NHS Facilities Management Workshop

1
NHS Facilities Management Workshop

• Hygiene Code and
• Deep Cleans
• The Welsh View

2
The Health Act 2006Hygiene Code

• How Organisations should work to ensure that
  patients are cared for in a clean and safe
  environment.

3
Hygiene Code 4 Duties

• Duty 1. Assess and Manage Risks
• Duty 2. Implement Clinical Care Protocols
• Duty 3. Ensure Healthcare workers have access
  to Occy Health
• Duty 4. Provide Induction Training.

4
Welsh View

• Ministers Paper
• Free to Lead
• Free to Care

5
5 Chapters

• Chapter 1 Fundamentals of Care
• Chapter 2 The Ward Environment
• Chapter 3 Cleaning
• Chapter 4 An All Wales Nursing Uniform
• Chapter 5 EduDev and Support for the Ward
  Sisters/Charge Nurses

6
Improve Intigration

• Hospital Environment Board
• Environment Cleanliness Group
• Zoned Hospital
• Task Finish Groups
• Champion Wards
• Cleanliness Directorate re-designed its Ops TD
  Programme

7
New Practices

• Cleanliness staff report to senior ward staff at
  start of every shift
• Senior ward staff supervisor sign off all daily
  cleans
• Senior ward staff and supervisor sign off all
  Additional Cleans
• All Additional Clean requests recorded on
  Trust database for monthly financial analysis

8
New Procedures

• Re-designed Training Programme
• Additional Cleaning Policy
• Cleaning Responsibilities Chart
• Service Level Agreements
• Customer Satisfaction Surveys
• Walkabouts

9
New Training One Day

• (Supervisors foundation managers)
• Induction uniforms, behaviour, policies
• Operational (BICSc) in-put out-put
• Patient / Public Perception - roll play
• Additional Cleans 5 levels
• Infection Prevention general bugs
• Waste Management
• Mandatory - MH, COSHH, Fire, HS

10
New Technology

• Steam Cleaners
• Micro Fibre Mopping and Cloth System
• Sanitizer Machines
• Single Action Chlorclene

11
Additional CleaningPolicy

• Level 1 General Clean
• Level 2 Barrier Clean
• Level 3 Bay Clean
• Level 4 Full Ward Clean
• Level 5 Ward Closure Clean

12
Area Method Frequency Responsibility
Bathrooms Bath and hoist to be cleaned with hot soapy water After Use Nursing
Bed pans / holders Clean with disinfector After Use Nursing
Bedside Tables Patient tables to be wiped with Cutan wipes Before every meal Nursing Cleaning
Audio / Visual systems Damp dust Daily Contractor
Blood Pressure Cuffs Alcohol wipes Daily Nursing
Commodes Clean tops and bottoms with soapy water. Daily Nursing
Beds Clean with hot soapy water On discharge Nursing Cleaning
Bedside Tables Clean with hot soapy water including wheels and base On Discharge Cleaning
Patient Lockers (inside) Clean inside and outside with soapy water On discharge Cleaning
Bed pans / holders Clean with hot soapy water Weekly Nursing
Bed Pan washer Clean with hot soapy water Weekly Nursing
Blood Gas Machines Clean with Alcohol Wipes Weekly Nursing
Computer Clinical work station accessories, i.e. stapler hole punch etc Damp dust Monthly Ward Clerk
CCTV Equipment Damp dust Monthly Works Estates
13
New Performance Auditing

• Cleanliness Quality Control Auditor
• In-put and Out-put monitoring
• Universal Trust wide Auditing tool C4C
• Cleanliness Trainer
• Operational (BICSc) and Performance

14
Compliance with Ministers Paper

• 13. COPC (Cleaning Operatives Proficiency
  Certificate) trained to
• 14. Standardising products for cleaning and
  infection control CSG, WHS, Micro fibre,
  Chlorene
• 15. National Standards of Cleanliness SLA
  being developed via C4C data
• 16. An All-Wales monitoring tool for
  cleanliness C4C in place

15
Compliance with Ministers Paper

• 17. Technical Hygienist PET/discussion
• 18. Specific items schedule Cleaning
  Responsibilities Chart
• 19. Assignment of Domestic staff in place
• 20. Recruitment for Ward Housekeeper / Domestic
  staff not in place
• 21. Rapid Response Team Bid at Board

16

• Thank You
• any Questions?