Raigmore Hospital Aug 12

HEI Inspection

“We found that NHS Highland is complying with some of the standards to protect patients, staff and visitors from the risk of acquiring an infection. There was good awareness and implementation of isolation procedures for patients with known infections. However, we found that the standard of cleaning in the wards we inspected was poor, and compliance with standard infection control precautions was varied.”

Susan Brimelow - Chief Inspector

Raigmore Hospital

Healthcare Environment Inspectorate (HEI) unannounced inspection

Inspection dates: 26-27 June 2012

Summary of inspection

The Healthcare Environment Inspectorate (HEI) previously inspected Raigmore Hospital in March 2011. That inspection resulted in eight requirements and three recommendations.

We carried out an unannounced inspection to Raigmore Hospital on Tuesday 26 and Wednesday 27 June 2012.

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

  • ward 2C (oncology/haematology)
  • ward 4C (general surgery)
  • ward 5A (medicine of the elderly)
  • ward 6A (acute medical assessment), and
  • ward 6C (cardiology/general medicine).

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

  • there was good awareness and implementation of isolation procedures for patients with known infections, and
  • Up-to-date audit and surveillance data was displayed on the majority of wards inspected.

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

  • We found that the standard of cleaning on the wards inspected was poor.
  • Compliance with standard infection control precautions was varied throughout the wards inspected.
  • Senior charge nurses did not have full responsibility and accountability for domestic cleaning in their area.
  • All forms of communication between the infection control team and other staff was not clear and effective.

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

This inspection resulted in nine requirements and two recommendations.

Raigmore Hospital must address the requirement 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: 8 August 2012

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.