Belfast City Hospital, Belfast - 12 December 2011 - Regulation and ...

1.0 Inspection Summary
The unannounced inspection of Belfast City Hospital on the 20 October
2011 identified two of the four wards, Ward 6 North and Ward 10 North,
had areas of minimal compliance within standards 2-7 of the Regional
Healthcare Hygiene and Cleanliness Standards. In line with the follow
up process a further unannounced inspection was undertaken to these
wards on the 12 December 2011.
Inspection Outcomes
On the inspection of 20 October 2011, 22 recommendations were
made in relation to Standards 2-7. Six have been addressed, 16 have
been repeated and there are two new recommendations.
Improvements and Developments since the previous Inspection
On the12 December 2011 the follow up inspection found that good
progress had been made to address areas identified at the inspection
in October as outlined below:
Ward 6N – 73 per cent of the preliminary findings identified at the
previous inspection have been addressed.
Ward 10N – 70 per cent of the preliminary findings identified at the
previous inspection have been addressed.
In both wards there has been significant improvement as all seven
standards have now achieved compliance. Improved staff practices
were noted in cleaning of the environment and equipment,
management of linen, waste, sharps, hygiene factors and hygiene
practices
In both wards inspected the majority of outstanding issues requiring
action are in relation to attention to detail when cleaning,
refurbishment, maintenance and repair.
Key Areas for Improvement
In both wards inspected the majority of outstanding issues requiring
action are in relation to attention to detail when cleaning,
refurbishment, maintenance and repair. All standards have achieved
compliance in both wards, staff are encouraged to maintain this result
and improve on existing practice especially in hygiene factors;
materials and equipment for cleaning.
A summary of the recommendations following the re-audit is listed in
Section 13.
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