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CQC evidencing compliance with outcome 8: what does it mean for you

Care Quality Commission

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CQC evidencing compliance with outcome 8: what does it mean for you

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    1. CQC – evidencing compliance with outcome 8: what does it mean for you? Tracey Cooper President Infection Prevention Society & DIPC – South London Healthcare NHS Trust

    2. Care Quality Commission & Regulation Independent regulator for health & social care Aim to ensure better care for everyone in hospital, in a care home, and at home Health & Social Care Act (2008) CQC regulatory framework: Outcome 8 Focus on care delivered: what is visible and reported by patients, visitors, staff

    3. Essential Quality Standards Legal requirement from Oct 2010 EQS 3: You can expect to be safe: You will be cared for in a clean environment where you are protected from infection. Outcome 8: ‘the Hygiene Code’ – evidence of systems and processes required.

    4. Where and when? Patients lay in the same clothing and blankets they had brought in with them. There was a lack of linen to make bandages, and a lack of other essential supplies. . . 2000 patients were expected to make do with 20 bedpans..... Scutari 1854

    5. Where & when? There were shortages of supplies including hand wipes, linen and bandages. We occasionally saw bedding and equipment left lying on the floor, and a lack of waste disposal bags, bedding and pillows. Maidstone & Tunbridge Wells 2007

    6. Cleanliness Still the most important issue for patients Increasing body of evidence that a clean environment contributes to reduction in infection (Wilcox et al. 2004, Hota 2004) Improves the experience for patients, visitors and staff

    7. National Standards NPSA Standards of Cleanliness Most recent: Revised Healthcare Cleaning Manual 2009 Standards for methods, frequencies Outcome specification – visual monitoring 49 elements

    8. Example audit score sheet

    9. Assessing Standards – enough? Easy to use? Comprehensive picture? Understandable to all? Based on very well established technology.................the ‘Mark 1 Eyeball’

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