Raigmore Hospital Apr 11

Raigmore Hospital

Healthcare Environment Inspectorate (HEI) unannounced inspection

Inspection date: 1 March 2011

Summary of inspection

The Healthcare Environment Inspectorate (HEI) previously inspected Raigmore Hospital in December 2009. That inspection resulted in three requirements and eight recommendations.

We carried out an unannounced inspection to Raigmore Hospital on Tuesday
1 March 2011.

We assessed the hospital against the NHS Quality Improvement Scotland (NHS QIS) healthcare associated infection (HAI) standards and inspected the following areas:

  • intensive care unit
  • ward 4C (surgical)
  • ward 5A (medical elderly)
  • ward 7C (medical – renal/gastrointestinal), and
  • ward 10 (obstetrics).

Overall, we found evidence to suggest that NHS Highland is complying with the majority of NHS QIS HAI standards to protect patients, staff and visitors from the risk of acquiring an infection. In particular:

  • the hospital was clean and well maintained
  • compliance with dress code and uniform policy was good, and
  • there was good awareness and implementation of isolation procedures for patients with known infections.

However, we did find that further improvement is required in the following areas:

  • formal, documented cleaning schedules must be implemented across all wards and departments to ensure compliance with national standards
  • an education strategy needs to be finalised to ensure that staff receive regular education and training, and
  • communication of audit and surveillance results to ward staff needs to be improved to increase awareness of infections and inform improvements in the prevention and control of infection.

This inspection report highlights areas of strengths as well as areas for further improvement, including recommendations for actions.

This inspection resulted in eight requirements and three recommendations.

NHS Highland must address the requirements and the necessary improvements made, as a matter of priority.

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

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Published Date: 11 April 2011

Scrutiny

Raigmore Hospital overview

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