control programme and meet the needs of the organisation. Standard 3.3: Policies and procedures FA The infection control policies and procedures have been developed by the organisation and reflect current accepted good practice. The service has Documented policies and procedures for the access to good practice resources from a specialist infection prevention and prevention and control of infection reflect current control consultancy and benchmarking services. The policies are appropriate accepted good practice and relevant legislative to the services offered by the facility. requirements and are readily available and are implemented in the organisation. These policies Staff demonstrated knowledge and understanding of standard precautions and procedures are practical, safe, and and stated they undertake actions according the policies and procedures. appropriate/suitable for the type of service Staff were observed to be washing hands and using personal protective provided. equipment appropriately. Standard 3.4: Education FA The infection control coordinators/managers conduct most of the infection control education. are some visiting specialists who provide infection The organisation provides relevant education on control education and self-directed learning packages. The infection control infection control to all service providers, support coordinators/managers demonstrated current knowledge in infection staff, and consumers. prevention and control. They attended ongoing education on current good practice in infection prevention and control. As required, infection control education can be conducted informally with residents, such as reinforcement of infection control practices with washing hands, blowing noses, cough etiquette and personal hygiene when assisting with toileting. Standard 3.5: Surveillance PA Low The service uses standardised definitions applicable to aged care that are provided by the external benchmarking service to identify infections. The type Surveillance for infection is carried out in of surveillance undertaken is appropriate to the aged care service with data accordance with agreed objectives, priorities, and collected on urinary tract infections, influenza, skin infections and respiratory methods that have been specified in the infection tract infections. There is monthly collection and collation of the types and control programme. numbers of infection in both the rest home and hospital services, though there was limited evaluation of this data (refer to 3.5.7). The data is also benchmarked on a quarterly basis with an external benchmarking service. The perspective provider intends to maintain the current infection control systems, with additional reporting of the statistics and analysis to their organisational wide governance/quality team. The outcomes are fed back to the staff at the next staff meeting. The infection surveillance records include the review and analysis of an outbreak that
control programme and meet the needs of the organisation. Standard 3.3: Policies and procedures Documented policies and procedures for the prevention and control of infection reflect current accepted good practice and relevant legislative requirements and are readily available and are implemented in the organisation. These policies and procedures are practical, safe, and appropriate/suitable for the type of service provided. FA The infection control policies and procedures have been developed by the organisation and reflect current accepted good practice. The service has access to good practice resources from a specialist infection prevention and control consultancy and benchmarking services. The policies are appropriate to the services offered by the facility. Staff demonstrated knowledge and understanding of standard precautions and stated they undertake actions according the policies and procedures. Staff were observed to be washing hands and using personal protective equipment appropriately. Standard 3.4: Education The organisation provides relevant education on infection control to all service providers, support staff, and consumers. FA The infection control coordinators/managers conduct most of the infection control education. are some visiting specialists who provide infection control education and self-directed learning packages. The infection control coordinators/managers demonstrated current knowledge in infection prevention and control. They attended ongoing education on current good practice in infection prevention and control. As required, infection control education can be conducted informally with residents, such as reinforcement of infection control practices with washing hands, blowing noses, cough etiquette and personal hygiene when assisting with toileting. 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. PA Low The service uses standardised definitions applicable to aged care that are provided by the external benchmarking service to identify infections. The type of surveillance undertaken is appropriate to the aged care service with data collected on urinary tract infections, influenza, skin infections and respiratory tract infections. There is monthly collection and collation of the types and numbers of infection in both the rest home and hospital services, though there was limited evaluation of this data (refer to 3.5.7). The data is also benchmarked on a quarterly basis with an external benchmarking service. The perspective provider intends to maintain the current infection control systems, with additional reporting of the statistics and analysis to their organisational wide governance/quality team. The outcomes are fed back to the staff at the next staff meeting. The infection surveillance records include the review and analysis of an outbreak that
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