Muckamore Abbey Hospital, Antrim - 25 April 2012 - Regulation and ...

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13.0 Summary of Recommendations 1. The trust should ensure that systems and processes in place for environmental cleaning, providing the necessary assurance that cleaning is carried out effectively. (Repeated) 2. The trust should ensure suitable supplies are held to ensure timely replacements of fixtures associated with hand hygiene. 3. The health care environment should be repaired and maintained, and damaged fixtures and fitting replaced to maintain public confidence and to help reduce the risk of the spread of infection. (Repeated) 4. Staff should continue to develop nursing cleaning schedules in line with the trusts guidelines. (Repeated) 5. The trust should ensure the correct handling and storage of clean and used linen in a designated area, including equipment which is clean and fit for purpose. 6. The trust should monitor the implementation of its policies and procedures in respect of the management of waste and sharps to ensure that safe and appropriate practice is in place. (Repeated) 7. The trust should ensure waste bins are provided at all hand washing sinks. 8. The trust and individual staff have a collective responsibility to ensure that patient equipment is clean. (Repeated) 9. The trust should ensure that hand washing sinks are clean, working and in a good state of repair. (Repeated). 10. The trust should that consumables required to carry out hand hygiene practice are available at all hand washing sinks. (Repeated) 11. The trust and individual staff have a collective responsibility to ensure that PPE is stored appropriately. (Repeated) 12. Further attention to detail is required to ensure that equipment used for the general cleaning purposes of a ward is stored appropriately. (Repeated) 13. The trust and individual staff have a collective responsibility to ensure that staff knowledge is kept up to date with regard to cleaning and decontamination of equipment and the environment. (Repeated) 22
14. The trust should ensure that all members of staff are familiar with and adhere to the regional dress code policy. (Repeated) 23
Page 1 and 2: RQIA Infection Prevention/Hygiene U
Page 3 and 4: 1.0 Inspection Summary The unannoun
Page 5 and 6: Table 2 Environment Erne 16 Feb 201
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: commended for achieving overall com
Page 15 and 16: Picture 4: Damage to paint finish o
Page 17 and 18: 8.0 Waste and Sharps STANDARD 4.0 W
Page 19 and 20: 10.0 Hygiene Factors STANDARD 6.0 H
Page 21 and 22: 11.0 Hygiene Practices STANDARD 7.0
Page 23: 12.0 Key Personnel and Information
Page 27 and 28: 15.0 Escalation Process RQIA Hygien
Page 29 and 30: Reference number Recommendations De
Page 31 and 32: Reference number Recommendations De
Page 33: * indicates stated for a second tim

Muckamore Abbey Hospital, Antrim - 25 April 2012 - Regulation and ...

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