WHTM 01-05 Audit: Template Improvement Plan
WHTM Form 3
Practice Address
Usk Dental Practice, 4 Priory Street, Usk, Gwent NP15 1BJ
NUMBER of
Statement /
Question
What improvements are needed and what we will do
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text.
Move towards dedicated (sole use) cleaning room.
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text.
Some of the ‘clean’ boxes were showing signs of
use/age. Presents a risk in keeping the autoclaved
instruments clean. New boxes to be purchased and to
purchase a type different in style or colour to the ‘dirty’
boxes to aid identification
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text.
Deterioation noted in sealants around some units in
cleaning room. To be cleaned and resealed
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text.
Suggested that ‘arrows’ on the wall would further aid
the flow of cleaning from dirty to clean.
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text.
Care of handpieces revised. Have spoken to MC
handpiece repairs (service our handpieces). They
Who is responsible
Date for
completion
Notes
Mg/SG
Expensive.
Need to
wait for
freehold to
be acquired
Already
completed
Plans drawn up but await
change of ownership and
funding.
mg
Currently
underway.
To be completed within next
week
mg
Within 1
week
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mg
Now done.
Sign placed in cleaning room
with simple instructions, staff
made aware of process.
Mg/sg
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Dental Postgraduate Department  Wales Deanery  8th Floor  Neuadd Meirionnydd  Heath Park  Cardiff  CF14 4YS  T +44 (0) 29 20687834 www.walesdeanery.org/dentistry 
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WHTM 01-05 Audit: Template Improvement Plan
WHTM Form 3
report that the advice of KAVO etc is NOT to immerse
handpieces. Instead to wipe with disinfectant wipe,
inspect cleanliness, (reclean if necessary), oil,
autoclave and oil again prior to storage.
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text.
MG dislikes the use of household gloves for cleaning
and feels they present a risk to staff as easily punctured
when manual cleaning. To be replaced with more
‘industrial’ gloves
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Statement /
Question
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mg
Already
done
Reinforced pvc gloves
(acid/alkaline resitant)
purchased
Who is responsible
Date for
completion
Notes
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Dental Postgraduate Department  Wales Deanery  8th Floor  Neuadd Meirionnydd  Heath Park  Cardiff  CF14 4YS  T +44 (0) 29 20687830  www.walesdeanery.org/dentistry 
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WHTM 01-05 Audit: Template Improvement Plan
WHTM Form 3
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To be completed by the Dental Practice Team
Comments or Barriers to Improvement:
Practice seems to show good compliance with WHTM. Some aspects such as washer disinfectors and ultrasonic baths are not
used. This has been discussed with the dentists and nurses who jointly feel that whilst it would be very nice to have such
equipment, the practical application of them is yet to reach the day to day needs of NHS general practice. (this may change) The
long cycle times in particular for washer disinfectors leads to specialised equipement such as endodontic handpieces being
unavailable. The practice has purchased a faster cycle autoclave (replacing an LS5) within the last month to try and maintain as
rapid a throughput of equipment as possible. The use of long cycle cleaners would go against this ethos and lead to staff having
to work late simply to switch off the cleaner. To provide the nurses with better protection when manually cleaning instruments,
industrial type cloves are used rather than household gloves which are thicker and give better protection from sharps.
In time, the practice will have a purpose build cleaning room where only cleaning occurs in it. However the leasehold nature of the
building currently prevents this and the intention of the practice owner to purchase the freehold is a hindrance on the available
cash to advance this. Hopefully in time, circumstances will allow us to progress this.
Dental Postgraduate Department  Wales Deanery  8th Floor  Neuadd Meirionnydd  Heath Park  Cardiff  CF14 4YS  T +44 (0) 29 20687830  www.walesdeanery.org/dentistry 
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WHTM 01-05 Audit: Template Improvement Plan
WHTM Form 3
Tutor Feedback:
The Dental Team appear to have carried out a thorough self-assessment audit of WHTM0105 requirements and attained a high level of compliance. Some
areas requiring change/improvement have been identified and a planned timescale to implement them made. There is reasoned argument to the barrier for
implementing other changes. The audit is completed.
Dental Postgraduate Department  Wales Deanery  8th Floor  Neuadd Meirionnydd  Heath Park  Cardiff  CF14 4YS  T +44 (0) 29 20687830  www.walesdeanery.org/dentistry 
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