20 May 2014
During an inspection looking at part of the service
At that inspection we found that improvements were needed to the decontamination process, to reduce the risks of cleaned instruments being contaminated again. We identified that infection prevention audits needed to be carried out more frequently in line with recommendations set out by the Department of Health. The practice's quality assurance processes were not robust as there were not always clear lines of accountability.
Following the inspection on 30 September 2013 we asked the provider to send us an action plan detailing how they would make the necessary improvements. The provider sent us an action plan which described the changes they would make.
We carried out an inspection on 20 May 2014 to confirm that the provider had made those improvements.
During our latest inspection on 20 May 2014 we saw that effective changes had been made to the layout of the decontamination room to ensure a clear flow of work from dirty to clean areas. More frequent audits of infection prevention and control (IPC) had been carried out every three months and these had been acted upon.
The provider had also initiated a more robust system of quality monitoring, with clear lines of accountability.