Infection Control Audit in Care Homes

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Infection Control Audit in Care Homes

• Dawn Hill
• Nurse Consultant Welsh Healthcare Associated
  Infection Programme
• National Public Health Service Wales

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Outline of the Presentation

• Community HCAI Strategy requirement to have
  audit programmes in place
• Background to audit in Infection Control
• Gwent Health Community Clinical Governance
  Collaborative Infection Control Audit Tool
• Pilot outcomes
• Using the tool

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Healthcare Associated Infections A Community
Strategy for WalesSeven Domains

• National standards
• Infrastructure and organisation
• Training and education
• Audit and surveillance
• Interventions and developments of performance
  indicators
• Information technology and Communications
• Occupational Health

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Audit and Infection Control
West Midlands Audit Tools were used as an
objective means of monitoring standards of
Infection Control Practice
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The value of audit in assessing Infection Control
Practices

• Provision of data on compliance with policies and
  procedures
• Identification of specific problems/risks
• Prioritisation of actions and resources targeted
  according to risk
• Improved practices
• Policy revision to ensure they are realistic and
  achievable

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ICNA Audit Tools
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Audit Tool Standards (Community)

• Hand Hygiene
• Environment
• Kitchens
• Waste
• Body Fluid Spillages
• Protective Clothing
• Sharps handling and disposal
• Specimen Handling
• Vaccine Transport and storage
• Decontamination

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Gwent Health Community Clinical Governance
Collaborative

• Quality
• Infection Control Practices
• Infection Control Audit Tool for use within Care
  Homes in Gwent
• Self audit
• Monitoring and improving the quality of practices
  and patient care

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Gwent Health Community Clinical Governance
Collaborative Audit Tool
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Audit Tool Contents

• Infection Control Management
• Environment
• General, Sluice, Pets, Linen
• Hand Hygiene
• Personal Protective Equipment
• Disposal of Waste and Spillage Management
• Prevention of Sharps Injuries
• Specimen Handling

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Audit Tool Pilot

• Three care homes to date
• Ty Ceirious Torfaen
• Woffington House Blaenau Gwent
• Summerhill Nursing Home Newport
• Aim
• Test the audit tool in practice and assess the
  suitability of the questions

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Pilot findings

• Some amendments made to questions
• Waste handling
• Infection prevention management
• Include criteria for kitchens
• Inclusion of references/Sources of information
  for relevant standards
• Changes to scoring system

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Scoring

• Percentage Compliance replaced
• with
• Traffic light
• Green Criteria is met in full
• Amber Criteria is met in part
• Red Criteria not met

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Criteria - Infection Management
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Criteria Hand Hygiene
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Criteria Environment
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Criteria Sharps Handling
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Action Plan

• Action required for each amber or red response
• Feedback to colleagues in staff meetings and
  teaching sessions required to generate ownership
  and motivate improvement where required
• Recognise good practice

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Feedback Reports/Action Plans
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Planning Audit Programmes
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Benefits of Audit Programmes in Care Homes

• Reassures clients and relatives that Infection
  Prevention and Control is a high priority for the
  Care Home
• Useful indicator of quality
• Use as supporting evidence for CSSIW Inspections

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What should you do if you would like to use the
audit tool

• Leave your contact details on the desk as you
  leave
• You will be sent a copy of the revised audit tool
• Feedback would be helpful

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Summary

• Audit of infection control practices and the
  environment - requirement of the Community HCAI
  Strategy
• The Gwent HCCGC have produced and piloted a local
  Audit Tool
• The Audit Tool can be used by Care Homes staff to
  undertake self audit -recognising good practice
  and making improvements where required