Annual Statement

Infection Prevention & Control

1st August 2022


This annual statement will be generated each year in August in accordance with the requirements of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance


Infection Prevention and Control (IPC) Lead: Pamela Lee


Contact details for Registered Manager and Health Protection Team are available in our IP&C folder.


Infection Transmission Incidents (Significant Events)

Significant events (which may involve examples of good practice as well as challenging events) are investigated in detail to see what can be learnt and to indicate changes that might lead to future improvements. All significant events are reviewed in the monthly team meetings, management meetings and learning is cascaded to all relevant staff.

In the past year there has been a significant event that related to infection control, in terms of the pandemic, and spread of Covid-19.  We increased our services and complied with changes in government guidance as to isolation, testing etc.   A programme of Covid testing for staff and visitors remains in place, albeit much reduced from the previous year. We continue to employ a housekeeper to provide regular weekly deep cleaning.  Although we cannot force staff to take vaccinations, we do strongly encourage it, and currently all staff are now fully vaccinated, to date.

Infection Prevention Audit and Actions

The Annual Infection Prevention and Control Compliance Audit was completed 1st August 2022. This is this second year to use this audit tool for us at the Chiltern Centre.  This involves a review of all aspects of infection prevention and control within the Centre.

As a result of this audit, the following changes are taking place:

  • This Statement will be added to our website. 
  • NICE Booklet on Preventing Infections in Care Homes has been distributed to our staff team. 

Chiltern Centre will continue to carry out the following audits through the year:

  • Annual Infection Prevention and Control audit
  • Monthly Infection Prevention and Control audits, with competency checks on staff whilst performing various infection control measures, ie:   handwashing, donning and doffing of PPE, administering medication.


Risk Assessments

Risk assessments are carried out so that best practice can be established and then followed. In the last year the following IP&C related risk assessments were reviewed: 

Covid 19 Allergic reactions Infection Prevention and Control

Use of Paddling Pool Assisting with Personal Care Food Preparation

First Aid COSHH- contact with substances Use of COSHH Products


We encourage our staff to accept immunisations and any occupational health vaccinations applicable to their role (ie: MMR, Seasonal Flu, Covid, Hepatitis), in accordance with guidance from Public Health England.

Other Examples of Infection Prevention and Control Activities

Curtains: The window curtains in the bedrooms are very low risk and therefore do not require a particular cleaning regime other than regular vacuuming to prevent build-up of dust.  The living room curtains underwent a professional deep clean July 2022.  All curtains are regularly reviewed and changed if visibly soiled.

Soft Furnishings, Carpets and Upholstery: These are given professional deep cleans when required. Carpets in Clinical Room and Bedroom Hallway due to be professionally cleaned on 9 August 2022.

Internal Decoration: There has been a repaint of all communal areas and bedrooms. 

Legionella (Water): Chiltern Centre use Musketeer professional water treatment company to ensure that the water supply does not pose a risk to anyone. The most recent visit was in July 2022.  We have bacterial screening, cold water tanks and TMV’s checked every six months. To date, some remedial work is due to be carried out by Musketeer on 2 TMV’s (Kitchen and bathroom). 

Cleaning Specifications, Frequencies And Cleanliness: We continue to have a p/t member of staff to carry out our weekly deep cleaning tasks to ensure that the Centre is kept as clean as possible. She has changed her hours to do more hours over less visits each week. The quality of her work remains consistent.

Covid:  We have an area where staff/visitors can carry out LFT testing. This is currently required twice a week.  Current guidelines are displayed.  PPE stations are used to good effect outside the Wooden Spoon bathroom and the Clinical Room.  Visitors are encouraged to wash or use alcohol gel on arrival.  We have wall mounted soap dispensers to ensure cleanliness. More easy-read information has been displayed at the Centre regarding infection prevention. PPE is readily available.  There are wall mounted wipe holders throughout the building. Staff still wear face masks in the Centre.

Clinical Waste: No problems raised. 

Food Hygiene: We continue to use Tesco for our regular deliveries and Fareshare for further supplies.  No issues with deliveries. We have stopped using a chest freezer for bulk buying, as we found that defrosting food relied on staff on earlier shifts to think ahead to later shifts’ requirements; it also posed difficulties predicting defrost times.  

Staff Uniform: Staff wear their own clothing that complies with the requirements of the Code of Conduct.  

Information for staff:  A new Infection Control noticeboard has been created in the Meeting Room, displaying useful information for staff.  All risk assessments are held on Atlas Citation system, so are easily available to all staff.  In July 2022, the process of moving all our policies to Atlas commenced.  This should be completed in August.  Staff know need to sign to prove that they have read and understood the polices and this will also be the case for Risk Assessments by the end of the year. 

The IP&C Lead has attended online Infection Prevention and Control Networking Event meetings with QNI (Queens Nursing Institute), which are a useful source of information.  July was regarding Hydration and Infection and May was National Standards of Healthcare Cleanliness.  Key points from these events are relayed to the Chiltern Centre care team individually via the Nourish system. 

The IP&C Lead had a support meeting with Alium Training on 20th June 2022 to discuss IP&C. 

The Monthly IP&C Audit was amended, to cover a wider range of competency checks on infection control issues.   Information shared with staff on bedbugs.  


All our staff receive annual training in infection prevention and control. Staff are up to date with Infection Prevention and Control training as of 1st August (1 new member of staff starting today due to start IP&C training as part of induction).  


The Infection Prevention and Control related policy is in date for this year. Policy relating to Infection Prevention and Control is available to all staff and is reviewed and updated annually, and amended on an on-going basis as current advice, guidance and legislation changes. Staff are made aware when Infection Control policies are updated.  Policies now on Atlas Citation system, so that we can ensure staff acknowledge, confirm that they understand, and feel competent to carry out what is required of them.  

Ongoing Tasks For The IP&C Lead:

  • More regular checks with care staff to find out what they would like from IP&C lead to help them minimise the risks.  
  • Reviewing Methods of Cleaning and ensuring staff are all cleaning to the same standard.  
  • Care Plans/RAMPS re: those at higher risk of infection (ie: through lack of awareness or understanding of infection control).  
  • Look at how we respond to any near misses, ie: a split glove, which provide us with valuable learning.  

What We Have Done Well

  • Covid – some cases within staff and people we support.  No outbreaks
  • Bedbugs/norovirus other seasonal illness/infections – no outbreaks
  • No food related illnesses.
  • Environment well kept and maintained. 
  • Staff training kept up to date. 


It is the responsibility of each individual to be familiar with this Statement and their roles and responsibilities under this.

Responsibility for Review 

The Infection Prevention and Control Lead and the Centre Manager are responsible for reviewing and producing the Annual Statement.

Next review date     1 August 2023