Altnaglevin Hospital, Londonderry - 22 November 2011

13.0 Summary of Recommendations
1. The trust should ensure that the systems and processes in
place for environmental cleaning, provide the necessary
assurance that cleaning is carried out effectively, and that all
staff are aware of their responsibilities.
2. The healthcare environment should be repaired and
maintained, and damaged fixtures and fittings replaced to
maintain public confidence and to help reduce the risk of the
spread of infection.
3. Work should continue on improving storage and maintaining
clutter free environments.
4. Detailed nursing cleaning schedules should be developed.
5. The trust should ensure that all staff are aware of the
importance of monitoring fridge temperatures.
6. An agreed set of core HealthCare Associated Infection (HCAI)
public information leaflets should be available for patients,
visitors, and staff.
7. A review of the linen stores should be carried out to ensure
clean linen is stored under appropriate conditions.
8. Staff should ensure linen and associated items are fit for
purpose.
9. Staff should wear PPE as per trust guidelines.
10. Waste bins and equipment used in the management of waste
should be available, clean and free from damage.
11. 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.
12. The trust has and individual staff and a collective
responsibility to ensure that patient equipment is clean and
in good repair.
13. The trust should ensure that consumables are clean and in a
good state of repair.
14. Hand washing sinks in clinical areas should be accessible
and comply with current guidelines.
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