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

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�