 5 South isolation room there were two pairs of used disposable scissors, one pair of scissors still in the wrapping, two rolls of tape and a small box on the mirror shelf. Inside the small box were a blood stained soiled dressing, a blood stained incontinence sheet and clean dressings. These were immediately removed at sister’s request. 2. A single use jug was in the en-suite. The jug appeared to have been used, cleaned but not disposed of after use. There was evidence in some of the wards inspected, particularly wards 5 and 7 South of a continued emphasis to provide a clutter free environment, with good use of high density storage units and stores. This provides effective utilisation of space and good stock management, staff saw a clutter free environment as an essential element effective cleaning and of good hygiene practices. In Ward 10 North inspectors noted that the ward entrance foyer and general ward area appeared cluttered. There were numerous chairs stacked throughout the ward and boxes of rolls stored on the floor outside the domestic store. Due to the storage of IV pumps and drip stands, and the use of some work surfaces for the storage of bandages and files, the clinical room, was also cluttered in appearance. This not only impedes the cleaning process but would not be conducive to providing a safe area to undertake clinical procedures. Some clutter was observed in the corridors and equipment store of Ward 6 North, particularly at the side rooms and the corridor leading to the treatment room. The dirty utility room near the side rooms should be de-cluttered, inappropriate items removed, and items of equipment stored in cupboards provided to prevent contamination from aerosol splashes. The equipment store of Ward 7 South was cluttered to the point that inspectors had difficulty moving around the store (Picture 3). Picture 3: Cluttered Equipment store 14
6.3 Maintenance and Repair In all areas inspected, inspectors observed minor paintwork damage to walls, however in the dirty utility room of Ward 5 South the paintwork behind the slop hopper and deep equipment sink was damaged and paint was peeling off the walls. In a toilet, there were holes in the wall as they had not been repaired when toilet roll holders had been removed. In Ward 7 South there was a hole in the wall behind the sink in the domestic store, exposing pipework and a large hole in the wall of the male toilet. The ward sister informed the inspectors that this had occurred on the previous evening and a repair request had already been made to the estates department. Inspectors also identified other themes common to all wards such as minor damage to floor and skirting. Damage was also observed to the doors, frames and formica shelving; in places the damage to doors and shelves had resulted in exposed and unsealed wood which cannot be effectively cleaned. In Wards 6 and 10 North doors were damaged, as a result of the door being propped open by a waste bin. In all wards except Ward 6 North inspectors observed that ceiling tiles in some areas within the wards were damaged or missing. The programme for the cleaning of air vents should be reviewed as a considerable number of air vents were dusty. At the time of the inspection, the kitchen of Ward 10 North was extremely hot and there was limited ventilation, this creates difficulties for staff who have to work in this environment and should be reviewed by the estates department to establish what improvements can be made. The temperature of the hot water in the sink in a toilet of Ward 5 South needs to be checked as the water was very hot and not conducive to hand washing. In Ward 7 South the toilet area had been refurbished creating a spacious shower and toilet (Picture 4). In Ward 10 North the bathroom on the east side of the ward is to be merged with the dirty utility room and refurbished into a patient shower room. Picture 4: Refurbished shower and toilet area 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 1 Ward 5S 6N 7S 10N General E
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: The inspection teams noted, that al
Page 15: Picture 2: Clean and tidy treatment
Page 19 and 20: Recommendations 1. The trust should
Page 21 and 22: Recommendations 7. The trust should
Page 23 and 24: the ward did not have a clinical wa
Page 25 and 26: 9.0 Patient Equipment STANDARD 5.0
Page 27 and 28: 10.0 Hygiene Factors STANDARD 6.0 H
Page 29 and 30: In all wards there were issues iden
Page 31 and 32: improvement is also required in sta
Page 33 and 34: 3. Staff also provided feedback on
Page 35 and 36: Supporting documentation A number o
Page 37 and 38: 14. The trust should ensure that ha
Page 39 and 40: 15.0 Escalation Process RQIA Hygien
Page 41 and 42: Ref No Recommendations Designated d

Belfast City Hospital, Belfast - 20 October 2011 - Regulation and ...

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