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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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<strong>Food</strong> Hygiene <strong>and</strong><br />

Service Policy<br />

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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Service Policy<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 />

<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 />

<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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PS 244 05/2010 1 05/2012 20 of 20

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