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

1.0 Inspection Summary
The unannounced inspection undertaken to Muckamore Abbey
Hospital on the 16 February 2012 identified issues of minimal
compliance within standards 2- 7 of the Regional Healthcare Hygiene
and Cleanliness Standards. In line with the follow up process an
unannounced inspection was undertaken on the 25 April 2012.
Inspection Outcomes
The inspection team reviewed the progress and found 78 per cent of
the preliminary findings had been addressed. The majority of those still
requiring action were in relation to the cleaning of windows, radiators
and sanitary areas, replacement of fittings, maintenance and repairs.
On the inspection of 16 February 2012, 26 recommendations were
made in relation to Standards 2-7, 15 have been addressed, 11 have
been repeated and there are 3 new recommendations. The following
area was inspected:
Erne Ward
Improvements and Developments since the Previous Inspection
The infection prevention and control link nurse on the ward has held
various training sessions with staff following the inspection in February,
this included training on a new nursing cleaning schedule, education on
hand hygiene both for patients and for staff and the introduction of
hand hygiene audits.
Staff have been supplied with personal hand held alcohol rub
dispensers
New flooring was being laid in corridors during the visit
Key Area for Improvement
The timeframe for repairs and replacement of fixtures should be
reviewed to ensure the patient’s living spaces are maintained to an
acceptable standard.
A summary of the recommendations following the re-audit is listed in
Section 13.
A detailed list of the findings from the re-audit is forwarded to Belfast
Health and Social Care Trust within 14 days of the inspection to enable
action on recurring or new areas which have achieved non compliant
scores. The draft report which includes the high level
recommendations in a Quality Improvement Plan is forwarded within 28
days of the inspection for agreement and factual accuracy. The draft
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