Food hygiene and service policy.pdf - NHS North Somerset
Food hygiene and service policy.pdf - NHS North Somerset
Food hygiene and service policy.pdf - NHS North Somerset
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FOOD HYGIENE<br />
AND SERVICE<br />
POLICY<br />
Author(s):<br />
Lead Clinician (if<br />
appropriate):<br />
In consultation with:<br />
To be read in<br />
association with:<br />
Ratified by:<br />
Issue/Ratification date: May 2010<br />
Review date: May 2012<br />
Gwen Hobbs<br />
Head of infection Control Suzanne<br />
Golding-Ellis<br />
Associate Director of Nursing<br />
Clinical Matron CCH<br />
Infection Control Lead Nurse<br />
Catering Manager NBT<br />
Health & Safety Manager<br />
St<strong>and</strong>ard Infection Control Policy ,<br />
H<strong>and</strong> Hygiene Policy<br />
Waste <strong>policy</strong><br />
Uniform <strong>and</strong> Dress code Policy<br />
Pest Control Policy<br />
Cleaning Policy<br />
Outbreak Policy<br />
Professional Executive Committee<br />
If you require this document in a different<br />
format, please telephone the Corporate<br />
Manager on 01275 546717<br />
<br />
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PS 244 05/2010 1 05/2012 1 of 20
<strong>North</strong> <strong>Somerset</strong> PCT<br />
Document status: Current<br />
Version Date Comments/Consultation<br />
V7 24 02 10 Clive Butler – Catering Manager NBT<br />
Sue Hinchley – Locality Manager – No<br />
Comments<br />
Suzanne Golding-Ellis – Head of Infection<br />
Control – No comments<br />
Alan Stewart – Deputy Matron – No comments<br />
Darren Stewart – Clinical Matron – No<br />
comments<br />
3 Julie Clatworthy – Director of Nursing<br />
5 09/09/2009 Tracy McAinsh - Senior Infection Control Nurse<br />
Provider Services – Comments added<br />
5 04/09/2009 Vicki Lovis – Estates & Facilities Manager<br />
comments added<br />
6 15/2/10 Darren Stewart – Clinical Matron - minor<br />
adjustments<br />
7 Doreen Jones – Health & Safety Manager –<br />
minor adjustments<br />
Date<br />
Authors Name:<br />
If you need further copies of this document please telephone …………on<br />
……………………<br />
If you need this document in a different format please telephone …………………<br />
on …………………….<br />
<br />
<br />
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PART<br />
Contents<br />
1. Introduction 6<br />
2. Aims 6<br />
3. Roles <strong>and</strong> Responsibilities 7<br />
4. Training <strong>and</strong> Competence 8<br />
5. Temperature Control 8<br />
6. Delivery <strong>and</strong> Receipt 9<br />
7. Storage 9<br />
8. Preparation 13<br />
9. Cooking of <strong>Food</strong> 14<br />
10. <strong>Food</strong> Services 15<br />
11. Staff 15<br />
12. Personal Hygiene 16<br />
13. Sink Usage 17<br />
14. Waste 18<br />
15. Pest Control 18<br />
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PART 2<br />
Appendix 1<br />
The role of the Environmental Health Officer<br />
With regard to food <strong>hygiene</strong> 19<br />
Appendix 2<br />
Regeneration <strong>and</strong> Service of Cook<br />
– Chill <strong>Food</strong> Ward Areas<br />
Hazard Analysis & Critical Control Points<br />
(HACCP System) 29<br />
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PART 1<br />
1. INTRODUCTION AND DEFINITIONS<br />
1.1 It is the responsibility of <strong>NHS</strong> <strong>North</strong> <strong>Somerset</strong> to provide safe<br />
wholesome meals <strong>and</strong> a catering provision <strong>service</strong> for its patients, staff<br />
<strong>and</strong> customers.<br />
• All food preparation <strong>and</strong> food h<strong>and</strong>ling (whether used by Facilities<br />
Staff, Clinical <strong>and</strong> Administrative Staff or patients) areas should be<br />
maintained to safe <strong>and</strong> hygienic st<strong>and</strong>ards as stipulated by current<br />
legislation.<br />
• The <strong>Food</strong> Hygiene (Engl<strong>and</strong>) Regulations 2006<br />
• The Health <strong>and</strong> Safety at Work Act 1974.<br />
The Hospital Manager <strong>and</strong> Chef have a commitment to identify the<br />
potential food hazards within their operation <strong>and</strong> implement effective<br />
control <strong>and</strong> monitoring procedures at those points critical to food<br />
safety. The Chef is accountable to the Hospital Manager. In areas<br />
where staff are provided with the facilities to prepare their own meals<br />
<strong>and</strong> beverages this <strong>policy</strong> should be brought to their attention.<br />
1.2 Definition<br />
The definition of a food h<strong>and</strong>ler is anyone involved in the h<strong>and</strong>ling or<br />
preparation of food goods <strong>and</strong> beverages. This therefore includes<br />
such groups as catering staff, domestic staff, portering staff, nursing<br />
staff, all care staff, therapy staff <strong>and</strong> patients.<br />
It is imperative that the <strong>Food</strong> Safety Policy is brought to the attention of<br />
all these groups of people within the Trust.<br />
2. AIMS OF THE POLICY<br />
2.1 <strong>NHS</strong> <strong>North</strong> <strong>Somerset</strong> will ensure that this <strong>policy</strong> is brought to the<br />
attention of all food h<strong>and</strong>lers within the Trust. This <strong>policy</strong> will also be<br />
regularly reviewed <strong>and</strong> updated in accordance with developments in<br />
legislation <strong>and</strong> with particular reference to identifying points that are<br />
critical to food safety.<br />
The aims of this <strong>policy</strong> are:<br />
• To encourage staff to think about food hazards.<br />
• To establish procedures which will promote awareness of <strong>Food</strong><br />
Hygiene amongst all staff.<br />
• To ensure that due diligence is practised.<br />
• To share best food <strong>and</strong> <strong>hygiene</strong> practice<br />
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• To involve staff at all levels to be aware <strong>and</strong> committed to safe food<br />
production.<br />
• To satisfy current legal requirements<br />
• To minimise the risk of customer complaints or other action against<br />
the Trust.<br />
3. ROLES AND RESPONSIBILITIES<br />
The Chief Executive has overall responsibility on behalf of the <strong>North</strong><br />
<strong>Somerset</strong> Primary Care Trust for managing all aspects of health <strong>and</strong> safety.<br />
3.1 The Nurse Director will ensure mechanisms are in place:<br />
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• To ensure that this <strong>policy</strong> is adhered to by staff <strong>and</strong> that resources<br />
are available to ensure effective implementation<br />
3.2 Director of Provider Services <strong>and</strong> Senior Managers will ensure that:<br />
• Appropriate resources are allocated to adequately control risks<br />
associate with the <strong>service</strong> of food identified in the risk assessment<br />
process, including the provision of suitable information, instruction,<br />
training <strong>and</strong> supervision for staff is provided.<br />
• The procedures <strong>and</strong> guidelines identified in this <strong>policy</strong> are adhered<br />
to <strong>and</strong><br />
• That arrangements are monitored following incidents relating to<br />
food <strong>service</strong><br />
• Appropriate support arrangements continue to be available for<br />
those who are involved in or affected by such incidents.<br />
• Staff attend the <strong>Food</strong> Hygiene <strong>and</strong> Infection Control training,<br />
including refresher <strong>and</strong> update Courses as per training matrix.<br />
3.4 Direct Line Managers: It is the responsibility of direct line managers<br />
to ensure that all clinical staff are aware of the availability of <strong>and</strong><br />
familiar with the <strong>Food</strong> Hygiene <strong>and</strong> Service Policy<br />
3.5 The Infection Control Lead Nurse for the hospital in liaison with the<br />
Infection Control Lead nurse for Provider Services will ensure the<br />
availability of up to date guidance <strong>and</strong> advice on measures to avoid the<br />
transmission of infections between patients <strong>and</strong> staff.<br />
3.6 Employee Responsibilities<br />
All employees have a general duty to take reasonable care of their own<br />
safety <strong>and</strong> that of others who may be affected by their actions, which<br />
includes the prevention of risk of the transmission of infections to<br />
patients <strong>and</strong> other staff.<br />
All employees must further ensure that they will:
• Co-operate with the PCT to enable it to meet its obligations in<br />
respect of <strong>Food</strong> <strong>hygiene</strong> <strong>and</strong> <strong>service</strong><br />
• Make full <strong>and</strong> proper use of the control measures identified,<br />
including the use of personal protective equipment<br />
• Act in such a way as to prevent the risks of the transmission of<br />
infections to patients <strong>and</strong> other staff<br />
• Report any accident or incident in accordance with the provisions<br />
of the Incident Reporting Policy<br />
• Attend <strong>Food</strong> Hygiene <strong>and</strong> Infection Control training, (as per training<br />
matrix) including refresher <strong>and</strong> update courses as identified.<br />
• Clevedon Hospital has a designated lead for infection control (The<br />
Clinical Matron) who will take responsibility for implementing best<br />
practice, education, updating the <strong>policy</strong>, audit <strong>and</strong> surveillance for<br />
Infection Control measures. The designated lead will liaise monthly<br />
with the PCT infection control lead nurse.<br />
4. TRAINING AND COMPETENCE<br />
4.1 All staff involved in the food safety chain must be able to demonstrate<br />
competence <strong>and</strong> theoretical underst<strong>and</strong>ing of food <strong>hygiene</strong> <strong>and</strong> the<br />
prevention of infection<br />
4.2 All staff will have a working knowledge of the current legislation,<br />
national guidelines, organisational policies & protocols.<br />
4.3 All staff will have a working knowledge of working within your sphere of<br />
competence <strong>and</strong> of when to seek advice.<br />
4.4 All staff involved in the food h<strong>and</strong>ling chain must have attended a<br />
recognised training course <strong>and</strong> be assessed as competent.<br />
The register of training will be maintained by the PCT training<br />
department.<br />
5. TEMPERATURE CONTROL<br />
5.1 It is a legal requirement that the fridge temperature should be below 5°<br />
<strong>and</strong> that temperature checks are completed throughout the entire food<br />
chain (from delivery to consumption). <strong>Food</strong>s are checked on arrival<br />
<strong>and</strong> when stored. Defrosting of foods is rare as items are mainly<br />
cooked from fresh.<br />
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6. DELIVERY AND RECEIPT<br />
6.1 Under the Assured Safe Catering System all food purchased for the<br />
Trust is sourced through <strong>NHS</strong> suppliers <strong>and</strong> comply with the following<br />
legal requirements<br />
• High risk food will be delivered chilled between 0 - 4°C*<br />
• Fresh meat poultry <strong>and</strong> fish will be delivered chilled between 0 -<br />
4°C. Fresh fish preferably should be iced.<br />
• Frozen foods will be delivered at or below -18°C. There must be no<br />
evidence of defrosting or freezer burn.<br />
• Cook-chill products will be delivered at 3°C.<br />
* High risk foods are usually those which contain protein <strong>and</strong> are<br />
intended for consumption without treatment which would destroy<br />
such organisms.<br />
e.g.<br />
i. all cooked meat <strong>and</strong> poultry;<br />
ii. cooked meat products, including gravy <strong>and</strong> stock;<br />
iii. milk, cream, artificial cream, custards <strong>and</strong> dairy produce;<br />
iv. cooked eggs <strong>and</strong> products made with eggs, for example<br />
mayonnaise, but excluding pastry, bread <strong>and</strong> similar baked goods;<br />
v. shellfish <strong>and</strong> other seafood, for example, oysters;<br />
vi. cooked rice<br />
<strong>Food</strong> that does not reach these st<strong>and</strong>ards will be rejected at the point<br />
of delivery <strong>and</strong> returned to the supplier.<br />
7. STORAGE<br />
7.1 The correct storage of foods is important to ensure adequate provision<br />
throughout the year. Failure to ensure satisfactory conditions of<br />
temperature, humidity stock rotation, <strong>and</strong> the integrity of packaging can<br />
result in problems of unfit or spoiled food but will at the very least,<br />
result in a considerable reduction of shelf life.<br />
7.2 Product Date Codes<br />
To ensure good stock rotation <strong>and</strong> compliance with the <strong>Food</strong> Labelling<br />
Regulations, all foods with the exception of unprepared <strong>and</strong> uncut fruit<br />
<strong>and</strong> vegetables, sugar, wine, salt, fresh bread must be date coded.<br />
Produce delivered by nominated suppliers will be date coded as part of<br />
the purchase specification.<br />
Date codes are classified under two headings:<br />
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“USE BY”<br />
“BEST BEFORE”<br />
– applied to highly perishable, “high risk” products<br />
such as cooked meats, dairy products.<br />
- applied to perishable <strong>and</strong> non perishable foods,<br />
e.g. cereals <strong>and</strong> packed products, cans, bottles …<br />
usually with a shelf life of over three months.<br />
All products must be used before the expiry of these dates but care<br />
must be taken when using products to check labelling instructions,<br />
which may indicate, for example …<br />
~ refrigerate after opening<br />
~ use within three days of opening<br />
It is a direct offence to have food in possession beyond its use by<br />
date.<br />
The rule FIRST IN ~ FIRST OUT should always be applied.<br />
Opened packs of food should be decanted into clean containers<br />
with close fitting lids labelled <strong>and</strong> date coded.<br />
7.3 Refrigeration<br />
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Refrigeration is a method of storage by which spoilage is delayed but<br />
not prevented.<br />
The temperature which must be maintained at under 5° on all fridges<br />
<strong>and</strong> should be recorded on a daily basis.<br />
The following rules should be applied when storing food in a<br />
refrigeratorn<br />
• High risk foods should be stored between 0 - 4°C.*<br />
• Fresh meat, poultry <strong>and</strong> fish should be stored between 0 - 1°C.<br />
• Frozen foods to be stored at or below - 18°C.<br />
• Cook-chill products to be stored between 0 <strong>and</strong> 3°C.<br />
* High risk foods are usually those which contain protein <strong>and</strong> are<br />
intended for consumption without treatment which would destroy<br />
such organisms.<br />
e.g.<br />
i. all cooked meat <strong>and</strong> poultry;<br />
ii. cooked meat products, including gravy <strong>and</strong> stock;<br />
iii. milk, cream, artificial cream, custards <strong>and</strong> dairy produce;<br />
iv. cooked eggs <strong>and</strong> products made with eggs, for example<br />
mayonnaise, but excluding pastry, bread <strong>and</strong> similar baked goods;<br />
v. shellfish <strong>and</strong> other seafood, for example, oysters;
vi. cooked rice<br />
7.4 Site <strong>and</strong> Situation<br />
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Refrigerators should be easily accessible <strong>and</strong> not be positioned near to<br />
any heat source. Ideally they should be in well ventilated areas away<br />
from direct sunlight.<br />
7.5 Loading<br />
Refrigerators should be packed in a manner which allows air<br />
circulation. All food should be covered to prevent drying out, cross<br />
contamination <strong>and</strong> the absorption of odour. <strong>Food</strong> packaging should not<br />
be stored as this may introduce contamination into the refrigerator. If<br />
space is limited, the highest risk foods should be given priority <strong>and</strong><br />
should be stored at the rear of the refrigerator above raw foods.<br />
7.6 Cleaning<br />
This should take place at least on a weekly basis using food safe<br />
chemicals D10 All Purpose Cleaner/Sanitizer. Spillages should be<br />
cleaned as soon as they occur. After cleansing, the surfaces need to<br />
be completely dried. If the refrigerator does not defrost automatically<br />
defrosting should take place at least once a week to ensure that there<br />
is no build up of ice.<br />
7.7 Maintenance<br />
Refrigerators should be <strong>service</strong>d on a regular basis, at least twice a<br />
year<br />
7.8 Selecting Refrigerators <strong>and</strong> Freezers<br />
The following factors should be considered:<br />
• Operating Temperatures – Units must be capable of maintaining<br />
satisfactory storage temperatures in busy kitchens. Fan-assisted<br />
cooling is essential to circulate cold air throughout the storage<br />
compartment <strong>and</strong> maintain uniform temperatures.<br />
• Construction – Should be considered to facilitate easy cleaning.<br />
Large motors are best positioned outside as they generate heat <strong>and</strong><br />
collect dust. Ideally doors <strong>and</strong> floors should be stainless steel to<br />
provide the greatest resistance to impact change.<br />
• Automatic Defrost – Ensures that the coil remains free of insulating<br />
ice, <strong>and</strong> keeps down the running cost. It is also useful if there is a<br />
light which indicates when the unit is on automatic defrost.
• Thermometers – Should be located externally <strong>and</strong> be easily<br />
readable with the door(s) closed. Regular temperature checks<br />
using an independent thermometer should also be made.<br />
7.9 Operating Temperatures<br />
The operating temperature <strong>and</strong> hence the storage period for food can<br />
be identified by using the star rate system.<br />
RATING OPERATING TEMP. ° STORAGE<br />
1 STAR -6 1 WEEK<br />
2 STAR -12 1 MONTH<br />
3 STAR -18 3 MONTHS<br />
4 STAR -24 6 MONTHS<br />
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<strong>Food</strong> produced, prepared <strong>and</strong> frozen by the Trust has a shelf life of<br />
thirty days.<br />
Frozen food from suppliers should be stock rotated <strong>and</strong> used before<br />
the expiry date.<br />
7.10 Protection of food during storage<br />
A common fault found in most food premises is that food is poorly<br />
wrapped, thus allowing contamination, oxidation <strong>and</strong> dehydration. All<br />
food should be stored in air tight packaging which is date coded.<br />
7.11 Thawing of frozen food<br />
The following steps should be taken to avoid cross contamination<br />
during thawing:<br />
• Removal external packaging <strong>and</strong> place in container.<br />
• Defrost food away from other high risk foods ideally in a thawing<br />
cabinet (12- 15°C).<br />
• Clean contaminated work surfaces e.g. chopping boards.<br />
• Leave sufficient time.<br />
• Dispose of any raw juice carefully.<br />
• Cover defrosted food <strong>and</strong> put in refrigerator<br />
7.12 Dry Goods Storage<br />
Dry good require protection from:<br />
- Low temperatures<br />
- Damp
This requires<br />
- Excessive heat<br />
- Direct sunlight<br />
- Pests<br />
- Steady temperatures of 10 - 15°C<br />
- Ventilation (relative humidity 50-60%)<br />
- Pest proof structure<br />
- Shelving <strong>and</strong> structure which can be cleaned easily<br />
- Products stored off the ground<br />
- Routine cleaning<br />
- Stock rotation<br />
8. PREPARATION<br />
8.1 Thawing of Frozen <strong>Food</strong><br />
It is important that frozen foods are allowed to defrost under controlled<br />
conditions i.e. in a refrigerator. This is to ensure that the bacterial<br />
loading is kept to a minimum whilst defrosting is thorough. If frozen<br />
foods, particularly poultry, are not thawed property prior to cooking,<br />
then cooking may be inadequate <strong>and</strong> bacteria could survive.<br />
To ensure the safe defrosting of food <strong>and</strong> avoid cross contamination<br />
the following steps should be taken:<br />
i. Removal external packaging <strong>and</strong> place in container.<br />
ii. Defrost food away from other high risk foods ideally in a thawing<br />
cabinet (12- 15°C).<br />
iii. Clean contaminated work surfaces e.g. chopping boards.<br />
iv. Leave sufficient time.<br />
v. Dispose of any raw juice carefully.<br />
vi. Cover defrosted food <strong>and</strong> put in refrigerator<br />
8.2 Preparation Surfaces <strong>and</strong> Equipment<br />
After each use, food preparation surfaces must be cleaned to remove<br />
all loose food debris, washed down with an appropriate hot water <strong>and</strong><br />
detergent solution, rinsed off <strong>and</strong> let to air dry.<br />
<strong>Food</strong> preparation equipment should also be cleaned after each use.<br />
Cleaning schedules should be in place which will ensure that all<br />
equipment in a food preparation area is cleaned regularly.<br />
8.3 Contamination<br />
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To avoid cross contamination it is important that the same equipment is<br />
not used for h<strong>and</strong>ling raw <strong>and</strong> high–risk products without being<br />
disinfected. To prevent it from occurring it is recommended that<br />
different colours are used. Colour coding may be extended to include<br />
washing facilities, trolleys, protective clothing <strong>and</strong> packaging material.<br />
8.4 Equipment Maintenance<br />
All items of equipment used in connection with the transportation,<br />
storage, production <strong>and</strong> <strong>service</strong> of food must be in a good repair <strong>and</strong><br />
condition. Maintenance of such equipment is an integral component of<br />
the Trust’s Due Diligence management obligations. The Trust, is,<br />
therefore, committed to a pro-active <strong>and</strong> systematic assessment of<br />
equipment needs.<br />
Equipment in need of repair should be reported immediately to the<br />
hospital matron <strong>and</strong> repair <strong>and</strong>/or replacement actioned by the Hospital<br />
Matron.<br />
Old equipment which has deteriorated with age becomes incapable of<br />
being cleaned thoroughly. Cracked, chipped, broken <strong>and</strong> badly pitted<br />
equipment allows the harbourage of dirt <strong>and</strong> bacteria <strong>and</strong> should be<br />
replaced.<br />
9. COOKING OF FOOD<br />
9.1 Temperatures<br />
Cooking is a form of preservation but is generally used to make food<br />
more palatable. Internal temperatures of around 75°C should be<br />
achieved to ensure bacteriological safety; however, some bacteria do<br />
survive these temperatures.<br />
The centre of cooked meat should be checked regularly with an<br />
accurate temperature probe which is always disinfected before use.<br />
The external surface of a joint of meat, for example, may give the<br />
appearance of being thoroughly cooked but the centre temperature<br />
may be quite low.<br />
All foods should be temperature probed before <strong>service</strong>.<br />
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10. FOOD SERVICE<br />
10.1 Hot <strong>Food</strong>s<br />
All hot food should be served at or about 70°C <strong>and</strong> served immediately.<br />
If food does not maintain the required temperature it should be<br />
discarded, under no circumstances should it be reheated.<br />
All food intended for <strong>service</strong> on a particular day should be discarded if<br />
not served, it should not be re-served the following day.<br />
10.2 Cold <strong>Food</strong>s<br />
All cold food should be served from a chilled unit at a temperature of or<br />
below 5°C. All food intended for <strong>service</strong> on a particular day should be<br />
discarded if not served, it should not be re-served the following day.<br />
10.3 Ambient <strong>Food</strong>s<br />
Chilled units without a temperature control display must be treated as<br />
ambient <strong>and</strong> all foods displayed as such should be destroyed after<br />
three hours. This rule applies to food served at functions regardless of<br />
whether they have been prepared by the Catering Department or other<br />
parties.<br />
10.4 Patient’s Own <strong>Food</strong><br />
Patients/relatives are to be discouraged from bringing food into the<br />
Hospital. <strong>Food</strong> brought in by relatives should be h<strong>and</strong>ed back or with<br />
consent destroyed.<br />
11. CATERING FOOD HANDLERS<br />
11.1 Pre Employment Checks<br />
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<br />
All catering staff must have a health check by Occupational Health<br />
prior to appointment. This applies equally to contractor’s staff <strong>and</strong><br />
other temporary <strong>and</strong> agency staff.<br />
All new starters should be trained to the Basic <strong>Food</strong> Hygiene st<strong>and</strong>ard<br />
<strong>and</strong> immediately informed of the Trust’s <strong>Food</strong> Hygiene Policy.<br />
The Training Department must carry out Basic <strong>Food</strong> Hygiene training<br />
for all food h<strong>and</strong>lers involved in food preparation on induction <strong>and</strong><br />
annually thereafter.<br />
New staff should also be informed that should they suffer from<br />
diarrhoea, vomiting, throat infections, skin rash, boils or other skin
lesions they should report to their manager. They must not attend the<br />
work place.<br />
i. If any member of the household is suffering from diarrhoea or<br />
vomiting.<br />
ii. If they are returning to work after an illness involving diarrhoea or<br />
vomiting<br />
iii. If they are returning to work after a holiday during which of<br />
diarrhoea or vomiting lasting for two days or more was experienced.<br />
(see D&V Policy)<br />
It is vitally important that all food h<strong>and</strong>lers maintain a high st<strong>and</strong>ard of<br />
personal, <strong>and</strong> general, <strong>hygiene</strong> to avoid the possibility of spreading<br />
infections or causing food poisoning.<br />
12. PERSONAL HYGIENE<br />
12.1 Catering Guidelines<br />
• <strong>Food</strong> h<strong>and</strong>lers must observe high st<strong>and</strong>ards of personal cleanliness<br />
<strong>and</strong> have a moral <strong>and</strong> legal obligation to do so.<br />
• <strong>Food</strong> h<strong>and</strong>lers must wash their h<strong>and</strong>s regularly (in a nominated<br />
wash h<strong>and</strong> basin during their shift <strong>and</strong> in particular:-<br />
• after visiting the toilet facilities<br />
• before h<strong>and</strong>ling any food or equipment<br />
• before <strong>and</strong> after cleaning procedure<br />
• between different tasks<br />
• after touching ears, nose, mouth or hair<br />
• after any contact with patients or their immediate surroundings<br />
• after h<strong>and</strong>ling any waste food or refuse<br />
• after h<strong>and</strong>ling any wrapped or unwrapped food, especially raw<br />
items<br />
• after eating or smoking (smoking is not allowed on hospital<br />
premises)<br />
• H<strong>and</strong>s must always be washed in a nominated wash h<strong>and</strong> basin<br />
only, with soap <strong>and</strong> running water <strong>and</strong> dried using disposable<br />
towels.<br />
• Cuts <strong>and</strong> abrasions must be covered by blue waterproof dressings.<br />
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• <strong>Food</strong> <strong>and</strong> drink must not be consumed in any food preparation or<br />
ancillary area, including Ward Kitchens.<br />
• <strong>Food</strong> h<strong>and</strong>lers must not wear jewellery other than wedding rings<br />
<strong>and</strong> un-jewelled stud or sleeper earrings.<br />
• Nail varnish must not be worn. Nails are to be kept short <strong>and</strong><br />
scrupulously clean.<br />
• Smoking is strictly FORBIDDEN in ANY kitchen area or onsite.<br />
(This is an ILLEGAL practice).<br />
12.2 Wash H<strong>and</strong> Basins<br />
<strong>Food</strong> h<strong>and</strong>lers must wash their h<strong>and</strong>s regularly during their shift in<br />
accordance with the ‘Personal Hygiene’ section of this document.<br />
H<strong>and</strong>s must be dried using the disposable paper towels supplied.<br />
H<strong>and</strong>s wash basins must be used for h<strong>and</strong> washing purposes only.<br />
H<strong>and</strong> wash basins must be cleaned.<br />
12.3 Clothing<br />
• <strong>Food</strong> h<strong>and</strong>lers must always wear appropriate clean clothing.<br />
Catering staff will be issued with uniforms <strong>and</strong> protective clothing on<br />
starting their employment with the Trust. Other Trust staff must<br />
wear blue disposable aprons when working with food.<br />
• Catering staff are required to wear protective head gear to ensure<br />
that hair, or d<strong>and</strong>ruff, does not contaminate food or surfaces. All<br />
food h<strong>and</strong>lers should at least ensure that hair is clean <strong>and</strong> long hair<br />
is tied back when h<strong>and</strong>ling food.<br />
• Outdoor <strong>and</strong> work wear clothing are to be kept separate. Protective<br />
clothing should not be worn travelling to <strong>and</strong> from work.<br />
• Footwear must be of a sensible, sturdy, low heeled <strong>and</strong> enclosed<br />
type <strong>and</strong> must be kept clean.<br />
• Yellow colour coded gloves are for kitchen use only.<br />
• Authorised visitors to Ward Kitchens must comply with the above<br />
points.<br />
13. SINK USE<br />
13.1 It is imperative that sinks have hot <strong>and</strong> cold running water; the lack of<br />
hot water should be reported to the Estates Department immediately.<br />
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Sinks must be cleaned thoroughly after each use. <strong>Food</strong> goods <strong>and</strong><br />
food preparation equipment must NOT be stored under the sink.<br />
Sinks in kitchens are for the washing of food preparation equipment<br />
only. Separate sluice sinks are provided in the ward areas for filling<br />
mop buckets <strong>and</strong> other cleaning equipment.<br />
14. WASTE<br />
Refuse should not be allowed to accumulate in kitchens <strong>and</strong> should not<br />
be left overnight. Waste generated may be stored in black polythene<br />
bags which should be removed when full <strong>and</strong> at the end of each day.<br />
The bags should not be overfilled <strong>and</strong> should be tied to prevent<br />
problems from insects. The containers for such bags should be<br />
maintained in clean condition <strong>and</strong> be food operated <strong>and</strong> staff should be<br />
trained to wash their h<strong>and</strong>s after using the receptacles. Receptacles<br />
used for the storage of food should not be used for refuse<br />
Suitable facilities should be provided for the storage of waste prior to its<br />
removal from the establishment, refuse collectors should not have to<br />
enter food or dining areas.<br />
15. PEST CONTROL<br />
15.1 Contact Details<br />
The Hospital is covered by a Pest Control Contract. The contractor<br />
visits all sites on a three monthly basis to ensure that no infestation has<br />
taken place. The contract covers the control of the following pests:<br />
Rodents – rats <strong>and</strong> mice<br />
Cockroaches<br />
If there is any evidence of infestation from these or other pests the<br />
Estates <strong>and</strong> Facilities Manager should be contacted immediately (in<br />
accordance with the Pest Control Policy) <strong>and</strong> an incident form<br />
completed.<br />
15.2 Prevention<br />
With pest control prevention good housekeeping is essential. All<br />
spillages should be removed as soon as possible. Waste receptacles<br />
should be provided with foot pedals <strong>and</strong> tight fitting lids <strong>and</strong> not over<br />
filled.<br />
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Appendix 1<br />
The role of the Environmental Health Officer with regard to food <strong>hygiene</strong><br />
The Environmental Health Officer (EHO) is a local authority official<br />
responsible for the enforcement of legislation relating to food <strong>hygiene</strong> <strong>and</strong><br />
food safety. The functions of an EHO in the field of food <strong>hygiene</strong> can be<br />
summarised as follows:<br />
• to ensure product safety <strong>and</strong> fitness for consumption;<br />
• to reduce possible sources of contamination entering the food<br />
environment;<br />
• to monitor conditions <strong>and</strong> hygienic operation within the food environment;<br />
• to ensure compliance with relevant legislation;<br />
• to establish the integrity of management <strong>and</strong> effectiveness of control<br />
procedures<br />
• to offer professional advice<br />
Hygiene offences can be the subject of a prosecution or the issue of an<br />
improvement notice allowing not less than 14 days to comply. Where there is<br />
an imminent risk of injury to health an emergency prohibition notice can be<br />
served requiring the immediate cessation of a process or use of equipment, or<br />
the closure of the premises; food which is regarded as unfit for consumption<br />
or is contaminated can be seized. However, most EHO’s prefer, in the first<br />
instance, to act by means of a letter specifying items to be remedied within a<br />
stated time, provided they are confident the work will be carried out.<br />
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Appendix 2<br />
Regeneration <strong>and</strong> Service of Cook Chill <strong>Food</strong><br />
HAZARD ANALYSIS & CRITICAL CONTROL POINTS (HACCP SYSTEM)<br />
<br />
Clevedon Community Hospital<br />
FOOD SAFETY ASSESSMENT FOR CHILLED FOOD<br />
Steps Critical Points Hazards Controls Monitoring/Regular Checks Action<br />
Regeneration H<strong>and</strong>ling Contamination Ensure strict personal <strong>hygiene</strong> is Senior member of staff to monitor, Address immediately if appropriate<br />
maintained<br />
visual checks<br />
st<strong>and</strong>ards are not met.<br />
Temperature<br />
Bacterial Growth<br />
(Temperature)<br />
Ensure food is 10°C discard<br />
If food is >5°C 75°C. If below use boost programme<br />
until temperature is achieved.<br />
Ensure food is within use by date<br />
Ensure correct sanitizing of probe,<br />
prior to <strong>and</strong> during use<br />
Record temperature of all items. Keep<br />
record for a minimum of 12 months.<br />
The responsibility for safe storage of<br />
records lies with the Hospital<br />
Manager. The records must be<br />
retained on site<br />
If not >75°C continue regeneration<br />
until temperature is achieved.<br />
Undertake calibration quarterly<br />
If out of date, discard<br />
Ensure regular calibration of probe.<br />
Visual check<br />
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Clevedon Community Hospital<br />
FOOD SAFETY ASSESSMENT FOR CHILLED FOOD<br />
Steps<br />
Service<br />
Critical<br />
Points<br />
H<strong>and</strong>ling<br />
Temperature<br />
Time<br />
Hazards Controls Monitoring/Regular<br />
Checks<br />
Contamination<br />
Bacterial Growth<br />
(Temperature +<br />
time)<br />
Ensure strict personal <strong>hygiene</strong><br />
adherence<br />
After regeneration transfer food<br />
immediately to hot holding. Do not<br />
allow food temperature <br />
one hour temperature probe to ensure<br />
>63°C<br />
Senior member of staff to monitor<br />
Record all temperatures <strong>and</strong><br />
maintain records for a minimum of<br />
12 months. The responsibility for<br />
safe storage of records lies with<br />
the Hospital Manager. The<br />
records must be retained on site<br />
Action<br />
Address immediately if<br />
appropriate st<strong>and</strong>ards are not<br />
met<br />
If food is > 63°C use within two<br />
hours. If below 63°C discard<br />
If food is to be served cold, ensure<br />
food does not exceed +10°C<br />
immediately prior to <strong>service</strong><br />
Record all temperatures <strong>and</strong><br />
maintain records for a minimum of<br />
12 months. The responsibility for<br />
safe storage of records lies with<br />
the Hospital Manager. The<br />
records must be retained on site<br />
If food is >5°C 10°C<br />
discard immediately<br />
<br />
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