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Includes how standards of cleanliness and hygiene maintained? To include cleaning logs, availability of cleaning products, hand gel, staff BBE/in line with policy, PPE, contamination procedures, clinical waste and sharps, uniform maintenance. Trust guidance and IPC team/information available.
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YESTERDAY
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TODAY
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- No dedicated resource to manage the cleaning contract, KPIs and SLAs were not regularly challenged
- Clinical Waste and Sharps were managed internally with very little EEAST management and oversight. The policy was out of date and legislation was not adhered to. No reporting on volumes of collections per site, each month to the Environment Agency.
- Drivers were not training in Dangerous Goods Awareness
- Vehicles used to collect clinical waste were not fitted with scales, therefore the vans would often exceed the legal limit
- PPE issued to waste drivers was insufficient
- No external audits were carried out on clinical waste collections to ensure that the service was adhering to statutory guidance
- The past eighteen months has been extremely challenging in relation to Infection Prevention and Control during the pandemic and we have worked extremely hard to ensure our patients and staff remain safe throughout a time of change at fast pace. Due to the need for our IPC team to restrict movement around the region, we were unable to undertake any quality assurance visits until very recently.
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- Cleaning logbooks are held locally at each station.
- Churchill’s performance is managed through monthly contract review meetings. The Trust has now recruited a full time Soft FM Officer to manage the contract.
- As part of the COVID response, additional daily touchpoint cleans are carried out at all stations.
- Regular audits are carried out on the quality of the cleaning; by Churchills, the contractor, and independently by Soft FM Officer at EEAST.
- All clinical waste drivers have now undertaken dangerous goods awareness training.
- Regular contract review meetings are undertaken with the waste providers to manage performance.
- External audits have been carried out at various sites to determine clinical waste compliance and any actions have been carried out
- Clinical waste drivers have been issued with PPE
- Scales have been fitted on the clinical waste vans to ensure no vehicles exceed the weight limit of 333kg. appropriate signage fitted on vans to ensure the public is aware of contents. waste is tagged and monthly returns to the environment agency are completed.
- In previous months, our IPC programme has been enhanced with the adoption of upscaled interim cleaning processes, working safely monitoring and COVID marshals.
- We continue to work closely with our contractors in relation to keeping our premises clean and safe for staff use.
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TOMORROW
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- Use Audit Online to enable central recording of any issues raised relating to cleaning standards and photographic evidence of resolution
- Clinical Waste tender specification has been broken down into 7 lots and will be released via Bravo by the end of the calendar year with the expectation that this service will be provided by an external contractor by the start of the new financial year. Embedded within the tender is the continued training for the clinical waste drivers under the Dangerous Goods Act.
- The Trust are working to segregate waste, to reduce landfill and enable a cost saving to the Trust.
- To ensure compliance with the Uniform Policy, additional monitoring of ‘bare below the elbows’ needs to be strengthened – the wearing of wrist watches was documented in 14% of audits within August. Focus also needs to be directed at labelling and safely sealing of sharps boxes and ensuring that we continue to work safely – wearing masks, social distancing and ventilating work areas such as stations and offices.
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