RACH Feb 13

HEI Inspection

"Our inspection found that NHS Grampian is complying with most standards to prevent and control healthcare associated infection. Wards and clinical areas were clean, and good isolation facilities are available to ensure the risk of infection is reduced. We also identified areas for improvement including peripheral vascular catheter (PVC) documentation must record all the required information about insertion and maintenance of catheters. This will provide assurance that PVCs are being appropriately managed and reduce the risk of infection to patients."

Susan Brimelow - Chief Inspector

Royal Aberdeen Children's Hospital

Healthcare Environment Inspectorate (HEI) unannounced inspection

Inspection date: 6 December 2012

Summary of inspection

The Healthcare Environment Inspectorate (HEI) previously inspected Royal Aberdeen Children’s Hospital in October 2011. That inspection resulted in seven requirements and one recommendation.

We carried out an unannounced inspection to Royal Aberdeen Children’s Hospital on Thursday 6 December 2012. We assessed the hospital against the NHS Quality Improvement Scotland (NHS QIS) healthcare associated infection (HAI) standards and inspected the following areas:

  • assessment unit
  • day case unit
  • high dependency unit
  • medical ward
  • surgical unit, and
  • X-ray department.

We found that NHS Grampian 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, we found:

  • the ward environment and clinical areas inspected were clean, and
  • good isolation facilities are available and used by staff, patients and visitors to ensure the risk of infection is reduced.

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

  • Peripheral vascular catheter (PVC) maintenance bundle documentation needs to be amended to record all the required information about the insertion and maintenance of the catheter. This will provide assurance that PVCs are being appropriately managed, reducing the risk of infection to patients.

This report highlights areas of strengths as well as areas for further improvement, including requirements and recommendations.

This inspection resulted in two requirements and four recommendations.

NHS Grampian 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 Grampian for further information on progress against this action plan.

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Published Date: 12 February 2013

Scrutiny

Royal Aberdeen Children's Hospital overview

Find out more about this hospital, including the latest inspection report, on the Royal Aberdeen Children's 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.