In line with the Health and Social Care Act 2008: Code of practice on prevention and control of infection and its related guidance, this Annual Statement will be generated each year.
It will summarise:
- Any infection transmission incidents and any lessons learnt and action taken
- Details of any infection prevention and control (IPC) audits undertaken and any subsequent actions taken arising from these audits
- Details of any issues that may challenge infection prevention and control including risk assessment undertaken and subsequent actions implemented as a result
- Details of staff IPC training
- Details of review and update of IPC policies, procedures and guidance
Infection Control Lead
The Infection Control Lead will enable the integration of Infection Control principles into standards of care within the practice, by acting as a link between the surgery and Dorset CCG Infection Control Team. They will be the first point of contact for practice staff in respect of Infection Control issues. They will help create and maintain an environment which will ensure the safety of the patient / client, carers, visitors and health care workers in relation to Healthcare Associated Infection (HCAI).
The Infection Control Lead will carry out the following within the practice:
- Increase awareness of Infection Control issues amongst staff and clients
- Help motivate colleagues to improve practice
- Improve local implementation of Infection Control policies
- Ensure that practice based Infection Control audits are undertaken
- Assist in the education of colleagues
- Help identify any Infection Control problems within the practice and work to resolve these, where necessary in conjunction with the local Infection Control Team
- Act as a role model within the practice
- Disseminate key Infection Control messages to their colleagues within the practice
Practice Infection Control Lead: Ann O’Riordan
Cleaning and Decontamination Lead: Ann O’Riordan
There have been no significant events reported regarding infection control issues in the period covered by this report.
AUDITS / RISK ASSESSMENT
The following audits/ assessments were carried out in the practice
Infection control annual audit – Date of assessment: May 2017
Recommendations and findings:
Waste Disposal Storage Area
It is recommended that the area is cleaned weekly, however the clinical waste is stored in a basement and therefore this is often overlooked. The Practice Managers will discuss whether the cleaning team can take this on as part of their cleaning schedule.
European Guidelines for Sterilisation
The Practice Manager will make this available for all staff (although we don’t sterilise in house, it is good practice.)
The Practice Manager will issue guidelines to all staff about decontamination of environment and equipment and ensure staff are aware of these.
The Practice Manager will ensure a chlorine releasing agent is available for disinfecting, that all staff are aware of the dilution proportion for disinfecting is known by all staff and that chemical disinfectants are used only for heat labile equipment via the creation of a new protocol that the staff will work to.
Good hygiene procedures to reduce the risk of cross infection were found whilst providing appropriate protection to staff.
Good hygiene procedures were found.
Use of Analytical Equipment
Good hygiene procedures were found.
Sharps Handling and Disposal
Good procedures found throughout.
Waste was found to be disposed of in a safe fashion.
Decontamination of Equipment
The Nurse Manager made assurances that good practice was being adhered to.
The practice uses an external company for this and good procedures are in place.
The clinical areas are well kept, clean and tidy.
Legionella risk assessment report including the recommendations for legionella control in the premises.
A risk assessment is completed annually by the Practice Business Manager in March. There were no issues. There is regular auditing of water supply and results available from Practice Business Manager.
Practice Policy and/or procedure in place to guide staff.
Clinical staff have annual infection control training.
POLICIES, PROTOCOLS AND GUIDELINES
Reviewed annually or earlier when appropriate due to changes in regulation and evidence based guidance. However the following will be reviewed by Practice Manager and re-issued:
Standard Infection Control Precautions
Isolation of Service Users with an Infection
Safe Handling and Disposal of Sharps
Prevention and management of Occupational Exposure to Blood and Body Fluids (including sharps injuries)
Safe Handling and Disposal of Waste
Packaging and Handling of Specimens
Immunisation of Patients
Decontamination of Re-usable Medical Devices and Equipment
Single Use Medical Devices
Outbreaks of Infection / Communicable Disease
Reporting of Infections to the Health Protection Agency or Local Authority
CJD / vCJD – handling of instruments and devices
Uniform Policy / Dress Code
Audit tool completed by:
James Leyland (Practice Manager)
Ann O’Riordan (Nurse Manager)
Annual Statement written by James Leyland (Practice Manager)