Cleaning Standards in General Practice



The XXX Custody Suite Cleaning Standards

Introduction

The cleanliness of any health care environment is important to support infection prevention and control and ensure patient confidence. In 2010 The National Patient Safety Agency (NPSA) published “The national specifications for cleanliness in the NHL: A framework for setting and measuring performance outcomes in primary medical and dental care premises”. The xxx Police Force has adopted this guidance where it is applicable to the services provided.

The aims of this cleaning plan:

• To assist xxx Constabulary in promoting confidence amongst, (patients) detainees, service users, and staff that their facilities are clean and fit for purpose.

• To support good infection prevention and control practices;

• To provide assurance to their commissioners and regulators that the premises that this practice delivers healthcare services are clean and fit for purpose.

The objectives of this cleaning plan

• To identify the cleaning requirements for the premises/ custody suites as identified in The National specifications for cleanliness;

• To set out and implement a plan that meet the cleaning requirements of the facilities/ police force/ NHS Commissioners

• To identify and allocate resources efficiently and effectively;

• To set out and implement a quality assurance process by which the police force/ NHS commissioners can monitor progress and compliance against standard.

• To ensure the standards of cleanliness in the custody suites medical rooms meet the expectations of detainees and staff across xxx Constabulary.

• All staff undertaking cleaning within the custody medical rooms will understand their role and the cleanliness outcomes required.

• Ensure any contractor employed by the police force has an up-to date cleaning manual detailing how to complete each task along with comprehensive risk assessments.

Cleaning Standards:

|Element |Standard |Rationale |Frequency of |Product type |Responsibility |

| | | |Cleaning | | |

|Weighing Scales |All parts including |To prevent the |One full clean daily|Detergent. |Cleaning contractors |

| |underneath should be|spread of |– ad hoc should if | | |

| |visibly clean, with |infection between |required |Disinfectant if | |

| |no blood or bodily |clients. | |blood or body fluids| |

| |substances, dust, | | |visible. | |

| |dirt, debris or | | | | |

| |spillages | | | | |

|Clinical Equipment |All parts including |To prevent the |One full clean daily|Detergent. |Healthcare Providers |

|incl.Blood Pressure |underneath should be|spread of |– spot cleaning as | | |

|Machine, O2 monitor |visibly clean, with |infection between |required |Disinfectant if | |

|etc. |no blood or bodily |clients. | |blood or body fluids| |

| |substances, dust, | | |visible. | |

| |dirt, debris or | | | | |

| |spillages | | | | |

|Examination Couch |All parts including |To prevent the |Paper roll should be|Detergent. |Healthcare Providers |

|(wherever possible the|castors / feet |spread of |used for each | | |

|couch should be |should be visibly |infection between |patient OR wiped |Disinfectant if | |

|adjustable height and |clean, with no blood|clients. |after each use. |blood or body fluids| |

|placed in the centre |or body substances, | | |visible. | |

|of the room adhere to |dust, dirt, debris | |AND | | |

|Health & Safety |or spillages. | | | | |

|guidelines) | | |Full daily clean | | |

| | | |with spot cleaning | | |

| | | |as required | | |

|Switches, Sockets and |All wall fixtures, |To prevent the |One full clean |Detergent. |Cleaning contractors |

|Data Points |e.g. switches, |spread of |weekly | | |

| |sockets, data points|infection between | |Disinfectant if | |

| |should be visibly |clients. | |blood or body fluids| |

| |clean with no blood | | |visible. | |

| |or bodily | | | | |

| |substances, dust, | | | | |

| |dirt, debris, | | | | |

| |adhesive tape or | | | | |

| |spillages | | | | |

|Dressing Trolleys |All parts including |To prevent the |Daily full clean |Detergent. |Healthcare Provider |

| |castors / feet |spread of | | | |

| |should be visibly |infection between |AND |Disinfectant if | |

| |clean, with no blood|clients | |blood or body fluids| |

| |or body substances, | |After each use. |visible. | |

| |dust, dirt, debris | | | | |

| |or spillages | | | | |

|Walls |All wall surfaces |To prevent the |Dust weekly, spot |Detergent. |Cleaning contractors |

| |including skirtings |spread of |cleaning as required| | |

| |should be visible |infection between | |Disinfectant if | |

| |clean with no blood |clients |AND |blood or body fluids| |

| |or body substances, | | |visible. | |

| |dust, dirt, debris | |Full wash annually | | |

| |or spillages | | | | |

|Ceiling |All ceiling surfaces|To prevent the |Dust weekly, spot |Detergent. |Cleaning contractors |

| |should be visibly |spread of |cleaning as required| | |

| |clean with no blood |infection between | |Disinfectant if | |

| |or body substances, |clients | |blood or body fluids| |

| |dust, dirt, cobwebs | |AND |visible. | |

| |or debris | | | | |

| | | |Full wash annually | | |

|All doors including |All parts of the |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

|handles |door structure |spread of |including handles | | |

| |should be visibly |infection between |and door plates. |Disinfectant if | |

|N.B. This includes |clean so that all |clients |Spot clean more |blood or body fluids| |

|toilet and cupboard |door surfaces, | |frequently if |visible. | |

|doors. |vents, frames, and | |required. | | |

| |jambs have no blood | | | | |

| |or body substances, | | | | |

| |dust, dirt, debris, | | | | |

| |adhesive tape or | | | | |

| |spillages. | | | | |

|All internal glazing, |All internal glazed |To prevent the |One full clean every|Detergent. |Cleaning contractors. |

|including partitions |surfaces should be |spread of |week | | |

|and mirrors |visibly clean and |infection between | |Disinfectant if | |

| |smear free with no |clients |Spot clean and check|blood or body fluids| |

| |blood or body | |daily |visible. | |

| |substances, dust, | | | | |

| |dirt, debris, | |Match with walls | | |

| |adhesive tape or | | | | |

| |spillages and should| | | | |

| |have a uniform shine| | | | |

| |appearance. | | | | |

|All external glazing |All external glazed | |One full clean every|Detergent. |Cleaning contractors. |

| |surfaces should be | |three months | | |

| |clean. | | | | |

|Radiators |All parts of the |To prevent the |One full clean |Detergent. |Cleaning contractors |

| |radiator including |spread of |daily. | | |

| |between panels |infection between | |Disinfectant if | |

| |should be visibly |clients | |blood or body fluids| |

| |clean, with no blood| | |visible. | |

| |or body substances, | | | | |

| |dust, dirt, debris, | | | | |

| |adhesive tape or | | | | |

| |spillages | | | | |

|Curtains | |To prevent the |Only disposable |Disposable |Cleaning contractors |

| | |spread of |curtains should be | | |

| | |infection between |used and changed as| | |

| | |clients |a minimum every 6 | | |

| | | |months OR if visibly| | |

| | | |contaminated | | |

|Ventilation grilles / |The external part of|To prevent the |Full clean monthly |As per manufacturers|Cleaning contractors and|

|Extractors / Inlets |the ventilation |spread of |and dust weekly |guidance |Police Estates (for |

| |grille should be |infection between | | |monthly clean) |

|N.B. Hepa Filters |visibly clean with |clients | | | |

|should be fitted. |no blood or body | | | | |

| |substances, dust, | | | | |

| |dirt, debris or | | | | |

| |cobwebs. | | | | |

|Hard Floor |The complete floor |To prevent the |Vacuum and Mop daily|Detergent. |Cleaning contractors |

| |including edges, |spread of | | | |

|Impervious and rounded|corners and main |infection between | |Disinfectant if | |

|edges, sealed to wall.|floor spaces should |clients | |blood or body fluids| |

| |have a uniform | | |visible. | |

| |finish or shine and | | | | |

| |be visibly clean | | | | |

| |with no blood or | | | | |

| |body substances, | | | | |

| |dust, dirt, debris, | | | | |

| |spillages or scuff | | | | |

| |marks. | | | | |

|Electrical Items |The casing of an |To prevent the |Dust daily |Detergent. |Cleaning contractors |

|including computer |electrical item |spread of | | | |

|equipment, telephones,|should be visibly |infection between |Phones cleaned with |Disinfectant if | |

| |clean with no blood |clients |detergent wipe or |blood or body fluids| |

| |or body substances, | |equivalent daily in |visible. | |

|N.B. There should not |dust, dirt, debris, | |the clinical room, | | |

|be a printer within a |adhesive tape or | |other areas weekly | | |

|clinical area due to |stickers | | | | |

|paper dust. | | | | | |

|Cleaning Equipment |Cleaning equipment |To prevent the |Full clean after |Detergent. |Cleaning contractors |

| |should be visibly |spread of |each use. | | |

|N.B. These should be |clean with no blood |infection between | |Disinfectant if | |

|kept in a separate |or body substances, |clients |Store mops and |blood or body fluids| |

|locked room separate ,|dust, dirt, debris | |buckets inverted. |visible. | |

|mops & buckets |or moisture. | | | | |

|inverted | | | | | |

|Low and high Surfaces|All surfaces should |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

| |be visibly clean |spread of |with detergent and | | |

| |with no blood or |infection between |then dried – |Disinfectant if | |

| |body substances, |clients |disinfectant may be |blood or body fluids| |

| |dust, dirt, debris, | |required after |visible. | |

| |adhesive tape or | |cleaning with the | | |

| |spillages. | |detergent if body | | |

| | | |fluids have been | | |

| | | |spilled. | | |

|Chairs |All part of the |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

| |furniture should be |spread of |with detergent and | | |

| |visibly clean with |infection between |then dried – |Disinfectant if | |

| |no blood or body |clients |disinfectant may be |blood or body fluids| |

| |substances, dust, | |required after |visible. | |

| |dirt, debris, | |cleaning with the | | |

| |adhesive tape or | |detergent if body | | |

| |spillages. | |fluids have been | | |

| | | |spilled. | | |

|Tables / Desks |All parts of the |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

| |table including |spread of |with detergent and | | |

| |wheels, castors and |infection between |then dried – |Disinfectant if | |

| |underneath should be|clients |disinfectant may be |blood or body fluids| |

| |visibly clean with | |required after |visible. | |

| |no blood or body | |cleaning with the | | |

| |substances, dust, | |detergent if body | | |

| |dirt, debris, | |fluids have been | | |

| |adhesive tape or | |spilled. | | |

| |spillages. | | | | |

|Hand Wash Containers /|All part of the |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

|Hand Rub dispensers |surfaces of hand |spread of |with detergent and | | |

| |soap / paper towel |infection between |then dried – |Disinfectant if | |

| |containers should be|clients |disinfectant may be |blood or body fluids| |

| |visibly clean with | |required after |visible. | |

| |no blood or body | |cleaning with the | | |

| |substances, dust, | |detergent if body | | |

| |dirt, debris, | |fluids have been | | |

| |adhesive tape or | |spilled. | | |

| |spillages. | | | | |

| |Dispensers should be| | | | |

| |kept stocked. | | | | |

|Waste Receptacles |The waste receptacle|To prevent the |Full clean daily |Detergent. |Cleaning contractors |

| |should be visibly |spread of |with detergent and | | |

| |clean including lid |infection between |then dried – |Disinfectant if | |

| |and pedal with no |clients |disinfectant may be |blood or body fluids| |

| |blood or body | |required after |visible. | |

| |substances, dust, | |cleaning with the | | |

| |dirt, debris, | |detergent if body | | |

| |adhesive tape or | |fluids have been | | |

| |spillages. | |spilled. | | |

|Fridges and Freezers |Fridges and or |To prevent the |Fridges – one full |Detergent. |Cleaning contractors for|

| |Fridge Freezers |spread of |clean weekly | |external |

|N.B. Each fridge |should be visibly |infection between | |Disinfectant if | |

|should have a |clean with no blood |clients |Freezers – defrost |blood or body fluids|HCP internal |

|thermometer inside & |or body substances, | |and clean monthly |visible. | |

|on door without |dust, dirt, | | | | |

|opening to allow |spillages food | | | | |

|temperature check |debris or build up | | | | |

|without opening the |of ice | | | | |

|door. The temperature| | | | | |

|should be checked | | | | | |

|daily and be | | | | | |

|maintained between 2-8| | | | | |

|degrees. Reporting | | | | | |

|mechanisms must be in | | | | | |

|place if the | | | | | |

|temperature is found | | | | | |

|to be outside of these| | | | | |

|parameters. | | | | | |

|Hot Water Boilers |Hot Water Boilers |To prevent the |Full clean daily |Detergent. |Cleaning contractors |

| |should be visibly |spread of |with detergent and | | |

| |clean with no blood |infection between |then dried – |Disinfectant if | |

| |or body substances, |clients |disinfectant may be |blood or body fluids| |

| |dust, dirt, debris, | |required after |visible. | |

| |adhesive tape or | |cleaning with the | | |

| |spillages. | |detergent if body | | |

| | | |fluids have been | | |

| | | |spilled. | | |

|Kitchen Cupboards |Kitchen Cupboards |To prevent the |One external clean |Detergent. |Cleaning contractors |

| |should be visibly |spread of |weekly | |for external |

|N.B. Only clinical |clean with no blood |infection between | |Disinfectant if | |

|equipment should be |or body substances, |clients |One internal clean |blood or body fluids|Healthcare Providers |

|stored. |dust, dirt, debris, | |quarterly |visible. |internally and to clean |

| |stains, spillages or| | | |drugs cupboards. |

| |food debris | | | | |

|Toilets |The toilet and bidet|To prevent the |One full clean daily|Detergent. |Cleaning contractors |

| |should be visibly |spread of | | | |

| |clean with no blood |infection between |Twice a day for |Disinfectant if | |

| |or body substances, |clients |communal areas |blood or body fluids| |

| |scum, dust, | | |visible. | |

| |removable | | | | |

| |lime-scale, stains, | | | | |

| |deposits or smears | | | | |

|Sinks |The sink and such |To prevent the |One full clean daily|Detergent. |Cleaning contractors |

| |equipment as wall |spread of | | | |

| |attached dispensers |infection between |Twice a day for |Disinfectant if | |

| |etc should be |clients |communal areas |blood or body fluids| |

| |visible clean, with | | |visible. | |

| |no blood or bodily | | | | |

| |substances, dust, | | | | |

| |dirt, debris, | | | | |

| |lime-scale, stains | | | | |

| |or spillages. | | | | |

| |Plugholes and | | | | |

| |overflow should be | | | | |

| |free from build-up. | | | | |

Frequency of Cleaning

1. Low – cells, staff areas

2. Medium / High – communal areas & clinical rooms

Working Group for Cleaning Standards

In order to focus on the delivery of the national cleaning standards, a cleanliness group is established by the provider. This group will ensure that the specifications are met within the custody suite medical room.

Membership

• Contracts Manager

• NHS Commissioner or Deputy

• NHS Infection Control Advisor

• Health Care Assistant

• Cleaning Contractor

• Estates representative for both non PFI and PFI facilities.

The cleaning provider will:

• Take ownership of the standards of the cleanliness within the custody suite

• Develop and maintain a cleaning plan in conjunction with the medical services provider contractor

• Oversee the implementation of cleaning standards in conjunction with the medical service provider

• Be responsible for maintaining acceptable standards of cleaning.

• Ensure failures in the provision of cleaning services are swiftly rectified.

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