Social Care Cleaning Manual 2024 by Karen Foulis

Environmental Cleaning Policies & Procedures Manual Including Infection Control for Social Care

Infection Control Cleaning Management Gordon House, Station Road, Mill Hill, London NW7 2JU Telephone: 020 8906 2777

i www.infectioncontrolcleaning.co.uk

ISO 9001 REGISTERED FIRM

INTERNATIONAL ACCREDITATION BOARD Registration No. 0044/1

Environmental Cleaning Policies & Procedure Manual for All Staff Social Care Section

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1: CONTEXT 1.1 Introduction 1.2 Aims 1.3 Health & Safety 1.4 Roles and Responsibilities 2 General Principles 2.1 General Principles for Staff Undertaking Cleaning 2.2 Personal Safety 2.3 Documentation 2.4 Training 2.5 Storage 2.6 Colour Coding for Hygiene 2.7 Cleaning Equipment 2.8 Microfibre 2.9 Cleaning Chemicals 2.10 Adenosine Triphosphate (ATP) Swabbing 2.11 Infection Prevention & Control (IPC) 3 Environmental Cleaning Plan 3.1 Functional Area Risk Assessment 3.2 Cleaning Responsibilities Framework 3.3 Elements, Performance Parameters and Cleaning Frequencies 3.4 High Frequency Touchpoints 3.5 Enhanced Cleaning 3.6 Assurance Programmes 3.7 Standards Rating Protocols 3.8 Governance Appendices 1: Colour Coding Poster 2: Cleaning and Disinfection Chemicals 3: Functional Area Risk Assessment 4: Cleaning Responsibilities Framework 5: Elements, Performance Parameters and Cleaning Frequencies 6: Sample Room Checklist 7: Method Statements Glossary References

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SECTION 1: CONTEXT 1.1 Introduction The National Standards of Healthcare Cleanliness 2021 require all organisations providing health and care services to seek assurance their cleaning policies and processes are effective. The Care Quality Commission (CQC) will continue the inspection programme against the Code of Practice for the prevention and control of infections (2022), which includes the provision of a safe and clean environment. The National Standards reference the Revised Healthcare Cleaning Manual 2009, originally issued by the National Patient Safety Association. Since 2014, it is managed by the Association of Healthcare Cleaning Professionals. In addition, BSI (British Standards Institute) have produced guidance which can be found at https://shop.bsigroup.com/products/specification-for-the-planning-application-measurementand-review-of-cleanliness-services-in-hospitals/standard Steps must be taken in all health and care settings to protect patients, staff and visitors from infection. Cleaning of environmental surfaces is essential; on occasions disinfection processes may be required. Good housekeeping and a clean, tidy environment reflect the standards of care maintained within premises. It is important there are clear processes in place, with proportionate assurance programmes, and that patients, as well as regulators and commissioners, receive assurance of standards of environmental cleaning. 1.2 Aims The aim of this manual is to facilitate the delivery of a high standard of cleanliness in compliance with the principles of the National Standards of Healthcare Cleanliness. Maintaining a clean environment is the responsibility of everyone working in the facility. Achieving high standards will require: • • • • • •

Clarity of roles and responsibilities for cleaning underpinned by strong, clear leadership that encourages a culture where cleanliness is important Risk assessment of different areas of the facility to determine cleaning requirements Identifying and using the most up to date and appropriate cleaning products and methods Cleanliness and performance to be constantly reviewed and improved where necessary A structured and proactive education and training program to be provided to ensure that all staff are competent in the delivery of a high standard of cleanliness in the home Any new facilities or service, or refurbishment, should be designed with ease of appropriate cleaning in mind

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APPENDIX 1: COLOUR CODING POSTER

COLOUR CODING FOR CLEANING EQUIPMENT CLINICS Adapted from NPSA 2007

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APPENDIX 7: METHOD STATEMENTS This section consists of a set of technical method statements (Ref: AHCP 2014), which provides guidance on how to effectively perform all common cleaning tasks likely to be required. Below are method statements for the tasks, which are usually performed by cleaning staff, as opposed to care/clinical staff. This includes elements which may not be relevant to all settings. Table 1 2 3 4 5 6 7

Flooring General cleaning Kitchen cleaning Washroom cleaning Sanitary cleaning Specialised cleaning tasks Cleaning with microfibre cloths

Table 1 – Flooring Dust controlling Equipment & Materials required

Method

• Colour coded dustpan and brush • Colour coded long handled dust control system tool • Colour coded dust control system mop head or static cloth • Colour coded domestic gloves • Colour coded handheld scraper • Cleaning trolley with waste bag • Laundry bag • Warning signs

• Wash hands and put on gloves • Display the warning signs • Attach the static cloth or the mop head to the dust control system tool • Pick up all large items of litter, for example tissue and sweet wrappers • Use the scraper to remove any chewing gum or other large deposits attached to the floor. Very gently run the scraper blade along the surface towards the deposit and then work it gently in a semi-circular motion until the deposit is removed. Take care not to damage the surface. • When dust controlling in a room, aim to finish by the door and start at the furthest point away from it. When dust-controlling a long corridor, aim to perform the task in small sections of between ten and fifteen paces. • Clean the edges of the floor first with the leading edge of the dust control tool, then work backwards, dusting the area using an overlapping figure-of-eight pattern. The dust control tool should remain in contact with the floor at all times. • When the cloth or mop head has become full of dust, remove it, dispose of it, and replace it with a new one. Disposable cloths should be placed in a domestic waste bag and cleanable heads into a laundry bag. • Use the dustpan and brush to collect remaining particles. • On completion of the task, clean and dry all equipment and store safely and tidily in a secure storage area, segregated according to colour coding where appropriate. • Remove gloves and wash hands.

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GLOSSARY Bactericidal

Chemical agents capable of killing bacteria

Bacteriostatic

Chemical agents that inhibit the growth of bacteria but does not necessarily kill them

Biocide or germicide

Kills microorganisms

Body substances

Refers to fluid or tissue from a service user, specimen or spillage, i.e. wound exudate, blood, sputum, urine, faeces or other sections or fluids

Cleaning

The physical removal of foreign material which removes rather than kills microorganisms. It is accomplished with water, detergents, and mechanical action. It reduces or eliminates the reservoirs of potential pathogenic microorganisms

Detergent

A cleansing substance that acts similarly to soap but is made from chemical compounds rather than fats and lye. Any synthetic organic cleaning agent that is liquid or water soluble and has wetting agent and emulsifying

Disinfectant

The inactivation of disease producing microorganisms used on inanimate objects and usually involves chemicals, heat, or ultraviolet light. The nature of chemical disinfection varies with the type of product, but disinfection does not destroy bacterial spores

Disinfection

Defined as reducing the number of microorganisms on a surface to very low levels

Fungicidal

Chemical agents capable of killing fungi

Fungicide

Kills fungi

Safety Data Sheets

Provides information on chemical products that will help the users of those chemicals to make a risk assessment. The sheet describes the hazards the chemical presents and gives information on the handling, storage, and emergency measures in case of an accident or spillage

Sporicidal

Chemical agents capable of killing spores

Virucide

Inactivates viruses

Virucidal

Chemical agents capable of killing viruses

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