Gilbert Bain Hospital Mar 17

“During our inspection of Gilbert Bain Hospital we noted the standard of cleanliness of the environment and patient equipment was good.We also saw staff adhering to standard infection control precautions while carrying out their duties.

“However, it is important that NHS Shetland ensures that water cannot enter the accident and emergency unit and connecting corridors and that staff are aware of contingency plans in place to minimise the risk of infection.

“The NHS board has drawn up an action plan and we will continue to monitor this.”

Claire Sweeney, Interim Director of Quality Assurance

Gilbert Bain Hospital

Healthcare Environment Inspectorate (HEI) unannounced inspection

Inspection dates: 30 November and 1 December 2016

Summary of inspection

We carried out an unannounced inspection to Gilbert Bain Hospital on Wednesday 30 November and Thursday 1 December 2016. 

We previously inspected Gilbert Bain Hospital in November 2013. That inspection resulted in five requirements and two recommendations.

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 Shetland’s self-assessment and previous Gilbert Bain Hospital inspection reports.

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

  • Standard 4: HAI surveillance
  • Standard 6: Infection prevention and control policies, procedures and guidance, and
  • Standard 8: Decontamination.

We inspected the following areas

  • accident and emergency unit
  • imaging unit
  • maternity unit
  • renal unit
  • Ronas ward (general rehabilitation)
  • ward 1 (general surgery), and
  • ward 3 (general medicine).

What the hospital did well

  • Standard of equipment cleanliness was high.
  • Staff knowledge of standard infection control procedures was good.

What the hospital could do better

  • Take action to prevent water ingress in the accident and emergency unit and connecting corridors.
  • Implement contingency plans for the water ingress.

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

This inspection resulted in one requirement. The requirement is linked to compliance with the Healthcare Improvement Scotland HAI standards. The requirement can be found in Appendix 1.

NHS Shetland must address the requirement 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 Shetland for further information on progress against this action plan'.


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Published Date: 2 March 2017



Gilbert Bain Hospital overview

Find out more about this hospital, including the latest inspection report, on the Gilbert Bain 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.