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GO Online: Inspection toolkit

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Infection, prevention and control

Infection prevention and control responsibilities will vary across different types of service. The CQC inspection will be shaped around your service and associated responsibilities to comply with your own policies and procedures, as well as national guidance.

The following film provides a summary of this area of inspection. It can help you and your teams learn about what will be inspected and what is important to demonstrate to deliver good or outstanding care.

Introducing Infection, prevention and control

Duration 02 min 30 sec

The CQC monitoring and inspection on Infection, prevention and control will look at how you protect people, and how effective the service is in responding to outbreaks.

Staff will be expected to be trained, knowledgeable, and competent. They must comply with guidelines around the use of personal protective equipment and other mitigations.

Where the people use or live at your premises, these will need to be kept clean and free from infection. In community-based care, staff play an important role in Infection, Prevention and Control of people’s own home environments.

Staff should be empowered to raise concerns, external agencies should be alerted as appropriate … and if any areas for improvement are identified, these should be addressed.

If your service supports people around food preparation and storage, additional training appropriate to their role will be required. Regular cleaning must be to a consistently high standard.

You must maintain clear records, including evidence of audits, spot checks and other approaches to ensure standards are met. The CQC may also be looking at how you are protecting people and your team by promoting testing and vaccination opportunities.

The CQC will also want to know what processes and procedures you have in place for notifying themselves and other agencies of outbreaks and for responding to outbreaks. CQC inspectors will prepare for inspections by reviewing data and documentation provided in advance.

Inspectors may subsequently interview a range of managers, staff and people who use or engage with your service.

The inspectors may look at:

  • infection control-related induction and training arrangements
  • cleaning schedules, hygiene, and infection control policies and records
  • and your Food Standard Agency rating.

We hope the recommendations, examples and resources in GO Online help you to meet or exceed this area of CQC inspection.

Watch the film here: https://vimeo.com/789624623

Recommendations

These recommendations act as a checklist to what the CQC will be looking for. Skills for Care has reviewed hundreds of inspection reports and identified these recommendations as recurring good practice in providers that meet CQC expectations.

The CQC is non-prescriptive, which means they don’t tell you what must be done in order to meet their Quality Statement. These recommendations are not intended to be a definitive list and some recommendations might not be relevant to your service. We hope they help you reflect on what evidence you might wish to share with the CQC.

Infection, prevention and control

  • We can evidence how our infection, prevention and control measures are aligned with the latest good or best practice. We review latest research and contribute to it where possible.
  • We’ve identified people who are clinically vulnerable from infections and implemented additional processes and procedures to keep them as safe as possible.
  • We involve the people we support (and/or their family/advocates) in identifying and managing risks associated with cleanliness, infection control and hygiene.
  • We proactively promote cleanliness, including ensuring where people live is safe and hygienic.
  • We’ve assessed the impact on residents and the people we support of how PPE may cause fear and anxiety for the people we support, particularly those who have limited mental capacity, and have mitigated these concerns.
  • The people we support know how to raise any concerns or complaints around infection, prevention and control if they think it’s unsafe or not effective, without fear or discrimination.
  • We have open and transparent meetings about interventions e.g., vaccines – if someone is finding it difficult to comprehend, we will ask external trusted professionals to speak to the team/residents / relatives e.g., GP / Pharmacist.
  • Our training covers the basics such as handwashing, through to safe use of PPE and more specialist precautions such as outbreak management, food hygiene, nosocomial and community infections.
  • Where possible, we provide infection, prevention and control training to the people we support, not just our staff team.
  • Where relevant to our service, our staff team are trained and know how to immediately instigate full infection control measures to care for people with symptoms to avoid viruses spreading to other people and staff.
  • Where relevant to our service, we have infection, prevention and control measures that ensure visitors are protected from harm to themselves and others.
  • Where relevant to our service, we have excellent communication methods with visitors and relatives to inform them of any outbreaks / changes in visiting.
  • We provide protective clothing and associated aids to staff and the people we support (e.g., alcohol gels and hand washes, shoe covers, gloves, aprons, and face masks).
  • All the equipment we use to support the monitoring of the people we support meets infection, prevention and control measures and decontamination standards (e.g., guidance/code of practice.).
  • We have a clear cleaning schedule and ensure it’s accessible and regularly updated. We undertake regular deep cleaning and ensure effective records are kept which help to inform when further intensive cleaning may be required.
  • We encourage opportunities to keep our staff and the people we support safe using of vaccinations and testing where possible.
  • We have created a culture which encourages people and staff to raise concerns about cleanliness, infection control and hygiene.
  • We use infection, prevention and control experts and/or internal champions to help protect from the risk of cross infections.
  • We have a good understanding of when and how to access local infection prevention and control resources (e.g., the local health protection team or infection control nurse) when they need advice and support.
  • We have clear procedures in place to notify others about COVID-19 outbreaks and other infectious diseases impacting our service.
  • We develop and maintain clear policies and procedures for staff to follow that align with infection, prevention and control good practice, including regular spot checks and audits.
  • Where relevant to our service, we ensure that there’s prominent signage and instructions at our service to explain what people should do to ensure safety.
  • We have a strategy for continuous improvement in infection, prevention and control, including accountable leadership, multi-agency working and the use of surveillance systems. This is in accordance with NICE Quality Standards.
  • We ensure managers and staff know how to escalate issues and alert appropriate agencies to help control infection and protect others using the service or in the community.

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