focus on 10 bedded area allocated when ADON on duty Ongoing Ongoing Review Intermittent deep available to perform a Intermittent Deep clean as staffing deep clean to cleans carried out . allows supplement daily cleaning New Duties, Roles September 2016 and responsibilities Implement deep clean Hygiene Schedule and Cathrina Ryan April 2016 being drafted and rota of rooms where duties being A/ODON discussed by all furniture and beds redesigned in line Irene O’Connor management and are pulled out, with recruitment of Facilities Union cleaned, returned to new staff same at representation. – room e.g. Room 1 + 2 discussion level with Meetings ongoing every Monday. 3+4 Hospital Management and issues being every Tuesday and Union progressed. Representation Vacuuming reintroduced April Closed Reintroduce Recruitment of Cathrina Ryan April 2016 2016. vacuuming in patient Hygiene MTA areas Maintained on Risk Ongoing and register. Ongoing monthly monitoring Monitoring of Monthly Hygiene Bridget Kelly CNM2 Ongoing and and monthly environmental audits being carried Monthly monitoring hygiene out at ward level. Ongoing risk on Hospital Risk Register Standard 3 Lack of staff changing Room identified as Room designated as Philip Brennan Completed Temporary changing Closed Environment and facilities for temporary temporary staff Facilities room in use. Closed Facilities Endoscopy staff changing area changing area. Plans Management for upgraded staff Celia Dwan changing area when CNM2 more floor space is designated to Cathrina Ryan Endoscopy A/ODON Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review
focus on 10 bedded area Intermittent deep clean as staffing allows Implement deep clean rota of rooms where all furniture and beds are pulled out, cleaned, returned to room e.g. Room 1 + 2 every Monday. 3+4 every Tuesday Reintroduce vacuuming in patient areas Monitoring of environmental hygiene allocated when available to perform a deep clean to supplement daily cleaning Hygiene Schedule and duties being redesigned in line with recruitment of new staff – same at discussion level with Hospital Management and Union Representation Recruitment of Hygiene MTA Monthly Hygiene audits being carried out at ward level. Ongoing risk on Hospital Risk Register ADON on duty Cathrina Ryan A/ODON Irene O’Connor Facilities Cathrina Ryan Bridget Kelly CNM2 Ongoing April 2016 April 2016 Ongoing and Monthly Intermittent Deep cleans carried out . New Duties, Roles and responsibilities being drafted and discussed by management and Union representation. Meetings ongoing and issues being progressed. Vacuuming reintroduced April 2016. Maintained on Risk register. Ongoing and monthly monitoring Ongoing Review September 2016 Closed Ongoing and monthly monitoring Standard 3 Environment and Facilities Management Lack of staff changing facilities for Endoscopy staff Room identified as temporary changing area Room designated as temporary staff changing area. Plans for upgraded staff changing area when more floor space is designated to Endoscopy Philip Brennan Facilities Celia Dwan CNM2 Cathrina Ryan A/ODON Completed Temporary changing room in use. Closed Closed Standard Findings/ Non Compliance Action Plans Action Taken Lead Responsibility Target Timeframe Progress To Date Review