Infection Prevention & Control Champion Forum Moor Lane Mill, - - PowerPoint PPT Presentation

Infection Prevention & Control Champion Forum

Moor Lane Mill, Lecture Theatre 13 October 2016 2.00 – 4.00 pm

Housekeeping

Fire Exit &Test Alarm Toilets Refreshments

Agenda

• 1. Which audits need to be carried out?
• 2. How frequently do they need to be undertaken?
• 3. Who can carry out audits?
• 4. Why evidencing audits is important?
• 5. CQC Audit Visits
• 6. Your Audits: An opportunity to share models of good practice.
• 7. Next Meeting Topic

• 1. Which audits need to be carried out?
• Environmental
• Mattress

IPS Quality Improvement Tools

They will identify the extent of

• verall compliance with evidence

based criteria required to prevent/reduce the risk of infection.

• Commodes
• Catheter
• Hand Hygiene

28 Question Sets

Infection Prevention and Control Management - General Management Infection Prevention and Control Management - Staff Health Infection Prevention and Control Management - Staff Training Infection Prevention and Control Management - Guidelines / Policies Question Set: Environment - Reception Environment Room Function: Lobby/Reception/Entrance Lounge/Living/Sitting Room Question Set: Environment - Dining Environment Dining Room/Cafe Question Set: Environment - Resident Bedrooms - General Bedroom Question Set: Environment - Bathroom Environment Room Function: Bath/Shower Room Question Set: Environment - Toilet Environment Room Function: Toilet Question Set: Environment - Clean Utility Environment Room Function: Clean Utility Question Set: Environment - Dirty Utility Environment Room Function: Dirty Utility/Sluice Question Set: Environment - Housekeeper/Cleaners Room Room Function: Cleaners/Domestics Room Question Set: Linen Management - Linen Management Question Set: Laundry Room - Laundry Room Question Set: Food Hygiene - Food Storage Question Set: Food Hygiene - Water Cooler/Ice Making Machines Question Set: Food Hygiene - Food Handling/Serving Question Set: Sharps Handling and Disposal - Sharps Handling and Disposal Question Set: Waste Management - Waste Management Question Set: Personal Protective Equipment - Personal Protective Equipment Question Set: Pets and Pet (as Therapy) Visitors - Pets Question Set: Resident Equipment - Management of Equipment Question Set: Resident Equipment - Monitoring & Physiological Equipment Question Set: Resident Equipment - Resuscitation Equipment Question Set: Resident Equipment - Respiratory Equipment Question Set: Resident Equipment - Manual Handling Equipment Question Set: Resident Equipment - Miscellaneous Equipment

Process Improvement Tools (PIT)

These are tools designed for detailed measurement of all aspects of practice/environment. These tools are very comprehensive and will give a good overall indication of how well the areas are doing and should not need repeating frequently.

Rapid Improvement Tool (RIT)

These tools are shorter and intended to be used on a frequent basis. It is recommended that if service is persistently poor as measured by the RIT, despite improvement efforts, that a more detailed assessment using the PIT is undertaken.

4 Question Sets

Question Set: Care Homes RIT - Infection Prevention and Control Management Question Set: Care Homes RIT - Environment Question Set: Care Homes RIT - Sharps Management Question Set: Care Homes RIT - Personal Protective Equipment

• 2. How frequently do they need to be undertaken?

Weekly Monthly 6 Months Annually

Environment (RIT) Environment (PIT)

Mattress

Commodes Catheters Hand Hygiene

• 3. Who can carry out audits?

Manager

General Management Staff Health Staff Training Guidelines / Policies Bedroom Bathroom Linen Management

Senior Carer

Dining Room/Cafe Lobby/Reception/Entrance Lounge/Living/Sitting Room Laundry Room

Domestics

Cleaners/Domestics Room Clean Utility Dirty Utility/Sluice Manual Handling Equipment Waste Management

Registered Nurse

Sharps Handling and Disposal Monitoring & Physiological Equipment Resident Equipment - Resuscitation Equipment

Kitchen Staff

Food Storage Water Cooler/Ice Making Machines Food Handling/Serving

• 4. Why evidencing audits is important?

Accountability Regulations

Part 2: The Code of Practice

The table below is the ‘Code of Practice’ for all providers of healthcare and adult social care on the prevention of infections under The Health and Social Care Act 2008. This sets out the 10 criteria against which a registered provider will be judged on how it complies with the registration requirements related to infection prevention. Not all criteria will apply to every regulated activity. Parts 3 and 4 of this document will help registered providers interpret the criteria and develop their own risk assessments. What the registered provider will need to demonstrate Systems to manage and monitor the prevention and control of infection. These systems use risk assessments and consider the susceptibility of service users and any risks that their environment and other users may pose to them. Provide and maintain a clean and appropriate environment in managed premises that facilitates the prevention and control of infections. Ensure appropriate antimicrobial use to optimise patient outcomes and to reduce the risk of adverse events and antimicrobial resistance. Provide suitable accurate information on infections to service users, their visitors and any person concerned with providing further support or nursing/ medical care in a timely fashion. Ensure prompt identification of people who have or are at risk of developing an infection so that they receive timely and appropriate treatment to reduce the risk of transmitting infection to other people. Systems to ensure that all care workers (including contractors and volunteers) are aware of and discharge their responsibilities in the process of preventing and controlling infection. Provide or secure adequate isolation facilities. Secure adequate access to laboratory support as appropriate. Have and adhere to policies, designed for the individual’s care and provider organisations that will help to prevent and control infections. Providers have a system in place to manage the occupational health needs and obligations of staff in relation to infection. Compliance criterion 1 2 3 4 5 6 7 8 9 10

• 5. CQC Audit Visits

Five Key Questions CQC inspectors use professional judgement, supported by objective measures and evidence, to assess services against their five key questions:

• Are they safe?
• Are they effective?
• Are they caring?
• Are they responsive to people’s needs
• Are they well-led?

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/449049/Cod e_of_practice_280715_acc.pdf

• 6. Your Audits: An opportunity to share models of good

practice.

• 7. Next Meeting Topic
• Transmission of Infection
• CDI
• MRSA
• Scabies
• Norovirus