Shannagh Bay Nursing Residence on Strand Street took measures to enhance its cleansing regime following a HIQA inspection which befell final October throughout an outbreak of Covid-19.
he Well being Data and High quality Authority has printed the findings of its unannounced inspection which befell on October 2, throughout an outbreak of the virus on the house.
Residents had been in isolation of their rooms throughout the inspection and had been speaking with workers positively. Selections had been being provided in relation to meals and drinks.
Visiting was suspended except for compassionate circumstances and digital visiting.
All important guests or service suppliers needed to register, full a questionnaire and endure a temperature test, sanitise their arms beneath workers supervision and don a masks and robe previous to entry.
Nursing and well being care workers had been spending time in residents rooms offering help with private care and through mealtimes if help was wanted. Inspectors noticed that workers engaged positively with the residents and responded rapidly to the decision bell when it rang.
This threat inspection was prompted by a big outbreak of Covid-19. Inspectors discovered that the centre was taking steps to implement public well being recommendation.
An outbreak of Covid-19 had been declared at Shannagh Bay on September 27. On the day of the inspection, 17 residents and 5 workers had been affected by the virus. This was the primary vital outbreak for the supplier.
The division of public well being was liaising with the registered supplier each day in relation to outbreak administration. An motion plan to help cohorting of Covid-19 and non Covid-19 residents was beneath method on the day of inspection and workers had been endeavouring to function distinct zones throughout the confines of flooring affected.
There was ample PPE and administration had accomplished the method of lowering the danger of Covid-19 within the centre, and planning for an outbreak.
Information confirmed procedures and practices within the centre had been revised to mirrored nationwide steering because the steering was up to date and printed.
Workers had been skilled in an infection management and prevention, together with hand hygiene and placing on and taking off PPE, in addition to respiratory care and swab testing.
Inspectors discovered that the cleansing preparations within the centre weren’t in step with nationwide requirements. This included the services obtainable, and the practices being adopted.
It was famous that there was a information hole within the administration staff, referring to finest follow in relation to some points of an infection prevention management, and this needs to be reviewed.
Whereas the supplier had plans in place to handle a Covid-19 outbreak, they needed to overview their method as they’d not deliberate for the dimensions of the outbreak and site of residents with Covid-19 by three flooring of the centre.
Data posters to help practices had been clearly displayed on entrance to and all through the centre. Workers adopted good hand hygiene strategies and applicable use of PPE.
Face safety masks had been worn by all healthcare employees and workers adherence to ‘Naked under Elbow’ initiatives was evident. Isolation precautions had been noticed and signage suggested workers as as to whether low contact or excessive contact PPE was required in every space. Signage was clearly displayed on residents’ doorways which had been closed.
Workers had been recording contact time with optimistic residents and actively monitoring for indicators and signs of the virus.
Segregation of healthcare threat and non-risk waste was evident and foot operated bins had been obtainable in most areas inspected.
Total the areas visited appeared clear.
There was a complete cleansing schedule in place, together with enhanced cleansing for ceaselessly touched surfaces.
The color-coded cleansing textiles and flat mops had been reprocessed after every use. There have been two housekeeping workers who had outlined obligations for Covid-19 and non Covid-19 rooms every day.
The reprocessing of linen, other than reusable cleansing textiles, had been outsourced to an industrial service supplier.
Nonetheless, the inspectors discovered that vital enchancment was required to make sure the secure administration of linen on the centre.
For instance, though the centre had a devoted facility for storage of fresh linen, additional provides of fresh linen had been inappropriately saved in open trolleys on corridors posing a threat of inadvertent contamination.
The designated assortment and distribution storage space for Linen was situated on a walkway resulting in the doorway of the constructing which was insecure. Linen was not coated when saved and transported on open trolleys. Reusable cleansing textiles had been reprocessed in a domestic-type washer on the centre.
An industrial-type washer was as a consequence of arrive shortly. The laundry facility was not visited on this inspection.
Within the cleansing room, the services, fixtures and fittings weren’t compliant with finest follow steering within the housekeeping.
Reusable spray bottles weren’t cleaned after use. There was no janitorial or gear sink and entry to a small sink was restricted. There was no cleaning soap, paper towels or PPE within the cleansing room, and the small measurement meant workers needed to clan trolleys. Different points included the storage of fresh textiles,
Renovation of the housekeeping was as a consequence of happen as a part of building at Shannagh Bay.
New cabinets have been put in and the laundry space secured. Industrial washing machines and a dryer have been put in.
The cleansing storeroom has been refurbished so far as is feasible quickly. All shelving has been repainted, new flooring was put in, and the storeroom reorganised in order that solely clear gadgets are saved within the space.
The hand washing sink is now simply accessible and dispensers for hand towels and cleaning soap put in.
As a part of the general nursing house refurbishment plan there will likely be an gear washing sink. Reusable spray bottles at the moment are marked with the date they’re crammed and are washed previous to being refilled.
New techniques are in place and all housekeeping workers have been skilled on the arrange of their trolleys, and the place used gadgets are to be saved on the trolleys.
There was no response from Shannagh Bay Nursing Residence on the time of going to press.