Southbridge Care Homes - West Park Health Centre Infection Control Inspection

Address
103 Pelham Road
St. Catharines
Services
Nursing

Summary

Sterilizer cycles not verified appropriately. Sterilization record(s) not maintained and reviewed. Semi-critical and critical items not cleaned and disinfected appropriately.

Diseases resulting from similar errors in infection control may include:

Blood-borne infections
Skin / soft tissue infections

Contact

Public Health Nurse
Public Health Nurse
905-980-6000 ext. 7330, toll free 1-888-505-6074
id@niagararegion.ca

Findings and Corrective Measures

A complaint was identified from a member of the public on November 1, 2023, related to infection prevention and control concerns.

This infection prevention and control lapse involved a member of the regulatory college.

Orally corrective measures were discussed at the time of inspection.

An initial onsite investigation was conducted on November 3, 2023.

An investigation report was given to the premise / facility noting corrective measures. Information and education was provided.

Corrected Issues

Issue	Correction	Date Corrected
Surfaces damaged and not smooth and cleanable.	Surfaces to be be repaired, smooth and cleanable.	Jan. 5, 2024
Non-critical items not cleaned and disinfected according to the Manufacturer’s Instructions for Use.	Clean/disinfect non-critical items according to the Manufacturer’s Instructions for Use.	Dec. 13, 2023
Semi-critical and critical items not cleaned and disinfected appropriately.	Clean and disinfect semi-critical and critical items as appropriate.	Dec. 13, 2023
Sterilizer not tested with a Biological Indicator appropriately.	Appropriately test sterilizer with a Biological Indicator.	Dec. 13, 2023
Sterilization record(s) not maintained and reviewed.	Maintain and review sterilization record(s).	Dec. 13, 2023
There is no designated reprocessing area with a one-way workflow from dirty to clean.	Designate an appropriate reprocessing area with a one-way workflow from dirty to clean.	Dec. 13, 2023
Stainless steel double sink not available in reprocessing area.	Provide a stainless steel double sink in reprocessing area.	Dec. 13, 2023
Critical medical equipment/devices not sterilized appropriately.	Sterilize critical medical equipment/devices appropriately.	Dec. 13, 2023
The sterilizer Manufacturer’s Instructions for Use not followed.	Follow the sterilizer Manufacturer’s Instructions for Use.	Dec. 13, 2023
Sterilizer cycles not verified appropriately. ORDER has been issued on November 3, 2023 to ensure compliance.	Verify sterilizer cycles for each cycle. ORDER rescinded on December 13, 2023.	Dec. 13, 2023

Health Risks and Inspections

In the event that a direct health risk is identified for clients who visited this establishment, Niagara Region Public Health will contact those at risk with advice around any medical follow-up.

For general updates regarding this investigation, continue to monitor this website.