Healthcare Environment Inspectorate (HEI) unannounced
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
We carried out an unannounced inspection to Raigmore Hospital on
1 March 2011.
We assessed the hospital against the
NHS Quality Improvement Scotland (NHS QIS) healthcare associated
infection (HAI) standards and inspected the following
- 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,
- 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
- formal, documented cleaning schedules must be implemented
across all wards and departments to ensure compliance with national
- 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
This inspection resulted in eight requirements and three
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