are practical, safe, and appropriate/suitable for the type of service provided. Standard 3.4: Education FA The IC coordinator is responsible for coordinating/providing education and training to staff. The orientation package includes specific training around hand washing The organisation provides relevant education and standard precautions. IC training was last provided July 2015. on infection control to all service providers, support staff, and consumers. The IC coordinator has received education by an external provider to enhance her skills and knowledge. The IC coordinator has access to the Bupa intranet with resources, guidelines best practice and benchmarking. A number of toolbox have been provided including (but not limited to) managing and preventing respiratory infections. Standard 3.5: Surveillance CI The surveillance policy describes and outlines the purpose and methodology for the surveillance of infections. The IC coordinator uses the information obtained Surveillance for infection is carried out in through surveillance to determine IC activities, resources and education within accordance with agreed objectives, priorities, the facility. and methods that have been specified in the infection control programme. Internal IC audits also assist the service in evaluating infection control needs. There is close liaison with the general practitioners and community laboratory that advise and provide feedback/information to the service. Systems in place are appropriate to the size and complexity of the facility. Effective monitoring is the responsibility of the IC coordinator. This includes audits of the facility, hand hygiene and surveillance of infection control events and infections. Surveillance data is available to all Infections statistics are included for benchmarking. Corrective actions are established where infections are above the benchmark. There has been a significant reduction in the number of urinary tract infections. All infections are documented monthly in an infection control register is now electronic (from August 2017). Standard 2.1.1: Restraint minimisation FA The service has documented systems in place to ensure the use of restraint is actively minimised. There were eleven hospital level residents with restraints and Services demonstrate that the use of restraint two residents using an enabler. is actively minimised. Staff interviews and staff records evidenced guidance has been given on restraint minimisation and safe practice (RMSP), enabler usage and prevention and/or techniques. Policies and procedures include definitions of restraint and
are practical, safe, and appropriate/suitable for the type of service provided. Standard 3.4: Education The organisation provides relevant education on infection control to all service providers, support staff, and consumers. FA The IC coordinator is responsible for coordinating/providing education and training to staff. The orientation package includes specific training around hand washing and standard precautions. IC training was last provided July 2015. The IC coordinator has received education by an external provider to enhance her skills and knowledge. The IC coordinator has access to the Bupa intranet with resources, guidelines best practice and benchmarking. A number of toolbox have been provided including (but not limited to) managing and preventing respiratory infections. Standard 3.5: Surveillance Surveillance for infection is carried out in accordance with agreed objectives, priorities, and methods that have been specified in the infection control programme. CI The surveillance policy describes and outlines the purpose and methodology for the surveillance of infections. The IC coordinator uses the information obtained through surveillance to determine IC activities, resources and education within the facility. Internal IC audits also assist the service in evaluating infection control needs. There is close liaison with the general practitioners and community laboratory that advise and provide feedback/information to the service. Systems in place are appropriate to the size and complexity of the facility. Effective monitoring is the responsibility of the IC coordinator. This includes audits of the facility, hand hygiene and surveillance of infection control events and infections. Surveillance data is available to all Infections statistics are included for benchmarking. Corrective actions are established where infections are above the benchmark. There has been a significant reduction in the number of urinary tract infections. All infections are documented monthly in an infection control register is now electronic (from August 2017). Standard 2.1.1: Restraint minimisation Services demonstrate that the use of restraint is actively minimised. FA The service has documented systems in place to ensure the use of restraint is actively minimised. There were eleven hospital level residents with restraints and two residents using an enabler. Staff interviews and staff records evidenced guidance has been given on restraint minimisation and safe practice (RMSP), enabler usage and prevention and/or techniques. Policies and procedures include definitions of restraint and
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