One of Wales' leading hospitals has promised a major overhaul in hygiene after an undercover BBC investigation exposed cleanliness failings.
One of Wales' leading hospitals has promised a major overhaul in hygiene after an undercover BBC investigation exposed cleanliness failings.
Secret filming by a BBC Wales reporter taken on as a cleaner at the Royal Gwent Hospital in Newport showed flaws which increased the risk of infections.
Secret filming by a BBC Wales reporter taken on as a cleaner at the Royal Gwent Hospital in Newport showed flaws which increased the risk of infections.
Week In Week Out also found that a deadly hospital superbug is infecting more people than previously thought.
Week In Week Out also found that a deadly hospital superbug is infecting more people than previously thought.
Officials are now reviewing hygiene and recruitment policies and procedures.
Officials are now reviewing hygiene and recruitment policies and procedures.
The programme, to be shown on BBC One Wales at 1930 BST on Monday, shows how the journalist was hired as a cleaner through the recruitment agency Smart Solutions.
The programme, to be shown on BBC One Wales at 1930 BST on Monday, shows how the journalist was hired as a cleaner through the recruitment agency Smart Solutions.
Sybil Monahan's family received a hospital apology after her deathNo one checked her references or whether she had a criminal record, and after 10 minutes of training with a mop and bucket, she was working on the wards alongside agency and hospital cleaners.
Sybil Monahan's family received a hospital apology after her deathNo one checked her references or whether she had a criminal record, and after 10 minutes of training with a mop and bucket, she was working on the wards alongside agency and hospital cleaners.
It was there that she filmed serious breeches of hygiene policy which increased the risk of spreading infections such as the superbug Clostridium Difficile (C.diff).
It was there that she filmed serious breeches of hygiene policy which increased the risk of spreading infections such as the superbug Clostridium Difficile (C.diff).
This included:
Cleaners failing to use disposable gloves and aprons which could have stopped the C.diff bug spreading to other patients
Nurses failing to pass on information to cleaners about how a room should be treated
Using the same mop and the same cloths to clean ordinary wards and rooms which were specialised 'barrier nursing' areas
Food being served next to where bags full of infected linen were kept
Areas timetabled for a "deep scrub" left undone because cleaners couldn't get round all their duties in time.
This included:
Cleaners failing to use disposable gloves and aprons which could have stopped the C.diff bug spreading to other patients
Nurses failing to pass on information to cleaners about how a room should be treated
Using the same mop and the same cloths to clean ordinary wards and rooms which were specialised 'barrier nursing' areas
Food being served next to where bags full of infected linen were kept
Areas timetabled for a "deep scrub" left undone because cleaners couldn't get round all their duties in time.
If we'd known that this was going to be the outcome, we would never have let her go in there Suzanne Monahan, whose mother-in-law caught C.diff
If we'd known that this was going to be the outcome, we would never have let her go in there Suzanne Monahan, whose mother-in-law caught C.diff
Dealing with measures such as these are crucial in the battle against the C.diff bug, as unlike MRSA infections, it cannot be killed by just using special hand gels.
Dealing with measures such as these are crucial in the battle against the C.diff bug, as unlike MRSA infections, it cannot be killed by just using special hand gels.
The infection needs to be wiped away and cloths and aprons used to carry out the task need to be carefully disposed of, to ensure that the tiny C.diff spores aren't passed on through clothing or touch.
The infection needs to be wiped away and cloths and aprons used to carry out the task need to be carefully disposed of, to ensure that the tiny C.diff spores aren't passed on through clothing or touch.
The bug itself can cause severe bowel infections which are resistant to most antibiotics - in fact, antibiotics often make the infection worse.
The bug itself can cause severe bowel infections which are resistant to most antibiotics - in fact, antibiotics often make the infection worse.
Complaints
Complaints
The infection is a growing problem for hospitals across Wales. Families of patients who had the bug at the Royal Gwent had already complained about hygiene standards, and improvements had been promised.
The infection is a growing problem for hospitals across Wales. Families of patients who had the bug at the Royal Gwent had already complained about hygiene standards, and improvements had been promised.
Sybil Monahan, who was 77 and from Blackwood, died at the hospital last November. Her family complained to the Gwent Healthcare NHS Trust about poor cleaning practices during her stay.
Sybil Monahan, who was 77 and from Blackwood, died at the hospital last November. Her family complained to the Gwent Healthcare NHS Trust about poor cleaning practices during her stay.
The undercover filming revealed breaches in hygiene routinesThey received an apology and were assured things would get better. Her daughter-in-law Suzanne Monahan told Week In Week Out that "if we'd known that this was going to be the outcome, we would never have let her go in there." But almost six months later, the undercover investigation showed there were still major problems.
The undercover filming revealed breaches in hygiene routinesThey received an apology and were assured things would get better. Her daughter-in-law Suzanne Monahan told Week In Week Out that "if we'd known that this was going to be the outcome, we would never have let her go in there." But almost six months later, the undercover investigation showed there were still major problems.
Trust medical director Grant Robinson said in light of the evidence, it was reviewing its hygiene and recruitment policies and procedures, and he promised an inquiry and major improvements.
Trust medical director Grant Robinson said in light of the evidence, it was reviewing its hygiene and recruitment policies and procedures, and he promised an inquiry and major improvements.
Smart Solutions said it had complied with the requirements of the trust and would continue working with it to improve all aspects of the recruitment process.
Smart Solutions said it had complied with the requirements of the trust and would continue working with it to improve all aspects of the recruitment process.
Publicly reported
Publicly reported
The programme said the C.diff bug had spread much further and infected far more patients than had been publicly reported in Wales.
The programme said the C.diff bug had spread much further and infected far more patients than had been publicly reported in Wales.
Rates appear lower than in England, because unlike their counterparts, the Wales Public Health Service does not include victims under the age of 65.
Rates appear lower than in England, because unlike their counterparts, the Wales Public Health Service does not include victims under the age of 65.
In England, there is a more comprehensive picture with all patients aged two and over included in published statistics.
In England, there is a more comprehensive picture with all patients aged two and over included in published statistics.
Using the Freedom of Information Act, the programme discovered that in some parts of Wales, hospitals had treated far more patients than had been publicly reported.
Using the Freedom of Information Act, the programme discovered that in some parts of Wales, hospitals had treated far more patients than had been publicly reported.
Chief medical officer for Wales Tony Jewell said the method for collecting and publishing figures would be reviewed.
Chief medical officer for Wales Tony Jewell said the method for collecting and publishing figures would be reviewed.
Week In Week Out is on BBC One Wales on Monday at 1930 BST.
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