INFECTION CONTROL ANNUAL STATEMENT JUNE 2019
This annual statement will be generated in year in June. It will summarise:
- Any infection transmission incidents and any action taken (these will be reported in accordance with our Significant Event procedure)
- Details of any infection control audits undertaken and actions undertaken
- Details of any control risk assessments undertaken
- Details of staff training
- Any review and update policies, procedures and guidelines
Marden Medical Practice has two leads for Infection Prevention Control, Sister Diana Simcox (Practice Nurse) and Kimberley Bartley (Health Care Assistant)
In the last year (01/04/2018-31/03/2019) there have been no significant events raised that related to infection control.
- An audit on Minor Surgery (for the period 01/04/2018-31/03/2019) was undertaken. The results are as follows:
165 Minor Surgery Procedures took place.
80% of procedures were sent off for histology (the remainder had no available tissue, due to the nature of the procedure. All histology results were benign.
4% of patients had an infection at the time of surgery and 2% of patients had inflammation or infection post-surgery. All were treated with antibiotics and fully resolved.
- A cleaning audit is carried at least bi-annually by Zoe George (Practice Manager). No major issues were noted, and those that were observed were not in areas accessible to patients, (see below).
- Tiles above sink in staff toilet to be deep cleaned
- Antibacterial wipes to be used daily when cleaning hand drier and soap dispensers
- Mirror in staff toilet to be cleaned regularly
- An Infection, Prevention Control in General Practice audit was completed by Sister Di Simcox and Kimberley Bartley on the 22/05/19. No major issues were noted, only a few minor problems, (see below).
- Elbow/wrist operable taps are to fitted in 3 treatments rooms
- A new foot stool is required for treatment rooms
- Some work surfaces need to be de-cluttered
- A shelf is required in 1 treatment room
- Rust is to be removed from 1 couch
- Sanitary bin is to be renamed in Baby Changing Room
- A clinical waste audit was carried out by Zoe George – Practice manager. The use of tiger stripped bags was a recommendation. These bags are not yet available on the Practice controlled waste account.
- A uniform audit was carried out by Zoe George – Practice Manager. The audit did not highlight any concerns.
The inadequacies that were noted are being addressed to ensure compliance. We aim to do more to share information with our patient and will therefore publish this Annual Statement on our practice website.
The Infection, Prevention Control leads carry out annual handwashing knowledge checks on all staff members, observing techniques and providing training if necessary. No issues were identified at the last check in May 2019.
Handwashing guides are displayed above all sinks in the Practice.
Marden Medical Practice employs its own cleaners and maintenance staff. Audits (as mentioned above) are carried out to ensure the standard of cleanliness and hygiene is maintained.
All staff are aware of the importance of Infection, Prevention Control and carry out visual checks to ensure that work spaces are clean.
There has been no feedback from patients that has indicated a problem with the hygiene and cleanliness level in the Practice.
All staff undertake Infection, Prevention Control training at induction and on an annual basis thereafter. Training records are then audited by the Practice Manager.
Modesty curtains in all consulting rooms are disposable and once opened are changed by the cleaning staff every 6 months, or sooner if soiled or damaged.
TOYS, BOOKS & MAGAZINES
We do not provide toys for children in the waiting room. We feel it is more important to manage the risk of potential infection than to entertain patients.
The only literature displayed in the waiting room comes in the form of patient information leaflets. These are changed regularly to reduced possible risks.
POLICIES, PROCEDURES & GUIDELINES
Policies and procedures relating to Infection, Prevention Control are reviewed and updated annually. However as new legislation and guidelines are introduced policies are updated before their set review date.
For and on behalf of Marden Medical Practice
Review: June 2020