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This apprenticeship standard is in development and is not yet ready to use

Why is this apprenticeship not ready for delivery?

An apprenticeship standard is only available for delivery when both the standard and assessment plan is approved and a funding band (core government contribution) has been assigned to the standard.

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Overview of the role

Providing a hygienically clean healthcare environment in which service users, staff and other users can thrive, work and develop

Healthcare Cleaning Operative

Details of standard

Occupation summary

This occupation is found in healthcare environments that require specific attention to safety and sanitation. This includes a range of both public and private sector environments including NHS hospitals, private hospitals, care homes (nursing and residential), GP practices, community health centres, educational establishments, leisure facilities and pharmaceutical retail outlets.

The purpose of the occupation is to provide a hygienically clean healthcare environment in which service users (e.g. patients, nursery pupils, and care home residents), staff and other users can thrive, work and develop. This occupation supports front line colleagues in the provision of a hygienically clean healthcare environment at a standard that supports and promotes the recovery of patients and prevents the spread of infection and cross contamination. Healthcare cleaning operatives additionally use their communication skills to make a positive contribution to the service users’ experience.

In their daily work, an employee in this occupation interacts with service users, managers of multi-disciplinary teams, visitors, colleagues, and infection/prevention and control functions, clinical teams and auditors. Healthcare workplaces operate on a 24/7 basis. Shift work is commonplace with opportunities for both full and part time working. The occupation has day to day interaction with a range of service users with a range of different needs, including end–of- life environments, patients with mental health issues, swimming pool areas and educational environments. For example, working in changing areas requires cleaners to respect individuals’ dignity and working in hospital wards requires cleaners to identify and manage risks to patients, communicate with them, and share concerns with the management team.

An employee in this occupation will be responsible for routine and non-routine cleaning, operations including deep cleaning and rapid response cleaning to a hygienic standard of cleanliness set by organisational and policy guidelines.

Quality standards and methods are set and monitored for consistent application, however, autonomous working practices and responsibility are both expected and required. Healthcare Cleaning Operatives, may be responsible for planning of work schedule and rapid response decisions. This is determined by the service being supported e.g. NHS, care home, leisure centre and the situations that could arise


Occupation duties

Duty

KSBs

Duty 1 Provide routine hygienic cleaning of the healthcare environment to maintain all standards in compliance with the National Standard of Healthcare Cleanliness 2019 as a minimum as well as local standards policy, guidelines and operating procedures.

K1 K2 K3 K5 K10

S1 S3 S4 S7 S11

B2 B4

Duty 2 Undertake specialist cleaning projects, both scheduled or in response to an issue using area decontamination technology.

K2 K9 K11

S5 S6 S9 S11

B5 B6

Duty 3 Distinguish and demonstrate between cleaning and disinfection procedures to comply with processes to match requirements

K9 K11

S3 S6 S11 S12

Duty 4 determine the classification of soil and contaminating material in order to apply appropriate techniques/methodology for its safe removal.

K9 K10 K14

S5 S10 S17

B1

Duty 5 demonstrate organisational skills to prioritise workloads and respond to the changes of the working environment as required

K9 K10

S10 S11

B4 B6

Duty 6 select and use the most appropriate chemical or biochemical cleaning product to be used for the task to be undertaken in accordance with the legal and organisational requirements and compliance with legislation.

K3 K4

S3 S4 S5

B6

Duty 7 safely use, store and maintain cleaning equipment, materials and products in accordance with manufacturer’s instructions, legal and organisational requirements. Ensure their decontamination and safe preparation for next use

K5 K16

S4 S6 S16

B3

Duty 8 demonstrate good housekeeping practices within the storage area including a clean environment, stock rotation and control and reporting and recording as required.

K15 K16

S15

B3

Duty 9 use standard reporting formats and appropriate media to accurately record and report work carried out in accordance with cleaning specifications

K6 K10

S7

B2

Duty 10 communicate with service users contributing to a positive service user experience maintaining confidentiality at all times

K17 K18 K19

S18 S19 S20

B1 B2

Duty 11 follow infection prevention and control policy and procedures to prevent cross contamination risks and the spread of infection.

K2 K7 K12

S2 S3 S9 S13

B4 B5

Duty 12 recognise signs of pest infestation and work with partners to eradicate them

K8

S8

B6

Duty 13 assemble and disassemble a significant range of healthcare service user equipment for cleaning purposes in line with manufacturers standard operating procedures and national standards 2019.

K13

S14

B6


KSBs

Knowledge

K1: National and local standards, policies, guidelines and procedures which could include: • manual handling • use of Personal Protective Equipment (PPE) • the NHS cleaning specification • waste disposal • safeguarding and data protection Back to Duty

K2: How to manage risk (i.e. follow out risk assessments, risk categories and colour coding) and identify when there is a need for change from routine to enhanced cleaning protocols in line with the Local and National standards and polices. Back to Duty

K3: Preparation for cleaning methodologies and techniques Back to Duty

K4: Chemical competence to include dilution ratios and Control of Substances Hazardous to Health (COSHH) Back to Duty

K5: Selection and use of correct cleaning equipment and machinery for a range of routine and specialist cleans (e.g. hard floors, clinical areas, communal areas, dining areas) including cleaning of equipment after use and principles of PAT testing to ensure safe to use Back to Duty

K6: The roles and responsibilities in relation to Standard Operating Procedures (SOPs) (e.g. schedules of work, recording of completed tasks, fault reporting and stock recording / ordering) Back to Duty

K7: The principles of infection prevention control and how these apply to the role. For example: • segregation of waste types • the correct identification and use of a range of waste storage containers (sacks and bags) • the safe disposal of waste and spent solutions, • the cleaning of rooms where a patient is being barrier nursed. • compliance with the cleaning and disinfecting policy as well as colour coding Back to Duty

K8: How to recognise the signs of pest infestation and the methods to deal with each e.g. rodents, cockroach, insects & pigeon waste. How to report according to local procedures and work with partners to eradicate them in line with local and national standards and policies. Back to Duty

K9: How to respond to different rapid response cleans e.g. bodily fluid, chemical spillage, hazardous waste Back to Duty

K10: The principles of scheduled and periodic cleaning, prioritisation of work and the escalation process Back to Duty

K11: Types of cleaning and the difference between disinfection and cleaning to include: • terminal cleans • barrier cleans • isolation cleans • discharge cleans • decontamination cleans Back to Duty

K12: The principles of personal hygiene and the implications for the role i.e. clean uniform, hand hygiene and cross contamination)) for example; • use of PPE • the bare below the elbow process, • hand hygiene requirements. Back to Duty

K13: How to assemble and disassemble a range of service user equipment for cleaning (e.g. hospital beds, trolleys and trays) Back to Duty

K14: Soil classification/contaminating material and removal methods to include: • organic soiling • inorganic soiling • microbiological residues Back to Duty

K15: Housekeeping of storage areas best practice, techniques and implications to include: • stock rotation • ordering of materials • optimum storage environment for chemicals and machinery Back to Duty

K16: Security of cleaning equipment and materials, reasons and implications Back to Duty

K17: Communication techniques which could include: • conflict management • dealing with patients with dementia • dealing with very young patients Back to Duty

K18: The principles of Equality & Diversity, the importance of culture awareness and implications for the role. e.g. age, race, religion, disability, those with dementia) Back to Duty

K19: Importance of portraying a positive corporate image (e.g. customer service, smart appearance) Back to Duty

Skills

S1: Comply with National and local standards, policies, guidelines and procedures to include: • manual handling, • use of PPE, • the NHS cleaning specification, • waste disposal, • safeguarding and data protection • the correct identification and use of a range of waste storage containers (sacks and bags) • the safe disposal of waste and spent solutions • compliance with the cleaning and disinfecting policy as well as colour coding Back to Duty

S2: Carry out risk assessments Back to Duty

S3: Identify risk categories and colour coding correctly in order to carry out cleaning appropriately Back to Duty

S4: Prepare cleaning materials and machinery appropriate to the task Back to Duty

S5: Select the correct chemicals for the task considering COSHH and using correct dilution rates and applicable data sheets Back to Duty

S6: Select and use correct cleaning equipment (fogging machine, floor machines) and equipment for a range of routine and specialist cleans (e.g. hard floors, clinical areas, communal areas, pool side, mortuary, operating theatres) including cleaning of equipment after use and applies principles of PAT testing to ensure equipment is safe to use. Back to Duty

S7: Carry out tasks according to Standard Operating Procedures (SOPs) (e.g. schedules of work, recording of completed tasks, fault reporting, stock recording / ordering) Back to Duty

S8: Recognise the signs of infestation and follow organisational procedures to appropriately address and eradicate the problem. e.g. rodents, insects, cockroach & pigeon waste, report according to local procedures and work with partners to eradicate them in line with local and national standards and policies. Back to Duty

S9: Carry out tasks to the appropriate standard to ensure infection prevention and control. For example the cleaning of rooms where a patient is being barrier nursed. Back to Duty

S10: Carry out different rapid response cleans (e.g. bodily fluid, chemical spillage, hazardous waste) Back to Duty

S11: Carry out scheduled and periodic cleaning, prioritising work where required Back to Duty

S12: Carry out a range of cleaning and disinfection tasks to include: • terminal cleans • barrier cleans • isolation cleans • discharge cleans • decontamination cleans Back to Duty

S13: Apply the principles of hygiene to the role (i.e. clean uniform, hand hygiene and cross contamination). Appropriately use PPE and apply the bare below the elbow process. Back to Duty

S14: Assemble and disassemble a range of service user equipment for cleaning (e.g. hospital beds, trolleys and trays) Back to Duty

S15: Demonstrate housekeeping of storage areas best practice, techniques and implications to include stock rotation, ordering of materials, optimum storage environment (temperature, humidity, ventilation) for chemicals and machinery. Back to Duty

S16: Ensure the security of cleaning equipment and materials Back to Duty

S17: Classify soils/contaminating matter correctly and apply the most appropriate removal methods which could include: • organic soiling, • inorganic soiling • microbiological residues Back to Duty

S18: Communicate with colleagues, patients and their families professionally Back to Duty

S19: Apply the principles of Equality & Diversity at all times being culturally aware and adapting tasks to suit the needs of the patient (e.g. age, race, religion, disability, those with dementia) Back to Duty

S20: Portray a positive Corporate image (e.g. customer service, smart appearance) Back to Duty

Behaviors

B1: Dignity, respect and professionalism Back to Duty

B2: Working independently and as part of a team; having the courage to challenge areas of concern and working to evidence based best practice Back to Duty

B3: Reliability and consistency, taking responsibility for the integrity of your own actions and completed work Back to Duty

B4: Time management and ability to complete work to schedule Back to Duty

B5: A flexible approach to your work when required Back to Duty

B6: Analytical thinker and problem solver Back to Duty


Qualifications

English & Maths

Apprentices without level 1 English and maths will need to achieve this level and apprentices without level 2 English and maths will need to take the tests for this level prior to taking the end-point assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.


Additional details

Occupational Level:

2

Duration (months):

12

Review

This apprenticeship standard will be reviewed after three years

Status: In development
Proposal approved Standard approved Assessment plan approved
Level: 2
Reference: ST0843
Version: 1
Date updated: 03/10/2019
Route: Health and science
Typical duration: 12 months
Trailblazer contact(s): lisa.hylton@exclusivecontracts.co.uk
Employers involved in creating the standard: 3EEE, Wamitab, Fidelis, Sodexo, Birmingham and Solihull Mental Health NHS Foundation Trust, Bristol NHS Trust, Excel Care Holdings, Royal College of Nursing, Serco, Nuffield Health, Vision Homes, NHS Property, University of Northampton, Connect 2 care, HEE, Killis

Version log

Version Date updated Change Previous version
1 03/10/2019 Standard first published

Not available