Woodend Hospital Aug 17

During our latest inspection of Woodend Hospital we found that the majority of patient equipment was clean and staff had a good knowledge about the safe management of blood and body fluid spillages. However, we also found a number of issues for improvement. For example, staff must complete mandatory training for healthcare associated infections.

Moreover, staff and volunteers should be informed of hand hygiene requirements and the use of personal protective equipment, and comply with them. We expect NHS Grampian to address these areas as a priority.”

Alastair McGown, Senior Inspector for Healthcare Improvement Scotland

Woodend Hospital

Healthcare Environment Inspectorate (HEI) unannounced inspection

Inspection dates: 30 - 31 May 2017

Summary of inspection

We carried out an unannounced inspection to Woodend Hospital from Tuesday 30 to Wednesday 31 May 2017. We previously inspected Woodend Hospital in February 2014. That inspection resulted in four requirements and two recommendations. The inspection report is available on the Healthcare Improvement Scotland website

Inspection focus

This was the first inspection of the hospital against the Healthcare Improvement Scotland Healthcare Associated Infection (HAI) Standards (February 2015). Before carrying out this inspection, we reviewed NHS Grampian’s self-assessment and the previous Woodend Hospital inspection report.

This informed our decision on which standards to focus on during this inspection:

  • Standard 2: Education to support the prevention and control of infection
  • Standard 3: Communication between organisations and with the patient or their representative (reviewed by public partner only)
  • Standard 6: Infection prevention and control policies, procedures and guidance, and
  • Standard 8: Decontamination.

We inspected the following areas:

  • stroke rehabilitation unit
  • ward 7 (orthopaedics)
  • ward 10 (orthopaedics)
  • ward 15 (intermediate care), and
  • ward 16 (intermediate care)

What the hospital did well

  • The majority of patient equipment was clean.
  • Ward staff spoke positively about their relationship with the infection prevention and control team.
  • Staff had a good knowledge about the safe management of blood and body fluid spillages

What the hospital could do better

  • Staff must complete mandatory HAI training.
  • Detailed action plans must be prepared to address non-compliance identified during audits.Governance oversight should then take place to ensure actions are carried out.
  • Staff and volunteers should comply with hand hygiene and the use of personal protectiveequipment for all patients, including those in isolation.

The report highlights areas of strength and weakness as well as areas for further improvement, including requirements and recommendations.

The inspection resulted in five requirements and one recommendation.

NHS Grampian must address the requirements and make the necessary improvements within the stated timescales.

'The improvement action plan for this inspection has now been removed from the Healthcare Improvement Scotland website, as the inspection took place more than 16 weeks ago.  Please contact NHS Grampian for further information on progress against this action plan'

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Published Date: 9 August 2017


Woodend Hospital overview

Find out more about this hospital, including the latest inspection report, on the Woodend Hospital overview page.


Types of inspections

Inspections may be announced or unannounced and will involve physical inspection of the clinical areas, and interviews with staff and patients. We will publish a written report 8 weeks after the inspection.

  • Announced inspection: the service provider will be given at least 4 weeks’ notice of the inspection by letter or email.
  • Unannounced inspection: the service provider will not be given any advance warning of the inspection.
  • Follow-up inspection: the NHS board and hospital may or may not be given advance notice of the inspection. A safety and cleanliness follow-up inspection will take place no later than 26 weeks from the publication of the initial report.