Care Quality Commission
1. CQC – evidencing compliance with outcome 8: what does it mean for you? Tracey Cooper
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.....
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
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’