ࡱ>  @ <bjbjVV 4r<r<4fffffffz1111<Z1z#ih2323232323 4 4 4hhhhhhh$jRlhf 4 4 4 4 4hff2323hRRR 4"f23f23hR 4hRR`hffa23&3 p|Be1/4`bh0#ia{m8{m azzffff{mfa 4 4R 4 4 4 4 4hhzz-19zz1The XXX Custody Suite Cleaning Standards Introduction The cleanliness of any health care environment is important to support infection prevention and control and ensure patient confidence. In 2010 The National Patient Safety Agency (NPSA) published The national specifications for cleanliness in the NHL: A framework for setting and measuring performance outcomes in primary medical and dental care premises. The xxx Police Force has adopted this guidance where it is applicable to the services provided. The aims of this cleaning plan: To assist xxx Constabulary in promoting confidence amongst, (patients) detainees, service users, and staff that their facilities are clean and fit for purpose. To support good infection prevention and control practices; To provide assurance to their commissioners and regulators that the premises that this practice delivers healthcare services are clean and fit for purpose. The objectives of this cleaning plan To identify the cleaning requirements for the premises/ custody suites as identified in The National specifications for cleanliness; To set out and implement a plan that meet the cleaning requirements of the facilities/ police force/ NHS Commissioners To identify and allocate resources efficiently and effectively; To set out and implement a quality assurance process by which the police force/ NHS commissioners can monitor progress and compliance against standard. To ensure the standards of cleanliness in the custody suites medical rooms meet the expectations of detainees and staff across xxx Constabulary. All staff undertaking cleaning within the custody medical rooms will understand their role and the cleanliness outcomes required. Ensure any contractor employed by the police force has an up-to date cleaning manual detailing how to complete each task along with comprehensive risk assessments. Cleaning Standards: ElementStandardRationaleFrequency of CleaningProduct typeResponsibilityWeighing ScalesAll parts including underneath should be visibly clean, with no blood or bodily substances, dust, dirt, debris or spillagesTo prevent the spread of infection between clients.One full clean daily ad hoc should if requiredDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsClinical Equipment incl.Blood Pressure Machine, O2 monitor etc.All parts including underneath should be visibly clean, with no blood or bodily substances, dust, dirt, debris or spillagesTo prevent the spread of infection between clients.One full clean daily spot cleaning as requiredDetergent. Disinfectant if blood or body fluids visible.Healthcare ProvidersExamination Couch (wherever possible the couch should be adjustable height and placed in the centre of the room adhere to Health & Safety guidelines) All parts including castors / feet should be visibly clean, with no blood or body substances, dust, dirt, debris or spillages. To prevent the spread of infection between clients.Paper roll should be used for each patient OR wiped after each use. AND Full daily clean with spot cleaning as requiredDetergent. Disinfectant if blood or body fluids visible.Healthcare ProvidersSwitches, Sockets and Data PointsAll wall fixtures, e.g. switches, sockets, data points should be visibly clean with no blood or bodily substances, dust, dirt, debris, adhesive tape or spillagesTo prevent the spread of infection between clients.One full clean weeklyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsDressing TrolleysAll parts including castors / feet should be visibly clean, with no blood or body substances, dust, dirt, debris or spillagesTo prevent the spread of infection between clientsDaily full clean AND After each use. Detergent. Disinfectant if blood or body fluids visible.Healthcare ProviderWallsAll wall surfaces including skirtings should be visible clean with no blood or body substances, dust, dirt, debris or spillagesTo prevent the spread of infection between clientsDust weekly, spot cleaning as required AND Full wash annuallyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsCeilingAll ceiling surfaces should be visibly clean with no blood or body substances, dust, dirt, cobwebs or debrisTo prevent the spread of infection between clientsDust weekly, spot cleaning as required AND Full wash annuallyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsAll doors including handles N.B. This includes toilet and cupboard doors.All parts of the door structure should be visibly clean so that all door surfaces, vents, frames, and jambs have no blood or body substances, dust, dirt, debris, adhesive tape or spillages.To prevent the spread of infection between clientsFull clean daily including handles and door plates. Spot clean more frequently if required.Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsAll internal glazing, including partitions and mirrorsAll internal glazed surfaces should be visibly clean and smear free with no blood or body substances, dust, dirt, debris, adhesive tape or spillages and should have a uniform shine appearance.To prevent the spread of infection between clientsOne full clean every week Spot clean and check daily Match with wallsDetergent. Disinfectant if blood or body fluids visible.Cleaning contractors.All external glazingAll external glazed surfaces should be clean.One full clean every three monthsDetergent.Cleaning contractors.RadiatorsAll parts of the radiator including between panels should be visibly clean, with no blood or body substances, dust, dirt, debris, adhesive tape or spillages To prevent the spread of infection between clientsOne full clean daily.Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsCurtainsTo prevent the spread of infection between clientsOnly disposable curtains should be used and changed as a minimum every 6 months OR if visibly contaminatedDisposableCleaning contractors Ventilation grilles / Extractors / Inlets N.B. Hepa Filters should be fitted.The external part of the ventilation grille should be visibly clean with no blood or body substances, dust, dirt, debris or cobwebs. To prevent the spread of infection between clientsFull clean monthly and dust weekly As per manufacturers guidanceCleaning contractors and Police Estates (for monthly clean) Hard Floor Impervious and rounded edges, sealed to wall.The complete floor including edges, corners and main floor spaces should have a uniform finish or shine and be visibly clean with no blood or body substances, dust, dirt, debris, spillages or scuff marks. To prevent the spread of infection between clientsVacuum and Mop dailyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsElectrical Items including computer equipment, telephones, N.B. There should not be a printer within a clinical area due to paper dust. The casing of an electrical item should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or stickersTo prevent the spread of infection between clientsDust daily Phones cleaned with detergent wipe or equivalent daily in the clinical room, other areas weeklyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsCleaning Equipment N.B. These should be kept in a separate locked room separate , mops & buckets invertedCleaning equipment should be visibly clean with no blood or body substances, dust, dirt, debris or moisture. To prevent the spread of infection between clientsFull clean after each use. Store mops and buckets inverted.Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsLow and high SurfacesAll surfaces should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages. To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled. Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsChairsAll part of the furniture should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled. Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsTables / DesksAll parts of the table including wheels, castors and underneath should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled. Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsHand Wash Containers / Hand Rub dispensersAll part of the surfaces of hand soap / paper towel containers should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages. Dispensers should be kept stocked.To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled. Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsWaste ReceptaclesThe waste receptacle should be visibly clean including lid and pedal with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled. Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsFridges and Freezers N.B. Each fridge should have a thermometer inside & on door without opening to allow temperature check without opening the door. The temperature should be checked daily and be maintained between 2-8 degrees. Reporting mechanisms must be in place if the temperature is found to be outside of these parameters.Fridges and or Fridge Freezers should be visibly clean with no blood or body substances, dust, dirt, spillages food debris or build up of iceTo prevent the spread of infection between clientsFridges one full clean weekly Freezers defrost and clean monthlyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractors for external HCP internalHot Water BoilersHot Water Boilers should be visibly clean with no blood or body substances, dust, dirt, debris, adhesive tape or spillages.To prevent the spread of infection between clientsFull clean daily with detergent and then dried disinfectant may be required after cleaning with the detergent if body fluids have been spilled.Detergent. Disinfectant if blood or body fluids visible.Cleaning contractorsKitchen Cupboards N.B. Only clinical equipment should be stored.Kitchen Cupboards should be visibly clean with no blood or body substances, dust, dirt, debris, stains, spillages or food debrisTo prevent the spread of infection between clientsOne external clean weekly One internal clean quarterlyDetergent. Disinfectant if blood or body fluids visible.Cleaning contractors for external Healthcare Providers internally and to clean drugs cupboards.ToiletsThe toilet and bidet should be visibly clean with no blood or body substances, scum, dust, removable lime-scale, stains, deposits or smearsTo prevent the spread of infection between clientsOne full clean daily Twice a day for communal areasDetergent. Disinfectant if blood or body fluids visible.Cleaning contractorsSinksThe sink and such equipment as wall attached dispensers etc should be visible clean, with no blood or bodily substances, dust, dirt, debris, lime-scale, stains or spillages. Plugholes and overflow should be free from build-up.To prevent the spread of infection between clientsOne full clean daily Twice a day for communal areasDetergent. Disinfectant if blood or body fluids visible.Cleaning contractors Frequency of Cleaning Low cells, staff areas Medium / High communal areas & clinical rooms Working Group for Cleaning Standards In order to focus on the delivery of the national cleaning standards, a cleanliness group is established by the provider. This group will ensure that the specifications are met within the custody suite medical room. Membership Contracts Manager NHS Commissioner or Deputy NHS Infection Control Advisor Health Care Assistant Cleaning Contractor Estates representative for both non PFI and PFI facilities. The cleaning provider will: Take ownership of the standards of the cleanliness within the custody suite Develop and maintain a cleaning plan in conjunction with the medical services provider contractor Oversee the implementation of cleaning standards in conjunction with the medical service provider Be responsible for maintaining acceptable standards of cleaning. Ensure failures in the provision of cleaning services are swiftly rectified. (7|   ) ; R \ ] e p  8 ] q %&PeMNO^p˷˭˷˷˷˷˷˷˷˭}hG'h(5CJ^JaJhM,5CJ^JaJheyheyCJ^JaJh`>(CJ^JaJhCJ^JaJhAJCJ^JaJheyCJ^JaJheyh`>(CJ^JaJheyh`>(5CJ^JaJhAJ5CJ^JaJheyhey5CJ^JaJ.)*78   D &NOPQR $ & Fa$gdey $ & Fa$gdey$a$gdey$a$gdey<RSTUVWXYZ[\]^rs{ $$Ifa$gd$a$gdeypqrsMD %_`uv  ϵ›¨µϨ›¨µ}seZeshZ=6CJ^JaJhM,hZ=6CJ^JaJhZ=CJ^JaJhehZ=CJ^JaJ!hAJh)/B*CJ^JaJphhhQCJ^JaJhhZ=CJ^JaJhM,h)/CJ^JaJhh)/CJ^JaJheh)/CJ^JaJh(CJ^JaJhG'hey5CJ^JaJh5CJ^JaJkd$$Iflֈ "!l t03"44 lap<M $Ifgdkd*$$Iflֈ "!l t03"44 lap<D%12`u $IfgduvkdP$$Iflֈ "!l t03"44 lap<v    ;GHv $Ifgd  v!P{'(\pq׶ש䜩wjY!ho hB*CJ^JaJphh]$hCJ^JaJhM,h6CJ^JaJhM,hCJ^JaJhCJ^JaJhehCJ^JaJhhCJ^JaJhZ=CJ^JaJhCJ^JaJhM,hZ=CJ^JaJhhZ=CJ^JaJhehZ=CJ^JaJhcKhZ=6CJ^JaJ"kdv$$Iflֈ "!l t03"44 lap<P $Ifgdkd$$Iflֈ "!l t03"44 lap<{' $Ifgd'(kd$$Iflֈ "!l t03"44 lap<(.  !-.\q $Ifgd qrkd$$Iflֈ "!l t03"44 lap<rzBCGH[gh $Ifgd kd$$Iflֈ "!l t03"44 lap<DPQ $Ifgd kd4 $$Iflֈ "!l t03"44 lap<CY $Ifgd YZ"#$,.  > w!y!!!"###V#X##/$ %%%1%3%%%D&E&F&h&&&&H'洙洙洙{{hh=CJ^JaJ!hQhB* CJ^JaJphpho h6CJ^JaJho hCJ^JaJhCJ^JaJ!hAJhB*CJ^JaJphhCJ^JaJh]$hCJ^JaJhehCJ^JaJhhCJ^JaJ0YZkdZ $$Iflֈ "!l t03"44 lap<Zo $Ifgdkd $$Iflֈ "!l t03"44 lap<# $Ifgd #$kd $$Iflֈ "!l t03"44 lap<$-.a $Ifgdkd $$Iflֈ "!l t03"44 lap<  > !!!:!w!x!y! $Ifgd y!z!kd$$Iflֈ "!l t03"44 lap<z!!!!"""""## $Ifgd ##kd$$Iflֈ "!l t03"44 lap<#W#X###/$b$m$n$$$$ %% $Ifgd %%kd>$$Iflֈ "!l t03"44 lap<%2%3%%%+&F&G&h&t&u&&& $Ifgd &&kdd$$Iflֈ "!l t03"44 lap<&&H'{' ((((I(^( $Ifgd H'I(](^(())**+++,---.////00z1.2]2^2234444E44l555d67778888888ϋ}hrha>*CJ^JaJheyCJ^JaJ!h,hB*CJ^JaJphhrhCJ^JaJhh6CJ^JaJhrh6CJ^JaJhehCJ^JaJho hCJ^JaJhCJ^JaJhhCJ^JaJ0^(_(kd$$Iflֈ "!l t03"44 lap<_(f(())))))* $Ifgd **kd$$Iflֈ "!l t03"44 lap<****++++++ $Ifgd ++kd$$Iflֈ "!l t03"44 lap<++,,------ $Ifgd --kd$$Iflֈ "!l t03"44 lap<--..M/N/Z/[/// $Ifgd //kd"$$Iflֈ "!l t03"44 lap<///0z1111112.2P2Q2^2 $Ifgd^2_2kdH$$Iflֈ "!l t03"44 lap<_2q22 333334 $Ifgd44kdn$$Iflֈ "!l t03"44 lap<444E4445515=5>5l55555 $Ifgd55kd$$Iflֈ "!l t03"44 lap<55d666666677 $Ifgd 77kd$$Iflֈ "!l t03"44 lap<7#7898N8O8n8z8{888 $Ifgd 88kd$$Iflֈ "!l t03"44 lap<88888"9#9H9I9":#:.:@:[:y::::::H;; <M< $ & Fa$gdey $ & Fa$gdey $ & Fa$gd3} $ & Fa$gda$a$gdey88888!9#909G9H9I99999::#:.:9:?:@:U:[:y:::ŷŪӝ|ob|obU|Hhrh'7CJ^JaJhrhrCJ^JaJhrhAJCJ^JaJhrhx#CJ^JaJhrh`>(CJ^JaJhx#CJ^JaJhAJCJ^JaJheyh`>(CJ^JaJheyheyCJ^JaJheyhey5CJ^JaJheyh`>(5CJ^JaJheyCJ^JaJh3}CJ^JaJhaCJ^JaJhrhey>*CJ^JaJ:::::::::::9;G;H;I;l;;;;; < < <L<M<N<<ȾҴҾȝȝȝhJCJ^JaJheyhJCJ^JaJh'7CJ^JaJhAJCJ^JaJhx#CJ^JaJheyCJ^JaJheyh'7CJ^JaJhrhrCJ^JaJhrCJ^JaJh`>(CJ^JaJM<<<<$a$gdey $ & Fa$gdey21h:pM,. A!"#$% ($$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<$$$If!vh55l5555#v#vl#v#v#v#v:V l t03"55l5555p<D@D NormalCJOJQJ_HmH sH tH DAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No List jj J Table Grid7:V0B'@B AJComment ReferenceCJaJD@D AJ Comment TextCJmHsHtH,O!, AJ Char2OJQJLj@L AJComment Subject5\mHsHtH2OA2 AJ Char15OJQJ\P@RP AJ Balloon TextCJOJQJaJmHsHtH6Oa6 AJ CharCJOJQJ^JaJ4)*78D&NOPQRSTUVWXYZ[\]^rs{M  D % 1 2 ` u v   ; G H v P {'(.  !-.\qrzBCGH[ghDPQCYZo#$-.a>:wxyzWX/bmn 23+FGhtuH{    I ^ _ f !!!!!!"""""########$$%%%%%%%%&&M'N'Z'[''''''(z))))))*.*P*Q*^*_*q** +++++,,,,E,,,--1-=->-l-------d.......///#/090N0O0n0z0{00000000"1#1H1I1"2#2.2@2[2y222222H33 4M444400000000 0 0 0000 0 0 0 0 0 0 00000000000000000000 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 000 0 0 00 0 0 00000 000 0 0 0 0 0 0 000 0 0 0 0 0 0000000 000 0 0 0 0 0 00000 000 0 0 0 0 0 00000 000 0 0 000 0 0 0 000 0 0 0 0 0 00000 000 0 0 0 0 0 0 0 0 0 0 00 0 0 000 0 0 0 0 0 0 0 0 0 000 0 0 000 0 000 0 000 0 0 0 000 0 0 0000 0 0 000 000 0 0 000 0 0 000 000 0 0 0 0 0 00 000 0 0 0 0 0 00 000 0 0 0 0 0 00 000 0 0 0 0 0 00 000 0 0 0 0 0 00 000 0 0 000 0 0 000 000 000 0 0 0 0 0 000 0 0 000 0 0 000 000 0000 0 0 0 0 000 000 0 0 0 0 0 000 000 0 0 00x0x 0x 0x0000x0x0x 0 0x 0x 0  0  00 0 0  0 0 00 0x0x0xp H'8:<#*7H]^Ruv'(qrYZ#$y!z!##%%&&^(_(**++--//^2_244557788M<< "$%&'()+,-./012345689:;<=>?@ABCDEFGIJKLMNOPQRSTUVWXYZ[\_<!8@0(  B S  ?++++4"-M % / 2 _  ; E H u P !+.[[ehDNQ~BCX ,<tX\37hru    H !!!!!!l#}#####$$z%%%%%%:'K'N'X'[''''N(X((())*-*++++++,,1-;->-k---.../B/O/n0x0{001111224333333333333333333333333333333333333333333333333333333333333333333333333333333333^ ` v v . !\zC[Co.: I f !"##$$%%''_*q*+,--/#//000#22224)*-.:;=>  $&fgpsOPWX[\bcefopwx . 2 > ? A B G H J K O P V W ^ ` D H T U W X ] ^ ` a e f l m t v  ! % ' R S Z [ ^ _ e f h i r s z { }~  -.*.:;=>CDFGKLRSZ\  dhtuwx}~MQ]^`afgijnouv}!"$%*+-.239:AC 0189<=CDFGPQXY`a"#019:129:=>DEGHQRYZab '( "#*+/0DGLMQRUV]^fhquJKRSVW]^`ajkrsz{     ' ( * + 0 1 3 4 8 9 ? @ G I e f !!!!!!!!!!!!!!!!!!""""""""""""""""""""""## # #########*#+#.#/#1#2#:#;#@#A#I#J#N#O#R#S#\#]#_#`#d#e#k#l#p#q#u#v#}##################$$$$$$$$$$$$$$$$$%%% % %%%%%%%#%$%)%*%+%,%8%9%<%=%?%@%H%I%N%O%W%X%\%]%`%a%j%k%m%n%r%s%y%z%~%%%%%%%%%%%%%%%%%%%%%%&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&'' ''''''' '!'*'+'-'.'2'3'9':'>'?'C'D'K'N'W'['g'h'j'k'p'q's't'x'y'''''((|)}))))))))))))))))))))* * *********$*%*,*.*******+++++++++ +$+%+*+++0+1+5+6+?+@+C+D+H+I+N+O+P+Q+]+^+a+b+d+e+m+n+s+t+|+}+++++++++++++++++++++++++++++++++++,,,,,,,,,,,,,,,,:->-J-K-M-N-S-T-V-W-[-\-b-c-j-l-f.g.n.o.r.s.y.z.|.}.....................//0 000000000(0)000108090w0{00000000000000000 44>=tdd%FF2`.6t&'cBY=2`                                             *)x#o '7E3AJG'`>(ZO)M, .Z=cK:M4\XE_ddbiy |{3}=rYQWQ,)/JI(ey]$eE5N [a*^rs{M  D % ` u v ; v P {'(.!\qrz[DCYZo#$-.a>:yz/b +hH{ I ^ _ f !!!"""""#####$$%%%%%&&N''''(z))).*^*_*q** +++,,E,,,1-l----d...///#/090n0000H147n0@X |4P@UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma?5 z Courier New;Wingdings"1h!!,_,_!24443QHP ?`>(&Cleaning Standards in General Practice AdministratorDH User      Oh+'0|  8 D P\dlt(Cleaning Standards in General PracticeAdministratorNormalDH User2Microsoft Word 10.0@F#@5@e@5@e,՜.+,0$ hp  NHS Central Lancashire_4 'Cleaning Standards in General Practice Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`bcdefghijklmnoprstuvwxyz{|}~Root Entry FIBeData a1TableqmWordDocument4SummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q