Topic and References Description What is currently in place What is needed to improve current position and date it should be completed by RAG rating Criterion 1 Systems to manage and monitor the prevention and control of infection. systems use risk assessments and consider the susceptible of service users and any risks that their environment and other users may pose to them Maintain and/or improve organisational arrangements for risk assessing, monitoring, reporting and reduction for Infection prevention and control For Example: There is an appropriately resourced/knowledgeable IPC team This annual programme will form part of the assurance framework and will be shared at team meetings The Assurance Framework will identify the key collective and individual responsibilities of staff within the organisation. The Infection Prevention Lead will provide updates at team meetings and provide the organisation with an annual report of progress against this plan. The Infection Prevention Lead will attend suitable training sessions and will disseminate learning to other staff within the organisation. Summaries of infection prevention practice will be made available to patients.
on infections to service users, their visitors and any person concerned with providing further support or nursing/medical care in a timely fashion. relevant personnel on transfer between organisations Inter-healthcare transfer form is available for completion by staff when patient/resident is transferred between organisations. Particular emphasis is placed on informing ambulance crew and receiving organisations when viral diarrhoea is suspected. Actively seek accurate information on infections when a person is transferred into our care. Criterion 5 Ensure prompt identification of people who have or are at risk of developing an infection so that they receive timely and appropriate treatment to reduce the risk of transmitting infection to other people. Care Home: GPs will provide initial advice. Care can also contact local health protection unit. Primary Care: Have a system in place to inform patients of infection and treatment. For Example: Care Home: has named GP to access for advice about infections. staff know how to contact the local health protection unit. Staff know when and how to take samples can identify the clinical signs of infection Primary Care: Have access to ICE (or similar system) which is monitored for incoming results. Results are communicated to patients via telephone. Persons at increased risk of infection are flagged on their notes.
All receive infection prevention training including cleaning of clinical equipment and spillages; sharps safety, use of personal protective equipment, safe disposal of waste and hand hygiene. Attendance at training sessions is recorded. Criterion 7 Provide or secure adequate isolation facilities Ensure that service users in a shared environment are protected from the spread of infection Primary Care – element not required Care Home – all residents have their own room with en suite facilities For Example: The majority of residents are accommodated within single en suite rooms, if not, then a risk assessment process is used to manage the resident and the environment, protecting other service users, visitors and staff. Primary Care- written process to follow in the of a service user accessing the facilities with a known or suspected infection. (personal protective equipment and level of cleaning needed) For Example: Planned upgrades to en suites to take place in 2020 Criterion 8 Secure adequate access to laboratory support as appropriate Ensure that key staff are able to access advice on laboratory reports, For Example Primary care Have access to ICE (or similar system) is monitored for incoming results.
infection status and treatment Care Home: element not required Primary Care: Have access to laboratory results Access to standard operating guidance from relevant microbiology laboratories Have access to specimen collection containers Have access to microbiologist when required for specific treatment advice Criterion 9 Have and adhere to policies, designed for the individual’s care and provider organisations, that will help to prevent and control infections” Have access to the Suffolk Infection Prevention Manual Manual on the CCG website. Annual audit to ensure that compliance with Suffolk Infection Prevention Manual. For Example: Electronic and paper copy of manual/policies available via the CCG website and in a yellow folder in the main office/behind reception. Participant in the bi-annual review of the Suffolk Infection Manual Hand hygiene posters available at all hand wash sinks. Monitor compliance with policies through a programme of – evidence of audit results Criterion 10 Providers have a system in place to manage the occupational health needs and obligations All staff can assess occupational health advice All clinical staff are offered vaccination For Example: All know how to access occupational health advice