TPP No: F30 FOOD SAFETY MANAGEMENT SYSTEM J P Gee Trust Environmental Health Consultant Catering Services Manger Version: Operational date: Reviewed: Next review: Area: 2 1999 September 2009 September 2010 Facilities 0 Document No: F30 Title: Food Safety Management System Approval and Authorisation Completion of the following signature block signifies the review and approval of this Process (filed hard copy held in safe). Signed copy held in Catering Department Name Authored by:- Job Title Signature Date Version Version 2 Version 2 Date 27/02/2007 28.02.2007 Author Version 2 28.02.2007 Version 2 Version 2 Version 2 Version 2 07.06.2007 07.02.2008 03.11.2008 20.11.2009 Reason Pg 58 amended Year changed from 2006 - 2007 Data sheet foror Grease Gobbler Pg 191 amended See Appendix 11 Amendments Amendments Approved by:Authorised by: Change History 1 CONTENTS Subject 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 14.0 15.0 16.0 17.0 18.0 Page No. Introduction.................................................................................................5 Distribution List ...........................................................................................6 Document Control.......................................................................................7 Roles and Responsibilities..........................................................................8 Definitions.................................................................................................12 Food Safety Practice Codes: Food Purchase ..........................................13 Food Safety Practice Codes: Food Receipt.............................................14 Food Safety Practice Codes: Food Storage ............................................16 Food Safety Practice Codes: Food Preparation / cooking .......................23 Food Safety Practice Codes: Food Chilling .............................................29 Food Safety Practice Codes: Distribution ................................................32 Food Safety Practice Codes: Food Service .............................................34 Food Safety Practice Codes: Personal Hygiene ......................................38 Food Safety Practice Codes: Pest Control ..............................................43 Food Safety Practice Codes: Cleaning and Waste Disposal ...................45 Food Safety Practice Codes: Maintenance..............................................48 Food Safety Practice Codes: Training .....................................................51 Food Safety Practice Codes: Complaints/Incidents Procedure ...............54 Food Safety Practice Codes: Management Audit ....................................56 Food Safety Practice Codes: Review ......................................................57 Appendices Appendix 1 - Flowcharts and analysis a) Flow chart and analysis cook serve ..........................................................58 b) Flow chart and analysis frozen foods to be consumed hot .......................67 c) Flow chart and analysis frozen foods to be consumed cold......................74 d) Flow chart and analysis chilled foods to be consumed hot .......................81 e) Flow chart and analysis chilled foods to be consumed cold .....................89 f) Flow chart and analysis ambient foods to be consumed hot ....................94 g) Flow chart and analysis ambient foods to be consumed cold........................................................................................101 h) Flow chart and analysis ambient foods to be consumed ambient .................................................................................107 i) Flow chart and analysis joints of meat ....................................................110 2 j) k) Flow chart and analysis savoury topped pies/composite products .........117 Flow chart and analysis Diet Bay food production ..................................123 Appendix 2 List of approved suppliers .................................................................................135 Appendix 3 Standard forms (filed at rear of document)...................................................143 FSS1 Daily delivery state FSS2 Diet Bay – Hot Food FSS2 Dolphin Temperature Log Sheet FSS2 Refrigerator Temperature Sheets FSS2 Woodley Alarm Record Sheet FSS3 Catering Production Control Form FSS3 Diet Bay – Cold Food Sheet FSS3 Diet Bay Pureed - Daily FSS4 Blast Chiller Process Control Sheet FSS5 Food Service Process Control Sheet FSS6 Ward Quality Audit Form FSS7 Probe Calibration Check Sheet FSS8 Maiintenance Request Control Sheet FSS9 Training Record Form FSS10 Special Function Control Sheet FSS11 Management Audit FSS12 Occupational Health Screening Form FSS13 Staff Agreement to Report Illness FSS13a Health Questionnaire – Visitors Notice Hygiene Policy FSS14 Hygiene for Food Handlers FSS15 Cleaning Checklist FSS16 Complaint / Incident Form FSS17 Hand Hygiene Policy FSS18 Guidance for Outside Caterers FSS19 HACCP Control Sheet for Monitoring FSS20 Cleaning Duties Schedule CPU FSS21 Signing off sheet – Cleaning Duties Schedule CPU FSS21a Signing off sheet – cleaning duties schedule – Post Grad Kitchen FSS22 Cleaning instructions for Robot Coupe FSS22a Robot Coupe Cleaning Control FSS23 Porters Daily Cleaning Duties Schedule - CPU FSS24 Kitchen Daily Cleaning Signature Sheet 3 FSS25 FSS26 FSS27 FSS28 FSS29 FSS30 FSS31 FSS32 FSS33 FSS34 Patient Meal Delivery Service Cleaning Refilling Deep Fat Fryers Aspens Daily Cleaning Schedule Meal Replacement Pack Blast Chiller Operating Instructions Daily Cleaning Schedule – Belt Weekly Cleaning Schedule – Belt Post Graduate Medical Centre Servery Temperature Log Post Graduate Salad Bar Chiller Baguette Temperature Control sheet Appendix 4 Job Instructions: Use of electronic probe thermometer ....................................144 Appendix 5 Useful telephone numbers ................................................................................150 Appendix 6 - Not allocated Appendix 7 - Not allocated Appendix 8 Disposal of Stock ..............................................................................................151 Appendix 9 - Not allocated Appendix 10 - Not allocated Appendix 11 Document amendments to February 2008 ........................................................152 Appendix 12 Advise for caterers on allergy and intolerances.................................................157 Appendix 13 Food Standards Agency : Food Handlers : Fitness to Work..............................164 4 1.0 INTRODUCTION Good standards of food hygiene at all stages of the food chain are essential. Failure to maintain standards at any stage could lead to problems with food complaints or food poisoning. It is vital that our patients and staff are protected against these risks. This food safety system has been prepared in conjunction with JPG Services. It is intended to provide a structured controlled pro-active management approach to food safety within the Trust. This system has been developed for the Kettering General Hospital and is based on the catering arrangements and operations on this site. It is a 600 bedded unit. The catering department also services a staff restaurant which serves up to 330 staff meals per day plus snacks / sandwiches. The catering operations on site are based mainly on a cook serve methodology with wards receiving a plated hot line service. Special diets are supplied via a cook freeze service. These meals are produced in a diet bay on site. The volume of production and complexity of the catering operations make it essential that suitable food hygiene and safety standards are maintained. The purpose of this food safety system is to:♦ ♦ ♦ ♦ ♦ ♦ ♦ identify the food safety hazards; identify the necessary food safety controls; identify the critical food safety control points; define the monitoring and recording procedures to be adopted; provide advice on the hygiene standards; provide the basis for the systematic production of clean safe food; provide the basis for the development of a due diligence defence. The Hazard Analysis element of the system is based on the principles set out in Assured Safe Catering and SAFE. The analysis is based on the study of groups of generic products which are prepared or sold by the catering department. This approach was selected because of the nature and complexity of catering operations carried out on the site. It optimises the effectiveness of the system whilst minimising its complexity. The system comprises of the following elements:♦ ♦ ♦ A hazard analysis of the catering operations carried out on the sites; Codes of practice which set out the routine control measures and management systems to be applied within the departments; Standard forms and signage to be used within the departments. The system has been developed to be a working document and staff shall comply with its content. 5 DISTRIBUTION LIST CONTROLLED COPIES NAME JOB TITLE Dr M Newbold Chief Executive Mrs J Tombleson Head of Facilities Head of Production Mrs S Landon Catering Services Manager Mrs L Pitt Retail Supervisor Duty Supervisors Mr P Hepton Stores Supervisor Library and Intranet UNCONTROLLED COPIES FOR INFORMATION NAME JOB TITLE Leo Brown Environmental Health Officer Kettering Borough Council Dr M Natarajan Consultant Microbiologists Dr E Rizkalla Mrs P Howe Infection Control Miss J Farrow Occupational Health Manager Mr M Thorman Authorising Officer: Director of Finance Mr A Coombes Head of Estates Mrs J Tunstall Chief Operating Officer 6 KETTERING GENERAL HOSPITAL NHS FOUNDATIN TRUST FOOD SAFETY MANAGEMENT SYSTEM Document Control 1. This system must be kept in a place that is accessible to all staff who need to adhere to its content as a reference. 2. It is the responsibility of the Catering Services Manager to maintain the master copy of this document. He/she shall ensure that it is reviewed a minimum of annually or in response to substantive changes within the department that may affect the effectiveness of the system. 3. The Catering Services Manager shall ensure that where any changes have been necessary these are recorded on the Document Control Register and that all controlled copies of the system are updated within the Catering Department. He/she shall also amend the copy on the Trust’s Intranet system and email recipients of controlled copies to advise them that amendments have taken place. He/she shall ensure that all named persons who have uncontrolled copies receive copies of all amendments. It will be the responsibility of those named persons to update their own copies of the document. 4. The named persons receiving an update shall return the out of date pages to the Catering Services Manager for destruction. 7 2.0 ROLES AND RESPONSIBILITIES 2.1 Chief Executive (C.E) ♦ The Chief Executive is ultimately responsible for the maintenance of standards of food hygiene in the Trust. C.E shall ensure that the requirements of the Food Safety Management System are fully implemented. He shall ensure that the necessary resources and staff are provided to implement, maintain and manage the system. 2.2 Head of Facilities (H.F.) ♦ The Head of Facilities shall be responsible to the C.E. for the monitoring of standards of food hygiene within the Trust. The D.F. shall report to the C.E. matters which have Trust wide implications. The D.F. shall report to A.O. matters which cannot be contained within the budget. 2.3 Authorising Officer (A.O.) Head of Facilities ♦ The Authorising Officer shall manage the contract between the Trust and the Catering Department as a contractor. The A.O. shall receive reports from C.S.M.. and D.F. and report to C.E. matters which cannot be contained within contract budget. 2.4 Catering Services Manager (C.S.M.) ♦ The Catering Services Manager shall be responsible for the management of the in house catering team. He/she shall oversee and actively monitor the implementation and effectiveness of the Food Safety Management System. ♦ The C.S.M.. shall ensure action is taken on reports from the Catering Head of Production and external bodies, e.g. local Environmental Health Department. He/she shall appraise the A.O. of progress on issues requiring action. ♦ He/she shall report to the A.O. on issues that have revenue or capital consequences which cannot be contained within the catering contract budgets. ♦ He/she shall report to the A.O. any issues which have Trust wide implications or lead to the possibility of formal action by the local Environmental Health Officer. ♦ The C.S.M. shall ensure that food supplies are purchased from approved nominated suppliers. 8 ♦ In the absence of the C.S.M the Head of Production shall assume the C.S.M. roles and responsibilities. 2.5 Head of Production (H.P.) ♦ The H.P. will be responsible for catering operations up to the point where the food is served to the patient or member of staff. Food service at ward level is performed by non-catering staff and the H.P.’s responsibility will cease when the food has been delivered to the ward and accepted for service by ward based staff. ♦ H.P. shall be responsible for the direct implementation of the Food Safety Management System. ♦ H.P. shall ensure corrective action is taken on matters within his direct control identified as requiring action from his own monitoring systems or external reports. ♦ He shall report to C.S.M.. on issues that have revenue or capital consequences which can not be contained within the catering departments budgets. 2.6 Catering Supervisory Staff (C.S) ♦ Catering Supervisory Staff shall be responsible for monitoring the performance of food handlers under their control. They shall ensure that staff comply with the provisions of the Food Safety Management System. ♦ C.S. shall ensure that actions necessary to correct deficiencies are taken. Where necessary they shall report corrective actions to the H.P. or C.S.M.. ♦ C.S. shall assist the H.P. and C.S.M.. in implementing the Food Safety Management System. 2.7 Food Handlers ♦ All food handlers shall comply with the provisions of the Food Safety Management System. ♦ All food handlers shall maintain high standards of personal hygiene and food handling practices. ♦ All food handlers shall report to the H.P. or C.S. if they are suffering from a condition or illness that may result in food contamination. 9 ♦ Food handlers shall not recklessly interfere with materials or equipment provided for food hygiene purposes. 2.8 Heads of Nursing (HoN) ♦ The Heads of Nursing shall ensure that food hygiene standards are maintained within their area. ♦ HoN shall ensure food service is carried out efficiently and safely. 2.9 Control of Infection Team (C.o.I.T.) ♦ The Control of Infection Team for the Trust shall give professional advice on control of infection issues relating to food hygiene and food safety. ♦ Subject to the provisions of the Trust Major Outbreak Control Plan, the C.o.I.F.. shall be responsible for investigation and enforcement of the necessary procedures to control an outbreak of food poisoning or food related illness. 2.10 Nominated Pest Control Officer ♦ The nominated Pest Control Officer shall be responsible for the monitoring of pest control within the Trust. He shall be responsible for the management of the pest control contract. He shall report to the D.F. on major pest control issues. 2.11 Estates Manager (E.M) ♦ The Estates Manager shall be responsible for standards of routine and preventative maintenance in food handling areas. E.M. shall ensure that maintenance is carried out efficiently to an appropriate standard in a safe manner. ♦ E.M. shall ensure that work requisitions relating to food handling areas receive appropriate priority. 2.12 Occupational Health Manager ♦ The Occupational Health Manager shall provide professional advice to the Trust on the occupational health issues relating to food hygiene and food safety, e.g. occupational health screening of prospective food handlers, advice on food handlers returning to work after illness. 2.13 Procurement and Supplies Manager (S.M) ♦ The S.M. shall assist the C.S.M. in purchasing food from approved nominated suppliers in accordance with the NHS Supplychain contractual conditions. 10 2.14 Environmental Health Officer (E.H.O.) ♦ The appointed E.H.O. shall assist the C.S.M. in the development, implementation and review of the Food Safety Management System. He shall carry out monitoring of the effectiveness of the system and food hygiene standards within the Trust at the direction of the C.S.M. 11 3.0 DEFINITIONS Guide to terminology used in this document Food: The definition of food to be applied includes drink and ice. Food hygiene: All environmental factors, practices, processes, and precautions involved in protecting food from contamination of any kind and by any agency and preventing any organisms present from multiplying to an extent which would expose consumers to risk. Food handler: Any person who handles food as part of their duties. This term encompasses staff involved in the transportation and service of foods as well as food production staff. High risk foods: Ready to eat foods that will support the growth of pathogenic bacteria. These types of foods include cooked meats, sandwiches, dairy cream cakes, prepared salads, meat dishes. Potable water: Safe to drink and acceptable for use in the preparation of food or drinks. 12 4.0 Food Safety Practice Codes: Food Purchase 4.1 The production of clean safe wholesome food is dependant upon the purchase of raw materials of a suitable quality and standard. The food safety chain starts with the purchase of foods and this procurement process must be controlled. 4.2 All foods for use within the catering department shall in the interests of food safety and traceability be purchased from the list of approved suppliers. Suppliers will be those approved by H.H.P.A or by the Trusts Environmental Health Adviser. A list of the suppliers approved is contained in Appendix 2 and on the Menu Mark System. 4.3 The maintenance of the list of approved suppliers and associated vetting procedures will be the responsibility of NHS Supply Chain and the Catering Services Manager. The Storeman and Catering Services Manager/Head of Production shall ensure that food is only purchased from these sources. No change in suppliers will be carried out without reference to the Catering Services Manager. 4.4 The specification with food suppliers shall include reference to appropriate food safety standards, e.g. delivery temperature, hygiene of delivery vehicles and drivers. 4.5 Not all food consumed on the premises will be provided by the Catering Department, all providers of food brought in should complete FSS18a. These shall be returned to the Catering Department office and filed for reference for three months following the event. 13 5.0 Food Safety Practice Codes: Food Receipt 5.1 Food deliveries will only be accepted by nominated and trained members of staff, i.e. storeman or Head of Production/Supervisors. All high risk food deliveries shall be scheduled to arrive when responsible staff are available to check the delivery. 5.2 All food deliveries shall be made to the designated delivery point in the department i.e. the Catering Stores. 5.3 The delivery areas and external areas immediately surrounding them will be kept clean, tidy and free from accumulations of refuse. 5.4 All deliveries of food to the hospital will be checked and the necessary checks recorded on Form FSS1. Deliveries will be checked to ensure:i) ii) iii) iv) v) The food delivered matches the purchase order; The food supplier is on the approved list of suppliers; Food temperature is acceptable, i.e.: Chilled foods - Target below 8ºC. Reject above 10ºC Frozen foods - Target below -18ºC. Reject above -12ºC Date code. The food delivered must have a satisfactory shelf life. Condition of food and packaging is acceptable. Food deliveries will be checked for pests, damaged packaging and their general condition. Infested food, food with damaged / dirty packaging or food which is not of a normal appearance, smell or texture will be rejected. The completed FSS1 forms shall be handed to the Catering Services Manager on Monday morning of the week following the checks. The printouts from the Woodley system shall also be given to the Catering Services Manager. 5.5 Following receipt chilled and frozen foods will be placed in the appropriate store within 30 minutes of arrival. 5.6 Where it is necessary to reject any food delivery or part of it the Storeman shall inform the Catering Services Manager. They shall take the necessary steps to secure a replacement. 5.7 Where deliveries from suppliers consistently exceed the target delivery temperature but are below the reject temperature, the Storeman shall inform the Catering Services Manager who will discuss the situation with the suppliers. 14 5.8 The electronic probe thermometer used for the assessment of deliveries must be cleaned and sanitised after use. The thermometer and the probe will also be wiped with an alcohol based sanitising wipe prior to re-use. Frozen food deliveries shall be checked using a between pack foil probe inserted between two packs of frozen foods. If this procedure reveals that the temperature is too high, where possible the temperature of the food should be rechecked with a chisel probe inserted into the product. 15 6.0 Food Safety Practice Codes: Food Storage 6.1 The satisfactory storage of food is essential to maintain their quality, wholesomeness and safety. Food storage conditions will be carefully regulated. 6.2 Foods will only be removed to appropriate storage area after the necessary delivery checks have been completed. The manufacturer’s storage instructions shall be followed. 6.3 On arrival in a store the new stock will be placed in the appropriate position. New stock shall be placed behind or below existing stock. Date codes will be checked by the member of staff to ensure that all foods are in date. Any foods that have exceeded their use by or best before date or are damaged shall be placed in a marked segregated area for disposal or return to supplier. 6.4 All food stocks shall be stored off the floor on racks or stillages. 6.5 Dried goods that are opened shall be moved to the kitchen where they must be put in clean, pest proof covered containers. The date code from the original packaging must be marked on the container and shall be followed. The original packet will be retained and will be stored in a container to enable the original packing information to be available. Containers shall be cleaned and dried before refilling. 6.6 Chemicals shall not be stored in a food store. They shall be stored in the designated non food store. They shall never be stored in food stores to reduce the risk of contamination and tainting. 6.7 Fruit and vegetables shall be stored under refrigeration (with the exception of bananas which will be stored in the dry store). Potatoes will be stored in the walk in chiller in the vegetable preparation area. Fruit shall be decanted from its outer packaging on re-entry into the vegetable preparation area for processing/use. 6.8 Food shall be transported from the main stores to the catering department within 30 minutes. Refrigerators/Walk in chillers 6.9 The correct storage and temperature control of perishable and high risk foods is vital for the maintenance of food safety standards. The operating temperatures and storage conditions in all units will be actively monitored. 16 6.10 The operating temperatures of the units should be within the following ranges:Freezers - below -18ºC, maximum -12ºC Walk in refrigerators - target 1-4ºC, maximum 8ºC Reach in refrigerators - target 1-4ºC, maximum 8ºC Chilled display units - target 5ºC, maximum 8ºC Walk in refrigerator meat/fish - target 1ºC to 4ºC, maximum 5ºC 6.11 The operating temperatures of the walk in chillers for meats, vegetables and milk shall be monitored by the Woodley Monitoring System. All refrigerators / walk in chillers shall be fitted with a pack of jelly. The pack will be labelled for temperature checks only, not for consumption. Readings on the operating temperatures of the unit will be taken by inserting the tip of an electronic probe thermometer into the jelly. 6.12 The operating temperature of all refrigerators and freezers not on the Woodley System shall be checked and recorded twice a day on Form FSS2. This form shall be given to the Catering Services Manager on the Monday following the readings. Print outs from the Woodley System shall also be passed to the Catering Services Manager on Monday. 6.13 If the operating temperature of the unit is above those set out above the following action must be taken:i) If the unit is above the target temperature check again in 1 hour; ii) If the unit is still above the target temperature adjust the thermostat to bring the operating temperature down to within the target range. If this is not possible contact an engineer in accordance with 14.2. Repeat i) above if, after adjustment, the unit is still not within range contact an engineer. iii) If after repair/adjustment the unit is found to be incapable of maintaining temperature it shall be replaced. Note: Alarms from the Woodley Monitoring System or high readings from chart recorders will be investigated and appropriate action taken in line with the above advice. Action taken will be documented on FSS2a). 6.14 All refrigerators and temperature control equipment will be marked with a unique identity number which will be recorded on all FSS2 records and works requisitions. 6.15 All refrigerators and walk in chillers shall be used for specific ranges of food to limit the potential for cross contamination. Table indicating use of refrigerators:17 UNIT PRODUCT STORAGE RANGE Walk in chiller Main Stores Dairy products, high risk foods, cooked meats and cooked meat products. Walk in Chiller Fresh vegetables, prepared vegetables Vegetable Preparation Area Walk in Chiller Stores Raw meat Raw meat, eggs, raw fish Walk in Freezer Main Stores Frozen foods Vegetable preparation area High risk foods Walk in chiller: Holding Room High risk foods, prepared salads Walk in chiller: Staff restaurant High risk foods, prepared salads Bacon and sausage on lower marked shelf in this area in closed coloured boxes. Shell eggs shall be stored in this area on marked shelf. Reach in refrigerators in chilled preparation area High risk foods only. Diet Bay High risk foods only. Chest freezer in tunnel Ice cream. 6.16 Refrigerators shall not be overstocked and food should not be stored above load lines or directly in front of the cold air inlet (cooler). If food stops the cold air moving around, the refrigerator will not work properly. Refrigerators shall be positioned away from heat sources and direct sunlight in a well ventilated area. All foods shall be stored off the floor. 6.17 All open perishable foods must be covered with cling film, greaseproof paper or foil. The use by date on the food must be clearly marked. The use by date code to be applied must be that from the original container. The use by date to be applied to other foods is a maximum of 2 days (48 hours). Ambient products eg preserves and sauces once opened must be marked with the recommended shelf life:♦ Joints and prepared dishes cooked and chilled on site - 48 hours maximum after cooking/chilling. ♦ Contents of canned foods, etc., opened on site – 48 hours maximum. ♦ Prepared salads ingredients and sandwiches - 48 hours maximum. ♦ Defrosted/thawed meats/fish – 48 hours maximum. 18 6.18 Once opened fruit juice and foods with a high acid content shall be stored in plastic containers. 6.19 Frozen raw meats and fish shall be thawed in the raw meat walk in chiller in containers which will contain all drip/blood. 6.20 Foods stored in refrigerators will be checked daily for their condition and date code. Foods will be thrown out if the use by date/best before has ran out. Food will be condemned in accordance with the Food Condemnation Policy. See Appendix 8. 6.21 Hot foods shall not be placed directly into a storage refrigerator. Refrigerators are provided to keep foods cold and not to cool them. Any hot foods to be retained for cold service or re-use shall be handled in accordance with Food Safety Practice Note No. 8 below. 6.22 The seals to the refrigerator shall be maintained in good condition to ensure an adequate seal and prevent hot air from getting in the unit. 6.23 The seals and internal fixtures and fittings are to be included in the departmental cleaning schedule. This cleaning must be carried out correctly. Storage conditions for specific foods FOOD TYPE SPECIFIC STORAGE INSTRUCTIONS Fresh meat including poultry − Joints limited to 2.5 Kgs. − Outer cardboard discarded on arrival. − Store in vac packing or plastic inners in clean container or tray. − Store in walk in chiller for raw meats in stores. Fresh meat products, e.g. sausages. − Temperature should be below 3ºc on arrival. Maximum 8ºc. − Fully wrapped. − Stored in clean tray or container in walk in chiller with meats. Fresh meat products/ cooked pies − Temperature should be below 3ºc on arrival. Maximum 8ºc. − Use within use by date. Do not freeze. − Store in walk in chiller in stores/holding chill area. 19 Frozen entree dishes/ hot sweets − Temperature below -12ºc on arrival. − Completely wrapped and packaging in good condition. − Shelf life 3 months. − Regenerate in accordance with manufacturers instructions. − Store in walk in freezer in stores. Fresh fish − Temperature on arrival below 2ºc. − Completely wrapped. − Store in clean container or tray in walk in chiller for meats. Frozen fish − Temperature below -12ºc on arrival. − Stored in walk in freezer. − Fish completely wrapped. − Shelf life 3 months. − Fish frozen on site marked with date of freezing. Shelf life 1 month. − Thawed in walk in chiller/raw meat before use. Milk, cream and dairy products − Temperature on arrival should be below 8ºc. − Cartons/containers must be clean and undamaged. − Store in walk in chiller in stores or holding chiller. Shell eggs − Store in walk in chiller for staff servery on base of shelving, or base of reach in refrigerator in servery, shelving in raw meat walk in chiller. − Use within use by date on containers. − Use strictly for staff eggs for back bar. Fresh vegetables, prepared vegetables − Store in walk in chiller for vegetables (except bananas). − Remove outer packaging cardboard/crates, etc, transfer produce to 20 clean containers. − Store pre packed prepared vegetables in plastic inner wrapping. − Use within shelf life. Freezers 6.24 The correct storage and temperature control of perishable and high risk foods is vital for the maintenance of food safety standards. The operating temperatures and storage conditions in all units will be actively monitored. 6.25 Those freezers that are not covered by the Woodley System shall be fitted with a pack of jelly. The pack will be labelled for temperature checks only, not for consumption. Readings on the operating temperatures of the unit will be taken by inserting the tip of an electronic probe thermometer into the jelly. 6.26 The operating temperatures of the units should be within the following range:Freezers - below -18ºC, maximum -12ºC 6.27 If the operating temperature of the unit is above those set out above the following action must be taken:i) If the unit is above the target temperature check again in 1 hour; ii) If the unit is still above the target temperature adjust the thermostat to bring the operating temperature down to within the target range. If this is not possible contact an engineer in accordance with 14.2. Repeat i) above if after adjustment the unit is still not within range contact an engineer. Implement procedure in 6.34 below. iii) If after repair/adjustment the unit is found to be incapable of maintaining temperature it shall be replaced. Note: Alarms from the Woodley Monitoring System shall be investigated and appropriate action taken in line with the above advice. 6.28 All foods in the freezer shall be completely covered to prevent freezer burn, contamination and protect product quality. 6.29 The freezing of perishable foods on site shall be avoided. necessary to freeze foods on site you must:♦ ♦ ♦ Where it is Mark food packaging with date of freezing and a use by date. Use within three months. Ensure that raw meats/fish are fully covered and placed on in a clean container to avoid cross contamination to other foods in the freezer. 21 6.30 The seals to the freezers shall be maintained in good condition to ensure an adequate seal and prevent hot air from getting in the unit. 6.31 The seals and internal fixtures and fittings are included in the departmental cleaning schedule. This cleaning must be carried out correctly. 6.32 Hot foods shall not be placed directly into a storage freezer. Freezers are provided to keep foods cold and not to cool them. Any hot foods to be retained for cold service or re-use shall be handled in accordance with Food Safety Practice Note No. 8 below. 6.33 All freezers shall be defrosted and cleaned at the end of every quarter. The shelves must be removed and cleaned. Ice build on the ceiling/walls and floor shall be removed as necessary. Breakdown procedures for refrigerators or freezers 6.34 In the event of a breakdown of a refrigerator or freezer the contents of the unit shall be assessed and the following action taken:♦ If frozen food has fully defrosted it shall be thrown away, partially thawed products shall be thawed out and used within 24 hours. Foods that have not defrosted shall be transferred to an alternative store straight away. ♦ If the temperature of chilled foods has gone above 8ºC for a period over 2 hours (or an unknown period) it shall be thrown away. In the event of a breakdown where the quantity or nature of food prevents it being moved to another store, a mobile unit will be provided. Note: If there is any doubt about the safety of food the local Environmental Health Officer or Environmental Health Adviser will be contacted for advice. ♦ A detailed list of all food that has to be thrown away will be prepared and given to the Catering Services Manager. Food shall be disposed of in accordance with advice from the Environmental Health Officer and the Food Condemnation Policy (See Appendix 8). 22 7.0 Food Safety Practice Codes: Food preparation and cooking 7.1 The safe hygienic preparation and cooking of food is important if customers are to be protected from the effects of food poisoning. Cross contamination from raw to cooked foods, failure to cook food properly and not keeping foods at the right temperature are the major risks in a catering department. Failure to control these risks could lead to food poisoning. The standards of practices set out below must be followed. Non-compliance may be considered to be a disciplinary matter. 7.2 It is very important that foods are prepared in the correct area with the correct equipment. This is an essential precaution against cross contamination. The following guidance shall be followed:Raw meats, raw fish − preparation table in kitchen on red board or directly from packaging to cooking equipment. Meat − red knife / red board Fish − blue knife / blue board Unprepared vegetables − vegetable preparation area/washer − brown knife / brown board Prepared vegetables, salads, sandwiches, high risk foods − chilled preparation area − white knife / white/yellow boards Salads, prepared vegetables − vegetable preparation area/washer − Green knife / green board Pastry − Bakery area − White board 7.3 Colour coded polypropylene chopping boards and equipment shall be provided for food preparation. The colour coding scheme must be displayed in the kitchen and staff must follow it. A rack shall be provided for the storage of boards. Clean boards shall not be stored in direct contact with each other. 7.4 After use, the board, equipment and table must be cleaned and sanitised. The board and equipment shall be washed in the dishwasher in the pan wash and left to air dry. 7.5 Polypropylene boards will become scarred and marked with use. scarred boards must be replaced or resurfaced 23 Badly 7.6 The sinks in the preparation areas shall only be used for food preparation and not hand washing. After use the for washing of raw fish or vegetables, the sink and associated draining board shall be cleaned and disinfected. Raw meats shall not be washed prior to cooking as this practice increases the potential for cross contamination. Excess blood etc shall be wiped off using disposable paper towelling. After use the towelling shall be disposed of in the waste bin. 7.7 Separate slicing machines must be provided for cooked foods, e.g. meat. Vegetables should be sliced in a vegetable processor. All slicing machines must be taken apart and cleaned in the way that their manufacturer’s recommend after every use. The slicing machine in the temperature controlled area shall be used for cooked meats only. 7.8 General purpose trolleys in the kitchen shall be used for raw or cooked foods. All foods shall be in containers and on no account shall foods come into contact with the trolley. 7.9 Food handlers must thoroughly wash their hands in the wash hand basin provided after handling raw foods - especially raw meats. Where possible staff should be allocated raw food preparation duties and not transfer between different areas of the kitchen. 7.10 Food shall be prepared in batches with the aim that no food is left at room temperature for more than 20 minutes during preparation. Batch prepare foods and put them back into the refrigerator as soon as possible. 7.11 Food production shall be planned to ensure that food preparation and cooking times are kept as near to service times as possible. The aim should be to complete cooking a maximum of 1 hour before service. Once prepared cold foods must be put back in the refrigerator or chilled display cabinet. Hot foods must be kept under hot holding in the oven, hot cabinet or bain marie and their temperature must be maintained above 63ºC. 7.12 Food shall be prepared using the recipe, method and precautions set out in standard recipes. All foods shall be thoroughly cooked to a minimum core temperature of 75ºC. The centre temperature shall be checked with a clean probe thermometer and recorded on FSS3. 7.13 Note Foods for patient service must be cooked and held at a minimum of 82ºC. This is to allow for temperature losses during plating and distribution. The use of shell eggs shall be confined to lion branded eggs within the back bar to the staff servery. Fried eggs for the back bar will be thoroughly cooked until the yolk is hard unless staff specifically request a ‘runny’ yolk. Note: On no account shall shell eggs be utilised in any dish to be served to patients. 24 7.14 The size of joints of raw meats shall be limited to 2.5 kilograms to allow the joint to be cooked thoroughly and improve the cooling rate of it after cooking if it is going to be chilled. It is recommended that the chilling of joints on site is confined to whole muscle joints. The chilling of rolled joints carried increased risk and should only be carried out where necessary and strictly in accordance with Section 8.3. 7.15 It is very dangerous to try and cook any joint of meat, chicken or turkey that is not completely defrosted. You must check that the meat is thawed completely to the centre before cooking. Frozen meat, poultry and fish shall be thawed in the walk in chiller used for raw meats. The joints/birds shall be checked with an electronic probe thermometer. The core temperature must be at least 0.1ºc prior to the commencement of cooking. 7.16 The cavity of chickens must be kept clear during cooking. Stuffing must be cooked separately. 7.17 Large pans of soups, gravies and casseroles or similar foods shall be stirred frequently during cooking. Volume produced must be limited to 25 litres. This type of food should be thoroughly stirred about every 10 minutes to ensure no cold spots develop and the lid should be kept on. Cold spots could allow harmful bacteria to survive and multiply. This advice is not intended to apply to steam jacketed boiling pans. 7.18 Consumers can also be at risk from natural toxins or poisons found in foods. To minimise these risks you must:♦ Throw away any potatoes which are greening, damaged or strongly sprouting. ♦ Soak and thoroughly boil for at least 10 minutes before use, any dried pulses/beans. Cook them until they are soft. ♦ Ensure that oily fish such as tuna, mackerel is stored in the refrigerator below 4ºC. This includes products from cans. ♦ Discard mouldy or rotting fruit and vegetables. 7.19 The reheating of foods is not recommended as it increases food safety risks. Where it is necessary to pre-cook and chill foods for reheating the chilling procedures set out in 8.0 below must be followed. Foods such as hot boiled rice shall be prepared in batches for immediate service. If it is necessary to reheat foods, they should be re-cooked to a core temperature of 75ºC in a microwave, convection oven or combination oven. Hot gravy must not be added to cold meat for reheating. The core temperature must be checked and recorded on FSS3. Any foods that have been reheated, but not used, shall be thrown away. 25 Microwaves used to reheat foods shall be of a commercial specification and construction. Reheating of patients foods in a microwave shall be discouraged. Note Foods for patient service must be reheated and held at a minimum of 82ºC. This is to allow for temperature losses during plating and distribution. 7.20 It is acceptable for meat stock to be used for immediate usage to make gravy. But meat stocks shall not be cooled and retained to make gravy for subsequent service sessions. 7.21 It is acceptable for cooks to taste food for quality control purposes in the kitchen prior to service with a clean spoon. A fresh spoon must be used for each test. The spoons shall be washed and disinfected after use. 7.22 Food storage and production area shall be kept clean and tidy. All food waste shall be disposed of down the waste disposal unit. All packaging, other than cardboard, glass and cans, shall be disposed of into black plastic sacks. The sacks shall be tied and removed at the end of every service session to the outside store. See also section 13.0 below. 7.23 All vegetables used in the kitchen should be thoroughly washed to remove soil, insects and other contaminants. They shall be washed in the vegetable preparation area at the sink set aside for that purpose or the salad washer. Following preparation they shall be drained and either used or covered, dated and placed in the refrigerator. 7.24 Carrots used in the kitchen shall be peeled and topped and tailed prior to use. 7.25 Salads and vegetables shall only be prepared in the vegetable preparation area marked for their use and on the right coloured chopping board. 7.26 When preparing salads and plating functions, it is essential for staff to wash their hands thoroughly. High risk foods should be handled with clean tongs. The batch preparation of salads and high risk foods is essential. The guidance in 7.10 should be followed. It is essential to use the correct colour board/knife, i.e. white. 7.27 Check canned goods before use for date and condition. contents of can that are:i) ii) iii) iv) v) vi) Do not use the Leaking; Blown or bulging; Badly rusted; Badly dented - where damage involves end seams and body seam; Do not smell or look normal. Out of date. 26 7.28 All dried foods to which water has been added should either be used immediately or stored in the refrigerator. 7.29 Water for cold mix products shall only be drawn from the drinking water tap in the pastry area. The tap shall be run until the water is cold. 7.30 Savoury topped pie or other composite dishes should be assembled as below: 7.31 ♦ The filling(s) shall be thoroughly cooked to a minimum of 75ºC; ♦ Following prime cooking they should be transferred to a clean, cold container in which the dish is to be assembled or a wide flat tray to help it to cool quickly; ♦ The filling should be blast chilled in accordance with 8.0 or allowed to cool at room temperature for not more than twenty minutes; ♦ Once assembly has been completed the dish must be transferred straight to the oven to be cooked off; ♦ The final core temperature must be at least 75ºC (82ºC for patient service); ♦ Any products not used should be thrown away. Special diets shall be prepared by trained diet cooks in the diet bay. A degree of advanced preparation and storage is necessary ensure availability of the various special diets required for patients. Advanced preparation of special diets shall be carried out in the following manner:♦ Special diets shall be prepared in the diet bay. Leftover foods from belt service shall not be used in the diet bay. ♦ All raw foods shall be thoroughly cooked in accordance with 7.12 above. ♦ After cooking if the food has to be liquidised and supplemented with a dietary supplement or thickening agent this process shall be completed within 30 minutes of the completion of prime cooking. The total time food shall be exposed to room temperature is 45 minutes. ♦ It is essential that the liquidiser/processor is thoroughly cleaned and disinfected before and after use. This equipment shall be completely disassembled for cleaning purposes. ♦ Where food is to be set in moulds this shall be carried out in chilled preparation area. After use these moulds shall be cleaned manually and then passed through the pan washer. They shall be inspected to ensure they are clean prior to use. Clean moulds shall be stored in a 27 manner that ensures that they are not exposed to risk of contamination. Any mould which is damaged shall be discarded. ♦ Special diets which are to be frozen shall be covered labelled with the food type and dietary content and date coded. They shall be frozen in the walk in freezer. Foods prepared in this way shall have a maximum shelf life of three months. ♦ When they have been frozen the foods shall be transferred to the reach in freezer in the chilled preparation room. They shall be removed from this area immediately prior to use. On removal from the fridge, they should be placed in the regeneration oven, not to exceed 1 hour prior to regeneration. Foods to be consumed cold shall be thawed in the reach in chiller in the chilled preparation room. They will be marked with a use by date of 24 hours. Foods to be regenerated for hot service shall be regenerated in accordance with 7.19 above. ♦ Details of the above production shall be recorded on FSS3 DB1. Details of regeneration for service shall be kept on FSS DB2. A number of customers may be very badly affected by an allergic reaction to certain foods. These people can die if they consume foods they are allergic to. Individuals have their own allergies, commonly they are allergic to nuts (especially peanuts), seeds and shellfish. Customers need to be protected by the following simple measures:• Stick to the recipe, do not substitute nuts, seeds, seed oils or shellfish into standard recipes; • Even tiny traces can kill; • Clean your hands, work surfaces and utensils thoroughly after handlings nuts, shellfish, seeds or other potential allergens; • Think before using nut and seed oils, salad dressings and seafood sauces; • Customers will normally be aware of the allergic reaction they will suffer if exposed to foods. They will normally ask if a particular recipe is safe for them to eat. It is essential not to guess – advise against consumption unless you are certain that the food is suitable for them. Further information is included as Appendix 12. Staff should also liaise with the Trust’s Dietitian to ensure proposed meal provision is in all respects suitable for the individual patient. 28 8.0 Cooling of foods 8.1 The advanced preparation and cooling of foods is potentially dangerous and should only be carried out when it is essential to do so. The following guidance on cooling of foods must be strictly followed as failure to do so could result in food poisoning. 8.2 Only pre cook and chill foods where it is absolutely necessary. 8.3 The chilling of foods shall only be done as part of a controlled process using the blast chiller. The cooling of high risk foods at room temperature or in a refrigerator is potentially dangerous. 8.4 Liquid or semi liquid foods shall be chilled as follows:i) Switch on blast chiller to allow it to come down to temperature (allow about 30 minutes); ii) Within 30 minutes of the end of prime cooking transfer the food to clean cold containers; iii) Make sure the depth of food is 1½” or less; iv) Place the food in the blast chiller and close the door; v) Load food in batches and do not open the door until food has completed its chilling cycle; vi) Do not add food to the chiller once the chilling cycle has started; vii) Chill foods from 70ºC to below 3ºC in less than 90 minutes (after loading). The food should chill down to a maximum temperature of 3ºC before it is transferred to the refrigerator; viii) Cover foods, date and label them before putting them in the refrigerator. Food chilled on site should be given a maximum shelf life of 48 hours. ix) Foods required for reheating should be handled as set out in 7.19 above. Note: The following details must be recorded on FSS4:♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ Date; Menu item; Time and temperature at the end of prime cooking; Initials of member of staff putting food into chiller; Time and temperature at the end of chilling; Initials of member of staff taking food out of chiller; Confirmation of dating and labelling. 29 8.5 Normally meats should be cooked for immediate service. Where this is not possible, joints of meat for chilling shall be a maximum of 2.5 kilograms. The chilling of meats over this size is hazardous. It is recommended that only whole muscle joints or carcasses may be cooked and chilled. Where it is necessary to pre cook and chill rolled joints it is imperative that the following advice is strictly followed. Following prime cooking meats should be chilled as follows:i) Switch on blast chiller to allow it to come down to temperature (allow about 30 minutes); ii) Within 30 minutes of the end of prime cooking transfer the food to clean cold containers; ii) Place the food in the blast chiller and close the door; iv) Load food in batches and do not open the door until food has completed it’s chilling cycle; v) Do not add food to the chiller once the chilling cycle has started; vi) Chill foods from 70ºC to below 10ºC in 2½ hours. Meat should be sliced following initial chilling in the temperature controlled area to increase the efficiency of cooling. The sliced meat should be placed back in the blast chiller and blast chilling continued down to 3ºc before it is transferred to the refrigerator. vii) Cover foods, date and label them before putting them in the refrigerator. Food chilled on site should be given a maximum shelf life of four days. viii) Foods required for reheating should be handled as set out in 7.19 above. Note The following details must be recorded on FSS4:♦ ♦ ♦ ♦ ♦ ♦ ♦ 8.6 Date; Menu item; Time and temperature at the end of prime cooking; Initials of member of staff putting food into chiller; Time and temperature at the end of chilling; Initials of member of staff taking food out of chiller; Confirmation of dating and labelling. It is very important that staff maintain very high standards of handling practice and personal hygiene when chilling foods including washing hands before starting, using clean equipment, handling in designated area. 30 8.7 The blast chiller must be cleaned, sanitised and dried thoroughly after each use. Instructions on cleaning are set out in the cleaning schedule. 31 9.0 Plating 9.1 Food for ward service shall be plated/assembled in the plating area in accordance with patient requests. It is essential that the plating/assembly process is efficiently organised and controlled to ensure heat loss/gain in foods is minimised. The temperature of food to be served to patients must be recorded on FSS2. 9.2 Hot food for plating shall be cooked/regenerated as close to the commencement of food service as practicable and never more than 1 hour prior to service starting. 9.3 Hot food shall be kept above 82ºC by storage in bain maries, hot cabinets or ovens prior to service. 9.4 All hot cabinets and bain maries shall be preheated in accordance with their manufacturers operating instructions. 9.5 Food brought to the plating area shall be kept covered until service commences. 9.6. Pre-portioned cold food for ward service shall be stored in the chilled holding area until 30 minutes before the commencement of service. It shall be brought into the plating area in batches to minimise heat gain. Distribution 9.7 The efficient safe delivery of food to the food service point is important. The aim should be to minimise delays and possible hazards. 9.8 Food for wards will be delivered by catering assistant. All food leaving the catering department shall be completely covered in either a food service trolley or insulated container. 9.9 Prior to loading the trolley, catering staff shall ensure:♦ ♦ ♦ trolley and insulated containers are clean. food is checked for quality and temperature. after loading hot line trolleys have been boosted to ensure food temperatures are maintained above 63ºc. 9.10 All vehicles used for the transport of food should be dedicated catering vehicles. On no account shall food trolleys be carried in vehicles used for transporting soiled linen, clinical waste and so on. Vehicles must be kept clean and in a good state of repair. 9.11 Food distribution systems must be capable of maintaining the core temperature of hot foods above 63ºc and cold foods below 8ºc. 32 9.12 The effectiveness of food distribution systems will be monitored. A system of Ward Quality Audit shall be carried out. All wards will be visited within a three month period and a Ward Quality Audit Report FSS6 completed. Deficiencies in food distribution systems shall be reported to the Catering Services Manager. 9.13 On arrival at the ward area the porter will hand the food service trolley over and inform ward staff that the food is ready for service. 9.14 On return to the kitchen, dirty crockery/cutlery will be taken to the dishwash area for processing. The dirty trolley shall be completely emptied and cleaned in the trolley wash/bay area. The trolley shall be thoroughly cleaned, sanitised and dried using a disposable paper towel. Special care will be taken to clean handles and other hand contact surfaces. 33 10.0 Food Safety Practice Codes: Food Service Staff Service 10.1 Food service is the last link in the food safety chain. All the safety measures put into food production can be wasted if food service conditions are not carefully controlled. Customers shall be advised that food served may not be free of nuts etc ie those customers with allergies and food allergies should make ward staff aware of this. If a customer advises that they have allergies the Catering Department should be advised and the Head of Production will discuss it with them. 10.2 Adequate controls over the temperature of foods on display is necessary for food safety and quality. The operating temperature of all hot and cold holding service equipment shall be monitored and recorded. A thermocouple or thermometer shall be fitted to the interior of all cold holding service equipment. The operating temperature of the unit will be checked at the start of each service session with an electronic probe thermometer. The readings and action taken shall be recorded on FSS5. 10.3 Food service equipment should be capable of keeping:Hot foods above 63ºC Cold foods below 8ºC It will normally be necessary for hot cabinets and bain maries to maintain an operating temperature of at least 80oC to maintain hot food temperatures at a safe temperature. If the monitoring reveals that these temperatures are not being achieved, the thermostat on the equipment should be adjusted to raise or lower the operating temperature as necessary. If the unit is incapable of maintaining these temperatures it should be checked by an engineer. If it is incapable of maintaining these temperatures it should be replaced. 10.4 Where the temperature of cold foods rises above 8ºC they should be sold within 4 hours or thrown away. Hot food that has not been maintained above 63ºC should be thrown away. 10.5 The operating temperatures of the bain maries and hot cabinets shall be monitored at the start and end of service by the checking of the full range of high risk foods using an electronic probe thermometer. The records of this monitoring should be set out on FSS5. 10.6 Staff stocking food dispensers and chilled display units shall ensure that new stock is placed behind or under old stock. All foods must be stored within the load line indicated on the equipment. Containers of salads and so on shall not be replenished. They shall be displayed in shallow containers in minimum practicable quantities. Open food that has been on display shall be discarded. When a container is empty a replacement container shall be put out on display. All chilled display units should be stocked at minimum 34 practicable stock levels. At the end of evening service food that will be past its use by date or best before date at midnight shall be thrown away. 10.7 Hot cabinets, bain maries and other hot holding equipment shall be emptied at the end of each service session and leftovers thrown away. Foods for breakfast will be discarded at 10:30 am and thrown away. 10.8 Foods on display shall be covered as far as is practicable. Hot foods shall be displayed in containers with lids prior to service. 10.9 Clean serving utensils shall be used for handling foods. On no account shall serving staff handle high risk foods with their bare hands. It is not recommended that staff handle money and serve food. However, where this is necessary staff shall wash their hands frequently to minimise risks. Ward Service 10.10 The service of food at ward level must be carried out as quickly and efficiently as possible for reasons of quality and food safety. This requires co-operation between ward and catering staff. To facilitate clear communication and coordination the following measures shall be implemented:• A schedule of ward service times and arrangement should be agreed between the Catering Services Manager and Directorate General Managers. • Ward staff should sign to acknowledge receipt of the trolley. • A statement advising that certain foods may contain ingredients that may be unsuitable for some consumers i.e. those with allergies and food intolerances should advise the nursing staff and a member of the Food Production Team will go and discuss their requirements and Catering Department will attempt to accommodate their request. There is a statement on the reverse of the Menu Card giving advise regarding allergies. 10.11 The Catering Services Manager shall ensure that food service systems are capable of maintaining the temperature of hot foods above 63ºc and cold foods below 8ºc. However if patients are to receive their food in an optimum condition it must be served as quickly as possible upon arrival at the ward. If the temperature of the food on arrival at the ward level is not met, then the food shall be returned to the Catering Department. Food service from hot line trolleys should commence immediately on arrival at the ward. The aim should be to ensure that all meals are distributed within 30 minutes. Once served hot foods may be consumed up to 1½ hours of arrival to accommodate the needs of slow eaters and patients who need assistance to eat their meal. After 1½ hours any hot food shall be thrown away. 35 10.12 Cold foods should be consumed within 1½ hours or on delivery immediately dated and labelled and placed in a refrigerator. The refrigerator should be capable of maintaining food temperatures below 5ºc. The operating temperature of the refrigerator shall be monitored and recorded in accordance with 6.11 above. Foods shall be discarded after 24 hours. 10.13 Ice cream shall always be served frozen and never refrozen once it has started to thaw. Ice cream shall be eaten within 1½ hours or thrown away. 10.14 Foods shall be pureed in the main kitchen and not prepared at ward level. 10.15 Staff involved in the service of foods shall wear a disposable apron or tabard dedicated solely for food service. They shall wash their hands thoroughly at the wash hand basin before putting on the apron/tabard prior to commencing food service. The aprons shall be stored in the ward pantry or similar ‘clean’ area. Where a disposable apron is used it shall be of a different colour to those used for other tasks. 10.16 Where there are feeding difficulties at ward level, e.g. where patients are away from the ward at meal time undergoing tests and so on, the Catering Services Manager shall ensure that adequate arrangements are made for the provision of late meals. Special functions 10.17 The majority of food poisoning incidents are associated with special functions. The following additional food safety measures shall apply:♦ All food will be prepared, handled, cooked and stored as set out in the relevant sections of system; ♦ The menu will be agreed with the customers normally a minimum of 7 days prior to the event to allow the necessary orders to be placed and food production planned; ♦ Function foods will be transported in clean covered containers; ♦ Hot function foods will be transported to the venue just in time for service, i.e. within 30 minutes of the start of service. The temperature of food on arrival will be checked. Foods which are below 63ºC will be withdrawn from service. The temperature and time shall be recorded on Form FSS10. ♦ Hot function foods will be stored in a pre heated food service trolley capable of maintaining food temperatures above 63ºC prior to service. ♦ The temperature and time of hot foods at the end of attended service shall also be recorded on Form FSS10 together with any customer comments. 36 10.18 ♦ Cold foods shall be prepared and stored in a chiller until 30 minutes before the start of the function. It shall be transported in a clean covered trolley. The time and temperature of food on removal from the chiller will be recorded on Form FSS10. ♦ The time at the conclusion of attended food service shall be recorded on Form FSS10. ♦ The maximum time cold food should be displayed should be limited to four hours. It is good practice to display minimum quantities and restock in batches. The main stock shall be kept in the refrigerator. ♦ All food returned at the end of service must be thrown away. ♦ All food should be covered until immediately before service. ♦ All food service utensils shall be thoroughly cleaned and sanitised before use. ♦ A separate serving utensil shall be provided for each dish. ♦ Any disposable plates placed out on display shall be discarded at the end of food service. ♦ Customers shall be discouraged from removing food at the end of the function. On occasions Trust staff may place an order with an outside caterer for a function or a meeting. Where they intend to do so they should contact the catering department and they will be supplied with an outside suppliers form FSS18 to complete. These forms shall be returned to the Catering department and will be held for three months following the event. 37 11.0 Food Safety Practice Code: Personal Hygiene 11.1 The maintenance of high standards of personal hygiene is essential for the safe production of food. It is also a legal requirement. Food handlers shall comply with the requirements of this system. Employment of staff 11.2 The job descriptions and contracts of all prospective food handlers shall include reference:♦ ♦ ♦ ♦ 11.3 offers of jobs being conditional upon satisfactory health screening agreement to comply with the requirements of the Food Safety System. disciplinary consequences of non compliance with Food Safety System requirement to undergo the necessary food hygiene training commensurate with the needs of their post. No personnel shall be engaged to work in the Catering Department before obtaining a Medical Clearance from the Occupational Health Service. The Catering Services Manager is responsible for making the necessary arrangements. The Catering Services Manager is responsible for ensuring that all staff interviewed have completed Occupational Health and Declaration of Health Forms (FSS12 and FSS13) and that any prospective employee has been declared fit prior to commencement of duty in the Catering Department. The Occupational Health Service is based in the Kettering General Hospital and can be contacted on 01536 492234. The Occupational Health Manager is Jackie Farrow. The Catering Services Manager should carry small stocks of these questionnaires obtainable on request from the O.H.S. A sample questionnaire is attached in FSS12. 11.4 Each person employed in the Catering Department will be required at the commencement of their employment to sign an agreement to report infection (See FSS13) and will also receive a hand-out on Advice on Hygiene. (See FSS14) The Catering Department shall not employ any person within the Catering Department without receiving express agreement from the Occupational Health Service regarding their suitability for employment as a food handler. 11.5 All catering staff are legally required to report immediately to the Head of Production/Catering Services Manager, or in their absence, the Senior Supervisor on duty, any of the following circumstances:- If suffering from an illness or condition involving vomiting, diarrhoea, jaundice, skin rash, septic skin lesions, boils or infected cuts however small, a weeping or scaling skin lesion on an exposed area of skin, or has had contact with any person suffering from an infectious disease. 38 Detailed advice on the handling of these cases is contained in the Trusts Hospital Infection Control Policies. 11.6 The Head of Production/Catering Services Manager, or in their absence the Senior Supervisor on duty, shall notify the Occupational Health Nurse as soon as possible if any member of staff reports that they are, or have been suffering with complaints as detailed above. If the Occupational Health Nurse cannot be contacted, then the member of staff concerned shall be withdrawn from duty and asked to refer themselves to their own GP. Any such member of staff shall only be permitted to return to work within the catering department on obtaining the agreement of the Occupational Health Service and signing Health Questionnaire (FSS13a). The guidelines in the Trust Hospital Infection Control Policies shall be followed. 11.7 Where a member of staff has been sent home suffering from diarrhoea or vomiting, the food they have been preparing shall be considered to be contaminated and shall be thrown away. If they vomit within the food production environment all equipment and surfaces that are contaminated shall be cleaned and disinfected. 11.8 Where more than one member of staff is ill at work, the Head of Production/Catering Services Manager shall immediately investigate possible links and act accordingly. They shall consult Control of Infection for advice if necessary. Induction 11.9 Upon appointment all staff shall be subjected to a structured induction programme. During this induction programme the importance of food hygiene will be emphasised. New employees will be talked through a copy of the Food Safety System and the Essentials of Food Hygiene FSS14 before starting their duties. The Head of Production who conducts the induction shall explain the relevant parts of the Food Safety System to them. This will be recorded on their induction record. 11.10 The induction programme shall also include:(i) The relevant parts of this system and their part in its success; (ii) Introduction to bacteriology; (iii) Personal hygiene and health - need for good standards - reporting of illness - overclothing - hand hygiene 39 (iv) Cross contamination - colour coding - food storage separation - cleaning and clean as you go (v) Food storage - Temperature controls - Dating/labelling - Batch preparation - Monitoring (vi) Food production, service - Temperature controls - Production controls - Monitoring (vii) Waste disposal (viii) Pest control - Signs of pests - Reporting procedures - Preventative measures (ix) Use of probe thermometer and completion of records. 11.11 Where food handling staff become aware that they are suffering from illness or conditions which may lead to food contamination, when they are off duty, they shall as soon as possible contact the Head of Production / Catering Services Manager by telephone. These conditions include diarrhoea, vomiting, infected, weeping or scaling skin lesions, boils, septic lesions, discharges from their ear, eye or nose. The Head of Production / Catering Services Manager shall refer them to their General Practitioner. They shall also immediately contact the Occupational Health Nurse for advice. Personal hygiene rules 11.12 All staff will be instructed in the “Essentials of Food Hygiene” set out in FSS14. 11.13 Small cuts shall be fully covered with a clean blue waterproof dressing. Fabric dressing for larger wounds must be completely covered with a plastic disposable glove/finger stall. The Head of Production shall ensure that there are sufficient quantities of waterproof dressings and other first aid material in the first aid kit. Staff shall report the loss of a dressing during work to their supervisor who shall take appropriate action. 11.14 All accidents, however minor, must be reported in the accident book. 11.15 All staff must maintain high standards of personal hygiene and are responsible for their own acts or omissions. 40 11.16 Hand hygiene is very important. Hands and arms shall be washed using sound techniques. A copy of hand hygiene instructions to be given is included as FSS17. Hands and arms must be kept clean by washing them in running warm water with soap, rinsing them and thoroughly drying them. Hand washing must be carried out in the wash hand basin provided. Hands must be washed:♦ Before starting work; ♦ On returning after a break; ♦ After touching face or hair, coughing, sneezing or blowing your nose; ♦ After handling raw foods or refuse; ♦ Before handling high risk foods; ♦ After using the toilet; ♦ After smoking; ♦ Regularly during the working day; ♦ On removing rubber or disposable gloves. 11.17 Nailbrushes shall not be used for routine hand washing. They shall be provided in toilet areas only and shall be cleaned and sanitised daily or disposables shall be used.. 11.18 Fingernails must be short, unvarnished and they should not be bitten. 11.19 On arrival at work staff will go directly to the changing room to change into their overclothing. Protective white overclothing including a hat and hair net must be worn by everyone entering the kitchen or production areas. Staff with beards shall either keep their facial hair short or covered with a snood. 11.20 On arrival at work staff shall:i) ii) iii) iv) Comb their hair to remove loose hairs; Put on their hair net/hat and adjust it as necessary; Put on their protective overclothing; Wash their hands. All food handling staff shall enter the department via the hygiene bay. They shall wash their hands prior to entry to the department. 11.21 On commencement of their employment catering staff shall be issued with sufficient overclothing to allow them to wear a clean set every working day. Protective overclothing shall be clean and in good repair. It must cover all outdoor clothing. The style of protective clothing shall be of a type that has no buttons or external pockets. Staff working in the chilled preparation area preparing salads and sandwiches shall also wear disposable plastic over sleeves in addition to their normal overclothing. Work wear shall not be worn on journeys to and from work. Overclothing must be changed daily or more 41 often if it becomes very dirty. Overclothing shall be laundered through a controlled route. All overclothing shall be laundered via the Trust Laundry Service. Until this service is fully operational, staff who launder their own uniforms shall wash the garments on a hot wash, thoroughly dry and iron them. Clean garments must also be protected from risks of contamination within the home, e.g. domestic pets. 11.22 Plain banded rings or medical alert chains/pendants are permitted but must be kept clean. All other jewellery including watches shall not be permitted in the department. 11.23 Food or drinks shall not be consumed in the department. 11.24 Personal effects, bags, papers and so on shall be left in the changing room. 11.25 Changing room shall be kept clean and tidy. Separate lockers will be provided for the storage of clean overclothing and outdoor clothing. No overclothing shall be stored on top of the lockers. 11.26 A wash hand basin with bactericidal soap, hot and cold water and hand drying facilities shall be provided in all changing rooms and toilets. A notice reminding staff of the need to wash their hands after using the toilet shall be displayed. 11.27 The Head of Production shall keep a stock of disposable coats and head coverings for visitors including Estates Personnel. No-one shall be allowed into the kitchen unless they are dressed in clean overclothing. Please see also note in 14.4 below. 11.28 No mobile phones are permissible in the Catering areas including the servery area 11.29 Personal effects – separate lockers are provided for personal effects not permitted to be taken into the Catering areas 11.30 Any new piercing is to be covered with blue plaster or blue tape until healed. When the piercing has healed all jewellery is to be removed. No jewellery is to be worn with the exception of one plain gold wedding band. This directive includes ear piercing. 42 12.0 Food Safety System Practice Code: Pest control 12.1 Pests such as rodents, birds, cockroaches and other insects spread disease, spoil food, damage buildings and put customers health at risk. Their presence cannot be tolerated and they must be systematically eliminated. This practice code details the necessary measures to ensure this objective is achieved. 12.2 The Catering Department and other food handling areas shall be covered by a pest control contract with a specialist pest control company (Member of British Pest Controllers Association). An officer nominated by the Chief Executive will co-ordinate the management of the contract, receive pest notifications and take a lead responsibility. The nominated officer for the Trust is Mrs Clara Partridge, Housekeeping Manager. 12.3 A standard NHS form of pest control is to be used. Notwithstanding the generality of the previous statement the pest control contract shall include provision for:- 12.4 • A minimum of eight routine service calls per year; • Provision and maintenance of insect detectors and bait boxes in risk areas such as the kitchens; • Provision of electric fly killers in food handling areas and replacement of bulbs annually; • Provision of emergency call out service with a maximum response time of 24 hours; • Provision of written reports on conditions by the contractor on every inspection; • Technical support including the identification of specimens where necessary; • Provision of COSHH data on all poisons used on site; • Provision of quality assurance visits a minimum of twice per year by staff not normally deployed to the contract and the provision of a written report. high The nominated officer shall collate pest contractors reports and copies of these and pest reports shall be filed and made available to the local Environmental Health Officer if required. 43 12.5 The Head of Production / Catering Services Manager shall immediately notify the nominated officer of any sightings of pests in or around food rooms. The nominated officer shall co-ordinate the necessary response by the contractor. 12.6 Prevention is a better pest control strategy than cure. The Catering Department shall be proofed to prevent access by pests. The measures shall include:• Fly proofing to openable windows or skylights which open into food handling areas. The screens are to be removable and shall be taken down and cleaned at the end of each quarter; • All external doors must be maintained in good condition and be rodent proof with metal kick plates along the base of the door; • All outside doors must be kept closed or fitted with heavy duty plastic strips or flyscreens; • All holes in the exterior of the building shall be sealed; • Drains, manhole covers and chambers shall be maintained in good condition; • Soil and ventilation pipes to drainage systems to the catering department shall be fitted with a wire balloon/cage. 12.7 The effectiveness of proofing shall be assessed by the Head of Production in their monthly audit and reported defects on a works requisition for action. 12.8 All external refuse storage areas will be kept clean and tidy. Any external storage of refuse shall be placed in bins with a lid. The bin shall be made of a cleansible material. The bins shall be thoroughly cleaned once a month after emptying. Suitable arrangements shall be made for cleaning external refuse storage areas. 12.9 All catering staff shall receive instruction on the visual appearance and signs of infestation of common pests. They will be instructed to advise the Head of Production of any pest sightings or signs. 44 13.0 Food Safety Practice Codes: Cleaning and Waste Disposal 13.1 “Cleanliness is next to Godliness” and it is a very important part of food hygiene. All food rooms, equipment and utensils must be cleaned systematically and to a high standard. 13.2 The systematic cleaning of a food room requires the development of a cleaning schedule. A cleaning schedule shall be prepared by the Head of Production / Catering Services Manager and the Chemical Supplier to the department. It shall detail:♦ ♦ ♦ ♦ ♦ ♦ All cleaning tasks; Methodology of cleaning; Personnel responsible; Equipment to be used; Safety precautions; Standard to be achieved. A copy of the cleaning schedule is included as Appendix 7. 13.3 The majority of cleaning tasks can be carried out by catering department personnel. However, high level cleaning, deep cleaning of refrigerator coolers and other equipment shall be covered by the Estates Department or contractors. A schedule of the high level and deep cleaning tasks to be performed will be prepared by the Head of Production/Catering Services Manager. These tasks will be completed at six month intervals. 13.4 Staff shall be responsible for the correct cleaning of equipment and the completion of the necessary cleaning record. (See FSS15) 13.5 Buckets, mops and other cleaning equipment will be filled, cleaned and emptied in the sluice tank in the cleaner’s room. On no account shall they be emptied in food preparation sinks. 13.6 Chemicals and cleaning equipment shall be stored in the cleaner’s store. No chemicals shall be stored in food stores. 13.7 Cleaning chemicals shall be stored, decanted and used in the cleaning equipment provided. They must NEVER be stored in food containers such as cups or jugs. This type of poor practice has caused accidental poisoning in the past. 13.8 Chemical containers shall be clearly marked with a sign which indicates what is inside them. 13.9 A separate dustpan and brush shall be kept in the cleaning store for clearing of crockery/glass breakages. After clearing the glass shall be placed in a thick cardboard bag/box and placed in the external waste bin. Any cloths used for mopping up breakage shall be thrown away afterwards. 45 13.10 Staff shall ensure that the correct colour coded equipment, i.e. bucket and cloths, are used for cleaning:Tables/food production equipment/walls kitchen production areas – yellow/orange Floors – green * Toilets/changing rooms – red * These are cleaned by domestics. Disposable cloths shall be used. Washing up 13.11 It is essential that utensils and crockery are thoroughly cleaned and sanitised after use. All on site lunch/evening service crockery, service utensils and cutlery will be returned to the main kitchen for washing. Beverage mugs and breakfast crockery, etc, will be washed at ward level. They will be washed using the dishwasher provided. Catering staff shall ensure that the flows of clean and dirty crockery in the dishwash area are kept apart. 13.12 All food production utensils including chopping boards and so on shall be washed in the pan washer. 13.13 The wash and rinse temperatures of the dishwasher and pan washer should be monitored. If they fall below the temperatures recommended by the manufacturers an engineer should be called. 13.14 Both the dishwasher and pan washer will be emptied at least daily and thoroughly cleaned. Special care should be taken to ensure jets are clear. 13.15 If the pan washer breaks down food production equipment shall be washed in the flight dishwasher or by a two sink method. 13.16 If the dishwasher breaks down the Head of Production / Catering Services Manager shall assess the situation and take appropriate action. Normally hand washing will be implemented using a two sink method or disposables shall be used. Refuse 13.17 If refuse is not disposed of properly it can attract pests to the department and present foreign body risk. The guidelines set out below on the disposal of waste must be followed. 46 13.18 Food waste shall be disposed of down the waste disposal unit. In the event of a breakdown it shall be disposed of via an alternative waste disposal unit. 13.19 Non food waste, with the exception of cardboard, will be placed in black plastic sacks. Glass and open cans shall be placed in thick cardboard sacks or boxes. They are then placed in the external refuse bin. When the bags are full they will be sealed. They will be taken out to the outside storage bins at the end of the service session. All refuse shall be removed from the kitchen and placed in the refuse bins at the close of service in the evening. Clean cardboard waste shall be flattened, stacked in a cardboard box for collection by portering staff. 13.20 Refuse containers provided shall be of a suitable durable cleansible material. They shall be cleaned daily. Any damaged containers or lids should be reported to the Head of Production for replacement. 13.21 All refuse containers, with the exception of the dishwash area and trolley clearing area, shall be fitted with lids. They shall be lined with a disposable bag/sack and they shall be foot operated. 13.22 The Trust has a service contract with an external refuse disposal contractor, i.e. District Council, for the efficient disposal of waste. The contractor shall provide sufficient containers, i.e. wheel bins, to contain all the refuse likely to be accumulated between collections. The bins will be cleaned by the contractor as part of the service agreement. 13.23 Food Trolley Cleaning Prior to Lunch Service The inside of the food trolleys will be checked for debris and spillages, debris removed and spillages wiped, the outside and handles of each trolley wiped with a cloth and sanitiser. Trolley returned to dishwash area. Following Lunch Service Food trolleys will be thoroughly cleaned, inside and outside. Any loose debris will be removed from the trolley and each trolley will be sprayed with sanitiser and wiped with a cloth. 47 14.0 Food Safety Practice Codes: Maintenance 14.1 Poor, badly planned or executed maintenance can create food safety problems. The following conditions shall apply. 14.2 Defects in buildings or equipment shall be reported to the Estates department. (i) Records of requisitions to the Estates Department for maintenance shall be kept in the Works Requisition Book. (ii) For “emergency” requests the Estates Department shall be contacted by telephone. The contact number is extension 3481. (iii) For “emergency” requests out of normal office hours, contact the on-call Estate Officer via the switchboard. v) The Catering Services Manager and a representative from Estates shall meet once a month to review progress on maintenance issues. 14.3 Upon arrival at the department, contractors shall report to the Head of Production or a Supervisor. They shall be escorted to the room, area or equipment which is in need of repair. Prior to starting any work, the Head of Production shall make sure that suitable measures have been taken to protect food and food equipment against risk of contamination. They shall ensure that staff are protected against any risks that may arise out of the works. They shall also make sure that the catering staff take care in the area. 14.4 On completion of the work the Head of Production or his representative shall satisfy himself that the area or equipment that has been the subject of the works is in a suitable condition prior to re commencement of food handling activities. They shall also ensure that all visitors complete the Visitors Notice Hygiene Policy FSS13a). 14.5 Contractors employees working in food rooms must NOT handle any food whilst working in the area. If they require any food to be moved to allow them access they shall ask a member of the catering department to assist them. 14.6 Contractors shall NOT eat or smoke in any food room. Production will advise where these activities are permissible. 14.7 All materials used at any time by Estates department or contractor shall have been assessed and approved for use under COSHH 14.8 Every contractor MUST ensure that all waste materials are disposed by at the end of each working session. The materials must normally be placed in the appropriate waste disposal bin. The disposal of larger volume of waste arising from works should be the subject of prior consultation and agreement between the contractor, Estates Manager and Catering Services Manager. 48 The Head of 14.9 The contractor shall not use any sink or drain within the department for the disposal of liquid waste. e.g. paint or similar materials. 14.10 Contractors employees must maintain high standards of personal hygiene whilst working in the food room e.g. no spitting no smoking and no eating. 14.11 A good standard of housekeeping must be maintained in all work areas. 14.12 Contractors employees shall, if they are going to be handling food equipment, wash their hands on entry to the kitchen and frequently during the work session. They shall take care not to contaminate food surfaces with oily/greasy hands. 14.13 Contractors employees shall wear clean, washable over clothing including head covering. They should be careful not to carry small tools, pens etc. in their pockets as these may fall out whilst working on food equipment. 14.14 Contractor employees should NOT stand on food equipment or preparation tables. Normally a suitable alternative means of access should be provided. Where this is not practicable the food equipment must be completely covered with suitable clean impervious sheeting. 14.15 Prior to commencing work over food equipment contractors should either arrange with the Head of Production to have the equipment covered with suitable clean impervious sheeting or moved. The sheeting to be securely held in position by tape. 14.16 Contractors employees shall be careful not to over lubricate equipment, particularly, mixers, as excess lubricant can get into food. Always use vegetable based oils for food equipment. 14.17 Take care with belts, washers and nuts etc. that are removed from machinery. Do not place them on top of food equipment or where they can get knocked into the product. Make sure all the nuts and bolts etc. are removed or accounted for at the end of the job. Food contact disposables or equipment MUST NOT be used for the storage of parts. 14.18 Contractors employees must be particularly careful with glass breakages and any work involving the repair of windows etc. should take place out of food production hours and only when all food equipment in the area has been covered in accordance with 14.14 above or removed. 14.19 Protect fluorescent lights with acrylic sheaths or diffusers, as breaking lights can cause glass particles to be spread over wide distances. 14.20 When food equipment is repaired by welding, the weld must be ground down to a smooth finish prior to the equipment being reused. 49 14.21 When fitting food equipment into a food room where practicable fit flexible connections to all services i.e. gas, electrical, water and castors to equipment as this will allow it to be moved for cleaning. Where it is not possible to use flexible connections, adequate clearance must be allowed between equipment and adjacent wall surfaces (approx. 18") to facilitate cleaning operations. 14.22 When repairing food equipment only use food grade materials such as the specific plastics polypropylene or stainless steel. These do not normally corrode or shatter. 14.23 The above advice is intended to cover minor works and routine maintenance. The local authority Environmental Health Officer and the Trust’s Environmental Health Adviser should be contacted for specific advice if any works involving major disruption to food rooms are planned. 14.24 It is recommended that service/maintenance contracts be implemented to cover the routine maintenance/planned preventative maintenance of key food production equipment and refrigeration equipment. 14.25 The accuracy of the various electronic probe thermometers used within the department shall be routinely assessed by the Medical Electronics Department. All probes will be labelled with unique reference numbers. The Medical Electronics Department shall on the label indicate date of next calibration. These checks will be recorded on Medical Electronics database. The accuracy of other temperature recording equipment shall also be assessed by taking matched readings with a thermometer of known calibration at once every six months. If the readings on the chart recorder vary from the probe reading by more than 1ºc, the unit should be recalibrated. The Woodley system shall be calibrated annually by an external contractor. 50 15.0 Food Safety Practice Codes: Training 15.1 The provision of well trained and motivated staff is essential to the safe production of food. Training of staff to carry out their tasks properly is also a legal requirement. 15.2 The Head of Production shall ensure staff receive training commensurate with the needs of their post. This shall include:♦ ♦ ♦ ♦ ♦ Induction Hygiene Awareness – included in Induction Pack Formal food hygiene training Practical Instruction Nutritional training course 15.3 All staff shall go through the documented Induction programme. They will be taken through the programme by the Head of Production. The induction programme shall include the Essentials of Food Hygiene (see FSS14). This element of their induction programme must be carried out prior to them starting work in the kitchen. 15.4 A Hygiene Awareness programme will be communicated to staff following their induction. New starters shall be subject to adequate supervision. This programme shall include:(i) The relevant parts of this system and their part in its success; (ii) Introduction to bacteriology; (iii) Personal hygiene and health - need for good standards - reporting of illness - overclothing - hand hygiene (iv) Cross contamination - colour coding - food storage separation - cleaning (v) Food storage - Temperature controls - Dating/labelling - Batch preparation - Monitoring (vi) Food production, service - Temperature controls - Production controls - Monitoring (vii) Waste disposal 51 (viii) Pest control - Signs of pests - Reporting procedures - Preventative measures (ix) Use of probe thermometer and completion of records. This Hygiene Awareness programme shall cover the underpinning knowledge and the practical competencies necessary to complete tasks to a satisfactory safe standard. 15.5 All food handlers working in the department shall undergo the Chartered Institute of Environmental Health (CIEH) Foundation Certificate in Food Hygiene course or its equivalent. They will complete this training within three months of joining the department. 15.6 Cooks and supervisors shall undergo the CIEH Intermediate Certificate in Food Hygiene course or its equivalent. 15.7 Head of Facilities, Catering Services Manager and Head of Production shall undergo the CIEH Advanced Certificate in Food Hygiene course or its equivalent and training in hazard analysis critical control point systems. 15.8 All training that staff undergo will be recorded on a personal job training record form (see FSS9). These records will be maintained by the Catering Services Manager. The record shall be endorsed by both the trainee and the trainer. 15.9 The Catering Services Manager will, at their discretion, develop written job instructions to support key food safety tasks. An example is included as Appendix 4. 15.10 The training needs of staff shall be reviewed annually and when new equipment/working practices are introduced or where they change jobs within the organisation. 15.11 The provision of refresher training is good practice. The provision of refresher training is at the Head of Production and Catering Services Manager’s discretion. However the aim should be to carry out refresher training annually. The refresher training may cover changes in menus and their implications, new legislation, E.H.O reports or changes in this system. 15.12 Casual staff shall be covered by the above regime. 15.13 The Head of Production and Catering Services Manager shall prepare a training plan annually to identify the training needed for each member of staff. 52 15.14 The training needs of non-catering food handlers will be assessed by the Operational Managers. They must receive supervision and instruction and/or training in food hygiene commensurate with the needs of their post. This will involve an objective assessment of their training needs and the delivery of targeted training inputs to satisfy those needs. This will include the underpinning knowledge and the practical competencies necessary for them to discharge their duties. The training records for these groups of staff shall be maintained in accordance with Trust Policy. 53 16.0 Food Safety Management Practice Code: Complaints and incidents 16.1 Food complaints and incidents must be handled professionally and properly investigated. The following practice code sets out a framework for dealing with these matters. 16.2 The Catering Services Manager and Head of Production shall be responsible for the control, investigation and handling of complaints. They shall ensure that all staff are trained to respond to complaints and take appropriate action. 16.3 All complaints relating to the following categories shall be recorded on form FSS16: – alleged food poisoning – foreign bodies in food – food not fit for consumption. Alleged food poisoning 16.4 Where the complainant alleges food poisoning has occurred, the member of staff receiving the complaint shall refer the matter to The Catering Services Manager or Head of Production. They shall immediately contact Control of Infection. The Infection Control Doctor or Consultant in Communicable Disease shall decide if the Trusts Outbreak Plan is to be implemented in accordance with the Trust’s Hospital Infection Control Policies. Food complaints 16.5 All members of staff receiving a food complaint regarding food that allegedly contains a foreign body or that is unfit to eat, shall immediately refer the matter to The Catering Services Manager or Head of Production. In cases of serious incident a separate incident reporting procedure will be followed. 16.6 They shall, where possible, see the complainant personally. They should:♦ Apologise, but accept no liability; ♦ Offer a refund or replacement; ♦ Ask to examine the food; ♦ Ask the complainant to release the food and foreign body to them for further examination; ♦ Record all details on the complaint form FSS16; ♦ Assess the severity of the incident and if necessary start an immediate investigation into it; 54 16.7 ♦ If the foreign body is potentially harmful or dangerous, e.g. glass, all suspect foods that may be affected must be withdrawn from sale and quarantined; ♦ Inform the Supplies Department and food suppliers of the complaint and invite them to view the complaint; ♦ Inform the local E.H.O of incidents that involve potentially harmful or dangerous foreign bodies; ♦ Write to the complainant on completion of the investigation. ♦ Copies of the completed complaint form should also be forwarded to the Trust’s Complaint Officer. Written complaints and formal complaints shall be forwarded to the Trust’s Complaints Officer who will co-ordinate the Trusts response. Complaints referred to the Complaints Officer shall be handled in accordance with the Trusts Complaints System. Food Alerts 16.8 The department will become aware of food alert either through contact by the Consultant in Communicable Disease Control, the local E.H.O, H.H.P.A, suppliers or reports in the national press regarding product recalls. The Catering Services Manager shall be responsible for communicating the information within the Trust. When this occurs the Catering Services Manager shall assess whether or not the affected food ingredient or batch is used within the department and if so check the stocks. He shall ensure that all products, including those held in chillers and freezers, produced with potentially suspect ingredients shall be removed and destroyed so that they cannot be used for human consumption. If the product is in stock it shall be immediately removed to the quarantine area for removal by the supplier or destruction. If there is any doubt about stocks the Catering Services Manager shall contact the supplier and or the local E.H.O for advice. 55 17.0 Food Safety Practice Code: Management Audit 17.1 The Catering Services Manager or Head of Production or their nominated assistant shall carry out an audit of the Food Safety Management System once a month. At least one audit in every six months shall be carried out by the Catering Services Manager. 17.2 The audits will be carried out in the following manner:(i) They shall allocate time to carry out the audit. It shall be carried out as a separate exercise and not combined with other duties. (ii) It shall be carried out systematically, i.e. following a clear trail from food delivery to service. All comments will be recorded on the Managers Audit Form (FSS11). (iii) They shall inspect all areas and make a balanced professional judgement on the standards. If the standard is not reached comments on the shortfall should be recorded on the form to allow follow up. (iv) The audit will also include an examination of a days monitoring records for the Food Safety System. The day will be taken at random from the day of the last audit. To facilitate this audit all records of the system will be kept in a marked file in the catering department office for a period of three months. (v) The timing and day of audit should be varied and should cover weekends, bank holidays and evenings. 17.3 To facilitate audit all records generated by the Food Safety System shall be kept for a minimum of three months. They shall be stored in an accessible area in the Catering Department office. 17.4 It is necessary for the Trust to be able to demonstrate that its systems are effective. The following activities will be undertaken to verify the system: ♦ ♦ ♦ ♦ ♦ Checks on critical control points Checks on monitoring records Inspections by Catering Services Manager Inspections by external bodies, such as local Environmental Health Officers and Trust Environmental Health Officer Review of incidents 56 18.0 Food Safety Practice Code: Review 18.1 This system shall be reviewed annually as a minimum by the Catering Services Manager. 18.2 The review date is September 2010 57 Appendix 1 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: A Kettering General Hospital PRODUCT TYPE: COOK - SERVE NHS Foundation Trust Restaurant at lunchtimes only PURCHASE RECEIPT CATERING STORES PREPARATION DISTRIBUTION COOK CHILL HOT HOLDING FREEZER SERVICE COLD HOLDING 58 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS PRODUCT TYPE Cook / Serve CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria, e.g. Salmonella Purchase from approved suppliers Yes (high risk ingredients) Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport/receipt allowing bacterial growth. Temperature controlled transport for high risk/perishable foods. Frozen target below -18ºC Maximum -12ºC Chilled Target 1 - 4ºC Maximum 8ºC Put food away as quickly as possible within 20 minutes. Yes (high risk ingred’ts) Check print out from vehicle logger if available. Check food temperature with probe thermometer Goods inward delivery checks FSS1 Stores Supervisor who receives delivery Cross contamination during raw to cooked foods during transport or receipt. Separation of raw/cooked foods during transport/receipt. Keep equipment, e.g. probe thermometers clean and disinfect before and after use. Good personal hygiene, wash hands before checking foods in and between loads. Yes (high risk ingred’ts) Manager/Supervisor checks/delivery sheet. Cleaning checks. Manager Audit FSS11 Stores Supervisor Chemical contamination during transport or receipt Separate transport for food and chemicals. Use chemicals in accordance with suppliers instructions. Yes Manager/Supervisor checks. Manager Audit FSS11 Stores Supervisor Foreign body contamination. Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Supervisor checks. Manager checks. Manager Audit FSS11 Stores Supervisor 59 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in catering stores HAZARDS PRODUCT TYPE Cook / Serve AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes (High risk ingred’ts) Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Head of Production/ Stores Supervisor Cross contamination from raw to cooked foods. Separation of raw/cooked foods. Store prepared foods in separate chiller. Yes (High risk ingred’ts) Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Development of natural toxicants in foods. Store potatoes in cool, ventilated store - do not expose to sunlight. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in separate chemical/ cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within use by date or discard. Head of Production/ Supervisor Manager Audit FSS11 Head of Production/ Stores Supervisor Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cooking from frozen is acceptable. If so follow cooking instructions. Thaw in raw meat chill in a container to catch the blood / liquid. Yes (High risk ingred’ts) Yes Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Production/Cooks 60 MONITORING DATE 20/02/08 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering HAZARDS PRODUCT TYPE Cook / Serve AUDITOR J. Gee CONTROL MEASURES CCP Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes (High risk ingred’ts) Cross contamination from raw to cooked foods. Separation of raw / cooked foods store in appropriate store:- Department MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print Out. Head of Production Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area Storage in Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production Development of natural toxicants in foods. Store potatoes in cool, ventilated store - do not expose to sunlight. Yes Head of Production/ Supervisor checks. Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive Rotate stock. Date stock. Yes Head of Production / Manager Audit Head of Production 61 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Catering HAZARDS PRODUCT TYPE Cook / Serve CONTROL MEASURES shelf life Use within use by date or discard. Department (Cont’d) Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cook from frozen is acceptable. If so follow cooking instructions. Thaw in raw meat chill or rapid thaw in a container to catch the blood / liquid. Preparation Temperature abuse - food left out for excessive periods allowing pathogenic bacteria to grow. Prepare in batches. Maximum time at room temperature 20 minutes in main kitchen. Prepare / assemble high risk foods in temperature controlled area. Limit exposure of high risk foods in temperature controlled area to 30 minutes. Cross contamination from raw to cooked foods. Contamination from water Preparation AUDITOR J. Gee CCP RECORDS PERSON/S RESPONSIBLE Supervisor FSS11 Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Productions All persons preparing food. No Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Prepare foods in separate areas:Raw meats - use red coloured board / knife, in raw meat preparation area only. Raw fish - blue board Unwashed vegetables - green board Washed vegetables - white board Pastry area - white board High Risk Foods - white board/ knife. Good personal hygiene hand washing between raw/cooked foods. Use clean equipment. Yes (high risk ingred’ts) Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Use potable water from sink in pastry Yes Supervision by Head of Manager Audit Head of Production 62 (High risk ingred’ts) Yes MONITORING DATE 20/02/08 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Cook / Serve CONTROL MEASURES AUDITOR J. Gee CCP area for cold mixes (Cont’d) MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Production FSS11 All persons preparing food. Chemicals Keep chemicals away from preparation area. Clean after food is prepared in accordance with chemical suppliers instructions. Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Foreign bodies Good housekeeping remove waste promptly. Good standards of personal hygiene. Exclude pests. Keep environment and equipment in good condition. Keep food covered as much as possible. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production All persons preparing food. Failure to eliminate natural toxicants. Throw away potatoes that are green, damaged or strongly sprouting. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production All persons preparing food. Product contamination from use of shell eggs. Shell eggs shall not be used for patients dishes. Liquid pasteurised egg or dried products must be used. Shell eggs may be used for staff after thorough cooking, i.e. boiling for 10 minutes or by frying in staff restaurant back bar. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production All persons preparing food. Cooking Failure to cook food properly thus pathogenic bacteria survive Cook thoroughly in appropriate equipment using sound techniques, stir casseroles/ soup to avoid cold spots Cook foods to a minimum core temperature of 75ºC Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Cooking Failure to eliminate natural Boil all dried pulses for a minimum of Yes Time and temperature Food Temperature All staff 63 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Cook / Serve CONTROL MEASURES AUDITOR J. Gee CCP MONITORING RECORDS PERSON/S RESPONSIBLE toxicants ten minutes until they are soft Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Head of Production / Supervisors checks Production Log Sheet FSS3 Manager Audit FSS11 Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Cross contamination from raw foods. Yes Shelf life abuse leading to excessive bacterial growth. Date and label Use within 48 hours of chilling. Yes Head of Production supervision/ Manager checks Head of Production supervision/ Manager checks Head of Production supervision/ Manager checks Manager Audit FSS11 Temperature abuse leading to bacterial growth. Store in reach in refrigerator in temperature controlled area only. Cover date and label. Store in separate reach in refrigerator. Maintain temperature below 3ºc. Food Storage Temperature Control Log FSS2. Chart recorders Food Storage Temperature Control Log FSS2 Head of Production All persons preparing food. Head of Production All persons preparing food. Head of Production All persons preparing food. Chilling of over production Failure to chill food rapidly will allow growth of spore forming bacteria Chill in accordance with instructions in Food Safety Practice Codes No. 9. Chill in blast chiller Chill from +70ºc to <3ºc within two hours. 30 minutes portioning 90 minutes chilling. Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Chilling of Cross contamination from raw Good standards of personal hygiene Yes Head of Production Manager Audit Head of Production (Cont’d) Cold holding checks DATE 20/02/08 64 Yes Head of Production All persons preparing food. ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE over production HAZARDS PRODUCT TYPE Cook / Serve CONTROL MEASURES foods, poor personal hygiene or dirty equipment etc. Clean equipment after use in accordance with cleaning schedules Clean and sanitise probe thermometers before and after use. Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 75o C to ensure food temperature kept above 63o C Distribution Temperature abuse leading to growth of pathogenic bacteria CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE supervision/ Manager checks FSS11 All persons preparing food using chiller Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Head of Production Food Service staff Maintain temperature of hot foods above 63ºc to wards / servery. Maintain cold foods below 8ºc to wards / servery Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered until service commences. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered until service commences. Do not transport food and chemicals together Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain cold or hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food Service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until start of service, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food Service staff (Cont’d) Food Service - Staff AUDITOR J. Gee 65 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Patients HAZARDS Foreign body contamination of food during service by patients PRODUCT TYPE Cook / Serve CONTROL MEASURES service Keep food covered until service commences. AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 66 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust B PRODUCT TYPE: FROZEN FOODS TO BE CONSUMED HOT PURCHASE RECEIPT CATERING STORES TRANSFER TO CATERING DEPT COLD HOLDING DAY FREEZER CHILL COOK/ REGENERATION THAWED i.e. chicken meats STORAGE OF OVER PRODUCTION FREEZE STORAGE OF OVER PRODUCTION DISTRIBUTION SERVICE 67 HOT HOLDING ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt Storage in catering stores HAZARDS PRODUCT TYPE Frozen Food to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria Purchase from approved suppliers No Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport /receipt leading to bacteria growth Specify temperature controlled transport. Delivery temperature below -18ºC Maximum -12ºC Store food within 20 minutes No Check print out from vehicle logger. Check food temperature with probe / foil between pack probe. Goods inward delivery checks FSS1 Stores Supervisor who receive the delivery Cross contamination during transport / receipt from raw foods, people, equipment, pests Separation of raw/cooked foods during transport/receipt Keep equipment .e.g. probe thermometers clean and disinfect before and after use Good personal hygiene Wash hands before checking foods and in between loads No Supervisor checks/ delivery sheet Goods inward checks Cleaning checks Goods inward delivery check FSS1 Manager Audit FSS11 Stores Supervisor who receive the delivery Foreign bodies from people, pests, plants, premises, packaging Keep foods covered/packaging intact Pest free/good environment/equipment Yes Good delivery checks Manager/Supervisor checks Good delivery sheets FSS1 Managers Audit FSS11 Stores Supervisor who receive the delivery Contamination by cleaning chemicals during transport or receipt Separate transport for food and chemicals. Use of chemicals in accordance with suppliers instructions. Yes Manager/Supervisor checks Manager Audit FSS11 Stores Supervisor who receive the delivery Cross Contamination from raw foods to frozen foods Separation of raw and frozen foods. Care with handling of raw meats frozen on site No Supervisors check Management check Manager audit FSS11 Stores Supervisor 68 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering PRODUCT TYPE Frozen Food to be consumed hot AUDITOR J. Gee CONTROL MEASURES CCP Temperature abuse - food temperature rise allowing bacteria growth Good temperature controls over foods in freezers. Maintain temperature below -18o C No Temperature checks Supervisors check Food Storage Temperature Log Sheet FSS2 Stores Supervisor Foreign body contamination Keep foods covered and packaging intact Keep environment in good condition. Yes Supervisors checks Management checks Manager Audit FSS11 Catering Services Manager Chemical contamination of foods Store chemicals in cleaners store Use in accordance with suppliers instructions Good temperature controls over foods in storage. Freezers below -18ºC. Yes Supervisors/ Manager checks Manager Audit FSS11 Catering Services Manager No Temperature checks on equipment. Head of Production Separation of raw / cooked foods store in appropriate store:- No Head of Production / Supervisor checks Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print Out Manager Audit FSS11 Department Cross contamination from raw to cooked foods. RECORDS PERSON/S RESPONSIBLE HAZARDS Temperature abuse leading to growth of pathogenic bacteria. MONITORING DATE 20/02/08 Head of Production - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area - Frozen food in freezer in catering stores or reach in freezers in temp. cont. area. Storage in Catering Department (Cont’d) Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production 69 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Frozen Food to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cook from frozen is acceptable. If so follow cooking instructions. Thaw in refrigerator or rapid thaw in a container to catch the blood / liquid. Yes Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Productions/Cooks Head of Production Inadequate thawing preventing effective cooking leading to the survival of pathogenic bacteria All frozen foods to be thawed to a minimum of 0.1o C unless manufacturers cooking instructions indicate that it is acceptable to cook from frozen. If so cooking instructions must be followed. Raw meats / fish to be thawed in raw meat chiller. Yes Supervisors/ Head of Production checks Manager Audit FSS11 Head of Production Temperature abuse during thawing allowing bacteria to grow Thaw frozen cooked foods in the refrigerator. Maximum operating temperature 5ºC No Supervisors/ Head of Production checks Head of Production Shelf life abuse after thawing allowing bacteria growth Date mark thawed foods and use within 24 hours No Supervisor checks Managers Audit FSS11 Food Storage Temperature Log Sheet FSS2 Manager Audit FSS11 Regeneration/c ooking Failure to regenerate food properly, thus pathogenic bacteria survive. Regenerate thoroughly in appropriate equipment to above 75ºC Yes Time and temperature checks Food Production Temperature log FSS3 All staff involved in the regeneration of foods Head of Production to supervise Regeneration/c ooking Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Yes Head of Production / Supervisor checks Manager Audit FSS11 Head of Production All persons preparing food Thawing of frozen foods (Cont’d) 70 Head of Production ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Frozen Food to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Keep environment and equipment in good condition Keep food covered as much as possible Chilling of over production Post chilling storage/ Cold Holding Freezing Chemical contamination Misuse of chemical Spillages Use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers . Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Failure to chill food rapidly will allow growth of spore forming bacteria Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <3ºc within two hours. 30 minutes portioning 90 minutes chilling. Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and sanitise probe thermometers before and after use. Store in reach in refrigerator in temperature controlled area only. Cover date and label. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Yes Head of Production supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food Temperature abuse leading to bacterial growth. Store in separate reach in refrigerator. Maintain temperature below 5ºc. Yes Head of Production supervision/ checks Food Storage Temperature Control Log FSS2. Chart Recorder Records Head of Production All persons preparing food Shelf life abuse leading to excessive bacterial growth. Date and label Use within 24 hours of chilling after which if not used, then discard. Ensure food is used within 28 days. Clearly label with date of production/ diet type. Yes Head of Production supervision/ checks Head of Production All persons preparing food Yes All staff Food Storage Temperature Control Log FSS2 Manager Audit FSS11 Cross contamination from raw foods. Abuse of shelf life. 71 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Frozen Food to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Cover food in freezer. Failure to regenerate foods thoroughly leading to survival of pathogenic bacteria. Regenerate to a minimum core temperature of 82ºc. Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Head of Production Supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 80o C to ensure food temperature kept above 63o C Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Head of Production Food service staff Food Service - Staff Failure to maintain cold or hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service. Keep food covered until service commences. Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Regeneration Food Service Foreign body contamination of food during service by patients 72 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE - Patients HAZARDS PRODUCT TYPE Frozen Food to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination of food during service Keep food covered as much as possible. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 73 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust C PRODUCT TYPE: FROZEN FOODS TO BE CONSUMED COLD e.g. Pork Pie PURCHASE RECEIPT CATERING STORES WALK IN DAY FREEZER THAWED Day Fridge PORTIONED COLD HOLDING DISTRIBUTION SERVICE 74 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS PRODUCT TYPE Frozen Food to be consumed cold CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport /receipt leading to bacteria growth Specify temperature controlled transport. Delivery temperature below -18ºC Maximum -12ºC Store food within 20 minutes Yes Check print out from vehicle logger. Check food temperature with probe / foil between pack probe. Goods inward delivery checks FSS1 Stores Supervisor who receive the delivery Cross contamination during transport / receipt from raw foods, people, equipment, pests Separation of raw/cooked foods during transport/receipt Keep equipment .e.g. probe thermometers clean and disinfect before and after use Good personal hygiene Wash hands before checking foods and in between loads Yes Supervisor checks/ delivery sheet Goods inward checks Cleaning checks Goods inward delivery check FSS1 Manager Audit FSS11 Stores Supervisor who receive the delivery Foreign bodies from people, pests, plants, premises, packaging. Keep foods covered/packaging intact Pest free/good environment/equipment Yes Good delivery checks Manager/Supervisor checks Good delivery sheets FSS1 Managers Audit FSS11 Stores Supervisor Contamination by cleaning chemicals during transport or receipt Separate transport for food and chemicals. Use of chemicals in accordance with suppliers instructions Yes Manager/Supervisor checks Manager Audit FSS11 Stores Supervisor 75 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in catering stores Storage in Catering HAZARDS PRODUCT TYPE Frozen Food to be consumed cold CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross Contamination from raw foods to frozen foods Separation of raw and frozen foods. Care with handling of raw meats frozen on site Yes Supervisors check Management check Manager audit FSS11 Stores Supervisor Temperature abuse - food temperature rise allowing bacteria growth Good temperature controls over foods in freezers. Maintain temperature below -18o C Yes Temperature checks Supervisors check Food Storage Temperature Log Sheet FSS2 Stores Supervisor Foreign body contamination Keep foods covered and packaging intact Keep environment in good condition. Yes Supervisors checks Management checks Manager Audit FSS11 Stores Supervisor Chemical contamination of foods Yes Supervisors/ Manager checks Manager Audit FSS11 Stores Supervisor Temperature abuse leading to growth of pathogenic bacteria. Store chemicals in cleaners store Use in accordance with suppliers instructions Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print Out. Head of Production Cross contamination from raw to cooked foods. Separation of raw / cooked foods store in appropriate store:- Yes Head of Production / Supervisor checks Manager Audit FSS11 Head of Production Yes. Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Department - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area - Frozen foods in Freezer in Catering Stores or reach in freezers in temp. cont. area and production. Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. 76 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering HAZARDS Preparation/ portioning CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within use by date or discard. Yes Head of Production / Supervisor Manager Audit FSS11 Head of Production Temperature abuse during thawing allowing bacteria to grow Thaw frozen foods to be eaten cold in the refrigerator in temperature controlled area. Maximum operating temperature 5ºC Yes Supervisors/ Manager checks Managers Audit FSS11 Food Storage Temperature Log Sheet FSS2 Chart Recorder Records Head of Production Shelf life abuse after thawing allowing bacteria growth Date mark thawed foods and use within 24 hours Yes Supervisors/ Manager checks Manager Audit FSS11 Head of Production Cross contamination during thawing Thaw above and apart from raw foods on top shelf in the prepared food chiller. Yes Supervisors/ Manager checks Manager Audit FSS11 Head of Production Temperature abuse - food left out for excessive periods Maximum time at room temperature 20 minutes Yes Supervision by Head of Production Management checks Manager Audit FSS11 Head of Production All person preparing food Cross contamination from raw to cooked foods Use of separate areas for preparation raw/cooked foods Portion in high risk foods temperature controlled area using white board / knife. Good personal hygiene, hand washing between raw/cooked foods Use clean equipment only Yes Supervision by Head of Production Management checks Manager Audit FSS11 Head of Production All person preparing food Department (Cont’d) Thawing of frozen foods PRODUCT TYPE Frozen Food to be consumed cold 77 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Preparation/ portioning Cold holding HAZARDS PRODUCT TYPE Frozen Food to be consumed cold CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Keep food covered as much as possible Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Yes Supervision by Head of Production Management checks Manager Audit FSS11 Head of Production All person preparing food Chemicals Keep chemicals away from preparation area Clean after food is prepared Yes Supervision by Head of Production Management checks Manager Audit FSS11 Head of Production All person preparing food Cross contamination from raw foods Store apart from raw foods in reach in refrigerator in temperature controlled area. Yes Supervisors/ Manager checks Management Audit FSS11 Head of Production Foreign body contamination Cover all foods Yes Use chemicals in accordance with manufacturers instructions Yes Management Audit FSS11 Management Audit FSS11 Head of Production Chemical contamination Supervisors/ Manager checks Supervisors/ Managers checks Shelf life abuse leading to excessive bacterial growth Date code foods Allow 24 hours for prepared salads 48 hours for other prepared foods Yes Supervisors/ Manager checks Management Audit FSS11 Head of Production Temperature abuse of ice cream Store ice cream below -18o C Throw away if partially defrosted above -6o C Yes Temperature checks on equipment Food Service Process Control Sheet FSS5 Head of Production All food service staff Temperature abuse allowing growth of pathogenic bacteria Maintain temperature below 5o C Maximum 8O C for refrigerators below -18ºC for freezers. Yes Temperature checks on equipment Food Service Process Control Sheet FSS5 Temperature Log Sheet FSS2. Head of Production All food service staff 78 Head of Production ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Distribution Food Service - Staff Food Service - Patients HAZARDS PRODUCT TYPE Frozen Food to be consumed cold CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Temperature abuse leading to growth of pathogenic bacteria Maintain cold foods below 8ºc to wards / servery. -18ºc for frozen foods. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain cold or hot service temperatures will allow the growth of pathogenic bacteria Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Keep food covered until service commences. Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Foreign body contamination of food during service by patients Cross contamination of food during service 79 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS Temperature abuse of food PRODUCT TYPE Frozen Food to be consumed cold CONTROL MEASURES CCP Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Ice cream to be eaten within 1½ hours or thrown away. Yes 80 AUDITOR J. Gee MONITORING Ward Service audit DATE 20/02/08 RECORDS Ward Service Audit Form FSS6 PERSON/S RESPONSIBLE Head of Production/ Ward Staff JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust D PRODUCT TYPE: CHILLED/FRESH CONSUMED HOT PURCHASE RECEIPT CATERING STORES WALK IN REFRIGERATOR MILK/VEGETABLE/MEAT PREPARATION COOKING STORAGE OF OVER PRODUCTION BLAST CHILL HOT HOLDING FREEZE STORAGE DISTRIBUTION STORE REGENERATION SERVICE 81 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS PRODUCT TYPE Chilled / Fresh to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria at source Purchase from approved supplier No Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport/receipt leading to bacteria growth Temperature controlled transport for high risk foods Target below 8ºC Maximum 10o C Put away within 20 minutes No Check print out from vehicle logger. Check food temperature with probe Check inward delivery checks FSS1 Stores Supervisor who receives the delivery Cross contamination during transport / receipt, from raw foods, people, equipment, pests Separation of raw/cooked foods during transport/receipt Keep equipment e.g. probe thermometer clean and disinfect before and after use Good personal hygiene wash hands before checking in foods and in between loads No Manager/Supervisor checks/ delivery sheets Cleaning checks Manager/ Supervisors checks FSS11 Stores Supervisor who receives the delivery Foreign body contamination Keep packaging sealed Keep environment and equipment in good condition Good standards of personal hygiene Exclude pests Yes Manager/ Supervisors checks Manager/ Supervisors checks FSS11 Stores Supervisor Contamination by cleaning chemicals during transport or receipt Separate transport for food and chemicals. Use chemicals in accordance with suppliers instructions Yes Managers/ Supervisor checks Manager Audit FSS11 Stores Supervisor 82 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in main stores Storage in Catering HAZARDS PRODUCT TYPE Chilled / Fresh to be consumed hot AUDITOR J. Gee CCP Cross contamination from raw foods to cooked foods Separation of raw/cooked foods. Store raw meats / fish in dedicated walk in chiller. Unwashed vegetables/ vegetables in outer packaging in dedicated walk in chiller. No Head of Production / Supervisory checks Manager Audit FSS11 Stores Supervisor Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Refrigerators / chillers 1 - 4ºc Maximum 8ºc Yes Temperature checks on equipment. Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Catering Manager/ Supervisor checks. Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print Outs. Manager Audit FSS11 Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Good temperature controls over foods in storage. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes Catering Manager/ Supervisor checks. Manager Audit FSS11 Catering Manager Yes Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print outs. Head of Production Cross contamination from raw to cooked foods. Separation of raw / cooked foods store in appropriate store:- Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area or walk in chill in stores. No Head of Production / Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production/ Supervisor checks. Manager Audit FSS11 Head of Production Department 83 RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES Temperature abuse leading to growth of pathogenic bacteria. MONITORING DATE 20/02/08 Catering Manager ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering HAZARDS CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production/ Supervisor checks. Manager Audit FSS11 Head of Production Shelf life abuse leading to excessive bacterial growth Use within suppliers/in house date code Stock rotation No Head of Production / Supervisory checks Manager Audit FSS11 Head of Production Foreign body contamination Ensure packaging is intact Food covered and stored correctly. Yes Head of Production / Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination Store chemicals in separate chemical store. Use chemicals in accordance with suppliers instructions Prepare foods in separate areas:Raw meats - use red coloured board / knife in raw meat area. Raw fish - use blue coloured board / knife in raw meat area. Unprepared vegetables - use brown coloured board / knife in general preparation area. Good personal hygiene. Hand washing between raw/cooked foods. Yes Head of Production / Supervisor checks Manager Audit FSS11 Head of Production No Supervision by Head of Production Manager Audit FSS11 Head of Production Catering Manager All persons preparing food Prepare in batches Maximum time at room temperature 20 minutes No Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Department (Cont’d) Preparation PRODUCT TYPE Chilled / Fresh to be consumed hot Cross Contamination from raw foods to cooked foods Temperature abuse - food left at room temperature for excessive periods allowing pathogenic bacteria to grow 84 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Preparation HAZARDS CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign bodies Good housekeeping remove waste promptly Keep food covered as much as possible Good personal hygiene Exclude pests Keep environment and equipment in good condition Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination Keep chemicals away from preparation area. Use chemicals in accordance with suppliers instructions Cook / regenerate thoroughly in appropriate equipment to above 75ºC Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Yes Time and temperature checks Food Production Temperature log FSS3 All staff involved in the regeneration of foods. Head of Production to supervise (Cont'd) Regeneration/c ooking PRODUCT TYPE Chilled / Fresh to be consumed hot Failure to regenerate / cook food properly, thus pathogenic bacteria survive. Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination Misuse of chemical Spillages Use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food 85 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Chilling of over production Freezing Post chilling storage/ cold holding Regeneration HAZARDS PRODUCT TYPE Chilled / Fresh to be consumed hot AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Failure to chill food rapidly will allow growth of spore forming bacteria Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <3ºc within two hours. 30 minutes portioning 90 minutes chilling. Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and sanitise probe thermometers before and after use. Ensure food is used within 28 days. Clearly label with date of production/ diet type. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Yes All staff Manager Audit FSS11 Abuse of shelf life. MONITORING DATE 20/02/08 Foreign body contamination Cover food in freezer. Cross contamination from raw foods. Store in reach in refrigerator in temperature controlled area only. Cover date and label. Yes Head of Production supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food Temperature abuse leading to bacterial growth. Store in separate reach in refrigerator. Maintain temperature below 5ºc. Yes Head of Production supervision/ checks Food Storage Temperature Control Log FSS2. Chart Recorder Records Head of Production All persons preparing food Shelf life abuse leading to excessive bacterial growth. Date and label Use within 24 hours of chilling after which if not used, then discard. Yes Head of Production supervision/ checks Food Storage Temperature Control Log FSS2 Head of Production All persons preparing food Failure to regenerate foods thoroughly leading to survival of pathogenic bacteria. Regenerate to a minimum core temperature of 75ºc. Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff 86 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Chilled / Fresh to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Head of Production Supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 80o C to ensure food temperature kept above 63o C Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Food service staff Distribution Temperature abuse leading to growth of pathogenic bacteria Maintain temperature of hot foods above 63ºc to wards / servery. Yes Ward Quality Audit Check FSS6 Head of Production Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Catering Manager Ward Service Quality Audit checks Catering Manager Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Catering Manager Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Catering Manager Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production 87 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Staff Food Service - Patients HAZARDS PRODUCT TYPE Chilled / Fresh to be consumed hot CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Failure to maintain hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered as far as practicable, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service. Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Foreign body contamination of food during service by patients Keep food covered until service commences. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 88 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust E PRODUCT TYPE: CHILLED/FRESH CONSUMED COLD PURCHASE RECEIPT CATERING STORES TRANSFER TO MAIN KITCHEN PREP IN TEMP CONTROLLED ROOM SALAD, VEG & FRUIT PREPARATION STORAGE OF OVER PRODUCTION STORAGE OF OVER PRODUCTION DISTRIBUTION SERVICE 89 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS PRODUCT TYPE Chilled Foods to be consumed cold CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria at source Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport/receipt leading to bacteria growth Temperature controlled transport for high risk foods Target below 8ºC Maximum 10o C Put away within 30 minutes Yes Check print out from vehicle logger. Check food temperature with probe Check inward delivery checks FSS1 Stores Supervisor who receives the delivery Cross contamination during transport / receipt, from raw foods, people, equipment, pests Separation of raw/cooked foods during transport/receipt Keep equipment e.g. probe thermometer clean and disinfect before and after use Good personal hygiene wash hands before checking in foods and in between loads Yes Manager/Supervisor checks/ delivery sheets Cleaning checks Manager/ Supervisors checks FSS11 Stores Supervisor who receives the delivery Foreign body contamination Keep packaging sealed Keep environment and equipment in good condition Good standards of personal hygiene Exclude pests Yes Manager/ Supervisors checks Manager/ Supervisors checks FSS11 Stores Supervisor Contamination by cleaning chemicals during transport or receipt Separate Transport for food and chemicals. Use chemicals in accordance with suppliers instructions Yes Managers/ Supervisor checks Manager Audit FSS11 Stores Supervisor 90 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in main stores Preparation HAZARDS PRODUCT TYPE Chilled Foods to be consumed cold AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Cross contamination from raw foods to cooked foods Separation of raw/cooked foods. High risk foods in walk in chiller in catering stores or reach in refrigerator in temp. cont. preparation area. Yes Manager/ Supervisory checks Manager Audit FSS11 Stores Supervisor Shelf life abuse leading to excessive bacterial growth Use within suppliers/in house date code Stock rotation Yes Manager/ Supervisory checks Manager Audit FSS11 Stores Supervisor Temperature abuse leading to growth of pathogenic bacteria in foods Good temperature controls Chiller at correct temperature 1ºC 4ºC Maximum 8o C Yes Temperature checks on equipment Food Storage Temperature Control Log FSS2 Supplies Manager Foreign body contamination Ensure packaging is intact Food covered and stored correctly. Yes Manager/ Supervisory checks Manager Audit FSS11 Supplies Manager Chemical contamination Store chemicals in separate chemical store. Use chemicals in accordance with suppliers instructions Prepare high risk foods in temperature controlled area using white board / knife. Good personal hygiene Hand washing between raw/cooked foods Yes Manager/ Supervisory checks Manager Audit FSS11 Supplies Manager Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Cross Contamination from raw foods to cooked foods MONITORING DATE 20/02/08 Temperature abuse - food left at room temperature for excessive periods allowing pathogenic bacteria to grow Prepare in batches Maximum time at room temperature 20 minutes. Prepare / assemble in temperature controlled area. Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Foreign bodies Good housekeeping remove waste promptly Keep food covered as much as possible Good personal hygiene Exclude pests Keep environment and equipment in good condition Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food 91 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Preparation HAZARDS Distribution CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Chemical contamination Keep chemicals away from preparation area. Use chemicals in accordance with suppliers instructions Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Cross contamination from raw foods Store in reach in refrigerator in temperature controlled area or in milk chill. Yes Supervisors/ Manager checks Management Audit FSS11 Chart Recorder Records Head of Production Foreign body contamination Cover all foods Yes Supervisors/ Manager checks Management Audit FSS11 Head of Production Chemical contamination Use chemicals in accordance with manufacturers instructions Yes Supervisors/ Manager checks Management Audit FSS11 Head of Production Shelf life abuse leading to excessive bacterial growth Date code foods Allow 24 hours for prepared salads 48 hours for other prepared foods Yes Supervisors/ Manager checks Management Audit FSS11 Head of Production Temperature abuse allowing growth of pathogenic bacteria Maintain temperature below 5o C Maximum 8O C Yes Temperature checks on equipment Food Service Process Control Sheet FSS5 Head of Production All food service staff Temperature abuse leading to growth of pathogenic bacteria Maintain cold foods below 8ºc to wards / servery Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production (Cont’d) Cold holding PRODUCT TYPE Chilled Foods to be consumed cold 92 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Staff Food Service - Patients HAZARDS PRODUCT TYPE Chilled Foods to be consumed cold CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Failure to maintain cold service temperatures will allow the growth of pathogenic bacteria Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered as far as practicable, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Keep food covered until service commences. Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production Ward Staff Foreign body contamination of food during service by patients 93 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust F PRODUCT TYPE: AMBIENT CONSUMED HOT PURCHASE RECEIPT STORAGE IN CATERING STORES STORAGE IN DAY STORE OPEN DECANT HEAT HOT HOLDING STORAGE OF OVER PRODUCTION DISTRIBUTION BLAST CHILL SERVICE REGENERATION 94 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt Storage in catering Stores Storage in catering stores HAZARDS PRODUCT TYPE Ambient to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria at source Purchase from approved supplier No Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Cross contamination during transport / receipt, from raw foods, people, equipment, pests Dedicated food only vehicle Delivery of raw foods not accepted until other delivery put away Packaging intact and sealed No Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Foreign body contamination Packaging intact Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Chemical contamination Separate transport for food and chemicals. Use chemicals in accordance with supplier instructions Separation of raw foods to ambient Yes Manager/Supervisor checks Manager audit Stores Supervisor No Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor Foreign body contamination Ensure packaging is intact Food covered and stored correctly if packaging broken Transfer to sealed container after opening. Yes Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor Chemical contamination Separate chemical store. Correct use and application of chemicals Store dry goods off the floor Yes Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor Growth of spore forming bacteria/moulds if moisture gets into dried foods Keep dry goods store dry Transfer contents of packet to storage containers after opening Yes Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor Cross contamination from raw foods to ambient (Cont'd) 95 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering HAZARDS Cross contamination from raw to cooked foods. Department Preparation PRODUCT TYPE Ambient to be consumed hot AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Separation of raw / cooked foods store in appropriate store:- Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area or milk chill. Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within best before date or discard. Yes Manager/ Supervisor Manager Audit FSS11 Head of Production Growth of bacteria when water added to dry foods e.g. dried milk powder or contamination of product from make up water Use water from drinking water tap to Pastry Area to make up. Keep mix in the refrigerator after mixing Use within 24 hours Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production 96 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Cooking/ Regeneration HAZARDS PRODUCT TYPE Ambient to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign bodies Careful opening of packets by use of scissors Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Check blade on can opener if damaged replace Yes Manager/ Supervisors checks Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Yes Manager/ Supervisors checks Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Metal contamination Do not use the contents of cans that are badly dented, corroded, bulging, blown. Examine contents of can if they do not smell/appear sound do not use Keep tin opener in good condition, replace blade as necessary. Yes Manager/ Supervisors checks Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Failure to reheat properly thus pathogenic bacteria survive Always heat/cook to above 75ºC Yes Time and temperature check Food Production Temperature Log FSS3 Head of Production /All staff preparing food 97 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Chilling of over production Post chilling storage/ cold holding HAZARDS PRODUCT TYPE Ambient to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible. Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production /All staff preparing food Chemical contamination Keep chemical away from the preparation area Clean after food prepared in accordance with chemical suppliers instructions Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production /All staff preparing food Failure to chill food rapidly will allow growth of spore forming bacteria Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <3ºc within two hours. 30 minutes portioning 90 minutes chilling. Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and sanitise probe thermometers before and after use. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Cross contamination from raw foods. Store in reach in refrigerator in temperature controlled area only. Cover date and label. Yes Head of Production supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food 98 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CCP Temperature abuse leading to bacterial growth. Store in separate reach in refrigerator. Maintain temperature below 5ºc. Yes Head of Production supervision/ checks Food Storage Temperature Control Log FSS2. Chart Recorder Records Head of Production All persons preparing food Shelf life abuse leading to excessive bacterial growth. Date and label Use within 24 hours of chilling after which if not used, then discard. Yes Head of Production supervision/ checks Food Storage Temperature Control Log FSS2 Head of Production All persons preparing food Failure to regenerate foods thoroughly leading to survival of pathogenic bacteria. Regenerate to a minimum core temperature of 75ºc. Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Head of Production Supervision/ checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 80o C to ensure food temperature kept above 63o C Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Head of Production Food service staff Distribution Temperature abuse leading to growth of pathogenic bacteria Maintain temperature of hot foods above 63ºc to wards / servery. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production 99 MONITORING DATE 20/02/08 CONTROL MEASURES Regeneration HAZARDS PRODUCT TYPE Ambient to be consumed hot ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Staff Food Service - Patients HAZARDS PRODUCT TYPE Ambient to be consumed hot CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Head of Production Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Foreign body contamination of food during service by patients Keep food covered until service commences. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 100 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust G PRODUCT TYPE: AMBIENT CONSUMED COLD PURCHASE RECEIPT STORAGE IN CATERING STORE TRANSFER TO CATERING STORAGE IN DAY STORE OPEN PREPARATION DECANT COLD HOLDING TEMP. CONT. AREA DISTRIBUTION SERVICE 101 STORAGE OF OVER PRODUCTION ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt Storage in catering Stores HAZARDS PRODUCT TYPE Ambient food to be served chilled CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria at source Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Cross contamination during transport / receipt, from raw foods, people, equipment, pests Dedicated food only vehicle Delivery of raw foods not accepted until other delivery put away Packaging intact and sealed Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Foreign body contamination Packaging intact Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Chemical contamination Separate transport for food and chemicals. Use chemicals in accordance with supplier instructions Separation of raw foods to ambient Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Yes Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor Cross contamination from raw foods to ambient Foreign body contamination Ensure packaging is intact Food covered and stored correctly if packaging broken Transfer to sealed container after opening Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Chemical contamination Separate chemical store. Correct use and application of chemicals Store dry goods off the floor Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Growth of spore forming bacteria/moulds if moisture gets into dried foods Keep dry goods store dry Transfer contents of packet to storage containers after opening Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor 102 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Transfer to Catering HAZARDS PRODUCT TYPE Ambient food to be served chilled CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS Cross contamination from raw to cooked foods. Keep packaging intact Yes Supervisor checks Manager checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Foreign body contamination Keep Foods covered / packaging intact Yes Supervisor checks Manager checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Chemical contamination Do not transfer chemicals and food at same time or same trolley Yes Supervisor checks Manager checks Manager Audit FSS11 Cross contamination from raw to cooked foods. Separation of raw / cooked foods store in appropriate store:- Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Head of Production Department Storage in Catering PERSON/S RESPONSIBLE Department - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area or milk chill. Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within use by date or discard. Yes Manager/ Supervisor Manager Audit FSS11 Head of Production 103 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Opening/ Preparation/ decanting HAZARDS PRODUCT TYPE Ambient food to be served chilled AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Cross contamination from raw foods etc. Good personal hygiene including hand washing Clean can opener after use Decant into clean containers in temperature controlled area. Cover container Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Temperature abuse items not being chilled after opening leading to excessive bacterial growth. Maximum room temperature for 20 minutes once opened. Store in refrigerator Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Foreign body contamination Careful opening of packets by use of scissors Maintain can opener blade in good condition Good Housekeeping Good standards of personal hygiene Keep environment and equipment in good condition Keep food covered once opened. Yes Supervision by Head of Production Management checks. Manager Audit FSS11 Catering Manager/ Head of Production All persons preparing food Chemical contamination Keep chemicals away from preparation area Clean after food preparation in accordance with chemical suppliers instructions. Yes Supervision by Head of Production Management checks. Manager Audit FSS11 Head of Production All persons preparing food Metal contamination from can Do not use cans that are badly dented, corroded, bulging, or blown Examine contents of can if they do not smell/appear sound do not use. Keep can opener in good condition. Replace blade as necessary. Transfer contents to clean covered container. Yes Supervision by Head of Production . Manager Audit FSS11 Head of Production All persons preparing food 104 MONITORING DATE 20/02/08 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Opening/ Preparation/ decanting HAZARDS CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Use water from drinking water tap to sink in Pastry Area to make up Keep mix in the refrigerator after mixing Use within 24 hours Yes Supervision by Head of Production . Manager Audit FSS11 Head of Production All persons preparing food Development of natural toxins in foods e.g. tuna and oily fish Keep refrigerated after opening Yes Manager Audit FSS11 Cross contamination from raw foods to cooked foods Separation of raw/cooked foods. Store prepared foods in separate chiller Use within suppliers/in house date code Stock rotation Good temperature controls Chiller at correct temperature 1ºC 4ºC Maximum 8o C Use within 24 hours. Yes Supervision by Head of Production . Manager/ Supervisory checks Head of Production All persons preparing food Head of Production Yes Manager/ Supervisory checks Manager Audit FSS11 Yes Temperature checks on equipment Foreign body contamination Ensure packaging is intact Food covered and stored correctly. Yes Manager/ Supervisory checks Manager Audit FSS11 Head of Production Chemical contamination Store chemicals in separate chemical store. Use chemicals in accordance with suppliers instructions Maintain cold foods below 8ºc to wards / servery Yes Manager/ Supervisory checks Manager Audit FSS11 Head of Production Yes Catering Manager Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Shelf life abuse leading to excessive bacterial growth Temperature abuse leading to growth of pathogenic bacteria in foods or development of natural toxins Distribution CONTROL MEASURES AUDITOR J. Gee Growth of bacteria when water added to dry foods e.g. mousse mix or contamination of product from make up water. (Cont’d) Storage/ cold holding PRODUCT TYPE Ambient food to be served chilled Temperature abuse leading to growth of pathogenic bacteria 105 Manager Audit FSS11 Head of Production Head of Production Food Storage Temperature Control Log FSS2 Chart Recorder Records ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Staff AUDITOR J. Gee DATE 20/02/08 CONTROL MEASURES CCP MONITORING Failure to maintain cold service temperatures will allow the growth of pathogenic bacteria Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Keep food covered until service commences. Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff Foreign body contamination of food during service by patients 106 RECORDS PERSON/S RESPONSIBLE HAZARDS Cross contamination of food on display by customers and foreign body contamination Food Service - Patients PRODUCT TYPE Ambient food to be served chilled JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART No: CLIENT: Kettering General Hospital NHS Foundation Trust H PRODUCT TYPE: AMBIENT - AMBIENT PURCHASE RECEIPT STORE IN CATERING STORE TRANSFER TO CATERING TRANSFER TO REST. STORE DISTRIBUTION DISPLAY FOR SALE SERVICE 107 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt Storage in main stores HAZARDS PRODUCT TYPE Ambient food to be served ambient CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria at source Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved supplier Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Cross contamination during transport / receipt, from raw foods, people, equipment, pests Dedicated food only vehicle Delivery of raw foods not accepted until other delivery put away Packaging intact and sealed No Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Foreign body contamination Packaging intact Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Chemical contamination Separate transport for food and chemicals. Use chemicals in accordance with supplier instructions Ensure packaging is intact Food covered and stored correctly if packaging broken Transfer to sealed container after opening. Exclude pests. Yes Manager/Supervisor checks Manager audit FSS11 Stores Supervisor Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Foreign body contamination Chemical contamination Separate chemical store. Correct use and application of chemicals Store dry goods off the floor 108 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage (Cont’d) Transfer to Catering HAZARDS PRODUCT TYPE Ambient food to be served ambient AUDITOR J. Gee RECORDS CCP Growth of spore forming bacteria/moulds if moisture gets into dried foods Keep dry goods store dry Transfer contents of packet to storage containers after opening Yes Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Shelf life abuse leading to product deterioration Rotate stock Use within best before date Keep products cool and dry Keep Foods covered / packaging intact No Managers/Supervisors checks Manager Audit FSS11 Stores Supervisor Yes Supervisor checks Manager checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Head of Production Porters / Cooks transferring foods Head of Production Department Storage in Catering Chemical contamination Do not transfer chemicals and food at same time or same trolley Yes Supervisor checks Manager checks Manager Audit FSS11 Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Manager/ Supervisor checks. Manager Audit FSS11 Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Visual examination of date labelling. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Cross contamination of food on display by customers and foreign body contamination Keep food on display covered, display in small amounts to limit exposure Yes Supervisor checks Manager Audit FSS11 Head of Production Food service staff Department Food Service PERSON/S RESPONSIBLE CONTROL MEASURES Foreign body contamination MONITORING DATE 20/02/08 109 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART: CLIENT: Kettering General Hospital NHS Foundation Trust I PRODUCT TYPE: JOINTS OF MEAT PURCHASE RECEIPT RAW MEAT CHILLER FREEZER PREP/TRAY UP COOK BLAST CHILL FREEZE COLD HOLDING PREP/SLICE STORE IN FREEZER REGENERATION COLD HOLDING HOT HOLDING DISTRIBUTION SERVICE 110 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt Storage HAZARDS PRODUCT TYPE Joints of meat CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming raw meats contaminated with Salmonella and other pathogenic bacteria Purchase from approved suppliers No Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign body contamination Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse leading to bacteria growth Specify temperature controlled transport. Delivery van temperature below -18ºC for frozen Target below 5ºC for chilled No Check print out from vehicle logger. Check food temperature with probe thermometer Goods inward delivery checks FSS1 Stores Supervisor who receives delivery Cross contamination during transport / receipt from other raw meats, pests etc. Foreign body contamination Cleanliness of equipment / people Free from pests No Manager Audit FSS11 Stores Supervisor who receives delivery Keep foods covered Keep environment and equipment in good condition. Good personal hygiene Exclude pests Yes Manager/Supervisor checks/ delivery sheet Cleaning checks Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor who receives delivery Chemical contamination of meat Use of food only dedicated delivery vehicle. Use chemicals in accordance with chemical suppliers instructions Good temperature controls over foods in storage Freezers below -18ºC Walk in chiller target below 5ºC Maximum 8ºC Yes Manager/Supervisor checks Manager Audit FSS11 Stores Supervisor who receives delivery No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Woodley Monitoring System Print Out. Head of Production /Supervisors Temperature abuse leading to excessive growth of pathogenic bacteria 111 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage HAZARDS PRODUCT TYPE Joints of meat CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination form other raw meats etc. Good personal hygiene Cleanliness of equipment etc. No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Head of Production /Supervisors Shelf life abuse leading to excessive bacterial growth Date code and use within use by/ in house date code Stock rotation No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Head of Production /Supervisors Chemical contamination of meat Store chemicals in separate store Use in accordance with suppliers instructions Yes Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Head of Production /Supervisors Foreign body contamination Keep foods covered Keep environment and equipment in good condition Good personal hygiene Exclude pests Thaw all frozen meats joints to a minimum of 0.1ºC in raw meat walk in chiller. Thawing at room temperature or in warm water is not acceptable Maximum time at room temperature 20 minutes Yes Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Head of Production /Supervisors Yes Checks with probe thermometer Checks on operating temperature of chiller Supervision by Head of Production Food Storage temperature Log Sheet FSS2 Head of Production/ Cooks No Time and temperature checks Manager Audit FSS11 Head of Production/Cooks Chemicals Keep chemical away from preparation area. Use in accordance with the suppliers instructions Yes Supervision by Head of Production Manager Audit FSS11 Head of Production/Cooks Joints of an excessive size limiting heat penetration on cooking and limiting ability to cool rapidly Limit joints to 2.5 Kilograms No Supervision by Head of Production Manager Audit FSS11 Head of Production/Cooks Cooking Failure to cook food properly thus pathogenic bacteria survive Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Cooking Foreign body contamination Cook thoroughly in appropriate equipment using sound techniques. Cook foods to a minimum core temperature of 75ºC Good housekeeping remove waste Yes Manager/ Manager Audit Head of Production (Cont’d) Thawing of meat Failure to thaw frozen meats fully thereby preventing adequate cooking Preparation Temperature abuse - food left out for excessive periods leading to excessive bacterial growth 112 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS Chemical contamination Misuse of chemical Spillages Use of food containers for storage and decanting of chemicals Failure to chill food rapidly will allow growth of spore forming bacteria Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Freezing CONTROL MEASURES AUDITOR J. Gee CCP promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible (Cont’d) Chilling PRODUCT TYPE Joints of meat Abuse of shelf life. MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Supervisors checks FSS11 All persons preparing food Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <10ºc within 2½ hours. 30 minutes portioning 130 minutes chilling. Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and disinfect probe thermometers before and after use. Ensure food is used within 28 days. Clearly label with date of production/ diet type. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Yes All staff Manager Audit FSS11 Foreign body contamination Cover food in freezer. Post chilling Storage/ Cross contamination from raw foods. Store in reach in refrigerator in temperature controlled area only. Cover date and label. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food cold holding Temperature abuse leading to bacterial growth. Store in separate reach in refrigerator. Maintain temperature below 3ºc. Yes Head of Production supervision/ Food Storage Temperature Control Log Head of Production All persons preparing 113 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Joints of meat CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Manager checks FSS2 Chart Recorder Records food Head of Production supervision/ Manager checks Time and temperature checks Food Storage Temperature Control Log FSS2 Food Production Temperature Log Sheet FSS3 Head of Production All persons preparing food All staff Shelf life abuse leading to excessive bacterial growth. Date and label Use within 48 hours of chilling. Yes Failure to regenerate foods thoroughly leading to survival of pathogenic bacteria. Regenerate to a minimum core temperature of 75ºc. Yes Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 80o C to ensure food temperature kept above 63o C Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Head of Production Food service staff Distribution Temperature abuse leading to growth of pathogenic bacteria Maintain temperature of hot foods above 63ºc to wards / servery. Maintain cold foods below 8ºc to wards Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Regeneration 114 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Joints of meat CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE / servery Food Service - Staff Food Service - Patients Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain cold or hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Foreign body contamination of food during service by patients Keep food covered until service commences. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production 115 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Patients (Cont’d) HAZARDS PRODUCT TYPE Joints of meat CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 116 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART: CLIENT: Kettering General Hospital NHS Foundation Trust J PRODUCT TYPE: SAVOURY PIE/ COMPOSITE PURCHASE RECEIPT STORAGE PREPARATION OF FILLING INGREDIENTS COOKING/FILLING ASSEMBLED FINISHED COOKED/ REGENERATION BLAST CHILL BLAST CHILL COLD STORAGE 48 HRS FREEZE DISCARD HOT HOLDING COLD HOLDING DISTRIBUTION DEFROST SERVICE 117 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming ingredients contaminated with Salmonella and other pathogenic bacteria Purchase from approved suppliers No Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign body contamination Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse leading to bacteria growth Specify temperature controlled transport. Delivery van temperature below -18ºC for frozen Target below 5ºC for chilled Cleanliness of equipment / people Free from pests No Goods inward delivery checks FSS1 Stores Supervisor who receives delivery Manager Audit FSS11 Stores Supervisor who receives delivery Keep foods covered Keep environment and equipment in good condition. Good personal hygiene Exclude pests Use of food only dedicated delivery vehicle. Use chemicals in accordance with chemical suppliers instructions Yes Check print out from vehicle logger. Check food temperature with probe thermometer Manager/Supervisor checks/ delivery sheet Cleaning checks Catering Manager/ Supervisor checks Manager Audit FSS11 Stores Supervisor who receives delivery Yes Manager/Supervisor checks Manager Audit FSS11 Stores Supervisor who receives delivery Good temperature controls over foods in storage Freezers below -18ºC Refrigerator/chiller Target below 5ºC Maximum 8ºC No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Stores Supervisor Cross contamination during transport / receipt from other raw meats, pests etc. Foreign body contamination Chemical contamination of ingredients Storage in main stores PRODUCT TYPE Savoury pie/composite dishes Temperature abuse leading to excessive growth of pathogenic bacteria No 118 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage (Cont’d) Transfer to Catering HAZARDS PRODUCT TYPE Savoury pie/composite dishes CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination from other raw ingredients Good personal hygiene Cleanliness of equipment etc. No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Stores Supervisor Shelf life abuse leading to excessive bacterial growth Date code and use within use by/ in house date code Stock rotation No Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Stores Supervisor Chemical contamination of ingredients Store chemicals in separate store Use in accordance with suppliers instructions Yes Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Stores Supervisor Foreign body contamination Keep foods covered Keep environment and equipment in good condition Good personal hygiene Exclude pests Transfer foods from refrigerator / freezer in main stores to kitchen within 30 minutes. Put away immediately upon arrival. Yes Supervisor Checks. Manager checks. Supervisor Checks. Manager checks. Stores Supervisor Yes (high risk ingredients) Supervisor checks Manager checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Yes (high risk ingredients) Yes Supervisor checks Manager checks Manager Audit FSS11 Supervisor checks Manager checks Manager Audit FSS11 Head of Production Porters / Cooks transferring foods Head of Production Porters / Cooks transferring foods Supervisor checks Manager checks Manager Audit FSS11 Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print out. Manager/ Supervisor Manager Audit Temperature abuse leading to growth of pathogenic bacteria. Department Cross contamination from raw to cooked foods. Keep packaging intact Foreign body contamination Keep Foods covered / packaging intact Chemical contamination Do not transfer chemicals and food at same time or same trolley Yes Storage in Catering Department Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes (High risk ingred’ts) Storage in Cross contamination from raw to Separation of raw / cooked foods store Yes 119 Head of Production Porters / Cooks transferring foods Head of Production Head of Production ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Catering HAZARDS cooked foods. Department (Cont’d) Preparation AUDITOR J. Gee PRODUCT TYPE Savoury pie/composite dishes CONTROL MEASURES CCP in appropriate store:- MONITORING DATE 20/02/08 RECORDS checks FSS11 PERSON/S RESPONSIBLE - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Manager/ Supervisor checks Manager Audit FSS11 Head of Production Development of natural toxicants in foods. Store potatoes in cool, ventilated store - do not expose to sunlight. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within use by date or discard. Yes Manager/ Supervisor Manager Audit FSS11 Head of Production Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cook from frozen is acceptable. If so follow cooking instructions. Thaw in refrigerator or in a container to catch the blood / liquid. Maximum time at room temperature 30 minutes Yes Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Productions/Cooks No Time and temperature checks Manager Audit FSS11 Head of Production/Cooks Temperature abuse - food left out for excessive periods leading to 120 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE of meat filling Cooking of meat and other fillings Chilling Assembly of pie/dish HAZARDS PRODUCT TYPE Savoury pie/composite dishes AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Chemicals Keep chemical away from preparation area Use in accordance with the suppliers instructions Yes Supervision by Head of Production Manager Audit FSS11 Head of Production/Cooks Failure to cook food properly thus pathogenic bacteria survive Cook foods to a minimum core temperature of 75ºC Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Chemical contamination Misuse of chemical Spillages Use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <3ºc within two hours. 30 minutes portioning 90 minutes chilling. Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Manager Audit FSS11 Head of Production All persons preparing excessive bacterial growth Failure to chill food rapidly will allow growth of spore forming bacteria Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and sanitise probe thermometers before and after use. Yes Temperature abuse of filling allowing the growth of spore On removing the filling from the blast chiller finish off preparation e.g. No 121 Supervision by Head of Production ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS forming bacteria Cooking of dish/pie Failure to cook food properly thus pathogenic bacteria survive PRODUCT TYPE Savoury pie/composite dishes CONTROL MEASURES topping within 30 minutes and immediately place dish in oven to finish cooking. Preparation to take place in temperature controlled area. Cook thoroughly in appropriate equipment using sound techniques. Cook foods to a minimum core temperature of 75ºC CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE food Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Hot Holding Failure to maintain hot foods above 63o C will allow growth of spore forming bacteria Maintain hot cabinets and bain maries above 80o C to ensure food temperature kept above 63o C Yes Time/Temperature checks on hot holding cabinets and bain maries Food Service Process Control Sheet FSS5 Head of Production Food service staff Distribution Temperature abuse leading to growth of pathogenic bacteria Maintain temperature of hot foods above 63ºc to wards / servery. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production 122 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Food Service - Staff Food Service - Patients HAZARDS PRODUCT TYPE Savoury pie/composite dishes CONTROL MEASURES CCP AUDITOR J. Gee MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Keep food covered until service commences. Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff Foreign body contamination of food during service by patients 123 JPG SERVICES : FOOD SAFETY MANAGEMENT SYSTEMS FLOW CHART: CLIENT: Kettering General Hospital NHS Foundation Trust K PRODUCT TYPE: DIET BAY DISTRIBUTION RECEIPT FROZEN DRY CHILLED CATERING STORAGE PREPARATION COOK BLAST CHILLED PREPARATION COLD HOLDING FREEZING REGENERATION DISTRIBUTION SERVICE 124 HOT HOLDING ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Purchase Receipt HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Incoming foods contaminated with pathogenic bacteria, e.g. Salmonella Purchase from approved suppliers Yes (high risk ingredients) Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Foreign bodies in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Chemical contamination in product Purchase from approved suppliers Yes Check invoice / order. Supplier Audit List of approved suppliers C.S.M. to approve/vet suppliers. C.S.M. to control orders. Temperature abuse during transport/receipt allowing bacterial growth. Temperature controlled transport for high risk/perishable foods. Frozen target below -18ºC Maximum -12ºC Chilled Target 1 - 4ºC Maximum 8ºC Put food away as quickly as possible within 20 minutes. Yes (high risk ingred’ts) Check print out from vehicle logger if available. Check food temperature with probe thermometer Goods inward delivery checks FSS1 Stores Supervisor who receives delivery Cross contamination during raw to cooked foods during transport or receipt. Separation of raw/cooked foods during transport/receipt. Keep equipment, e.g. probe thermometers clean and disinfect before and after use. Good personal hygiene, wash hands before checking foods in and between loads. Yes (high risk ingred’ts) Manager/Supervisor checks/delivery sheet. Cleaning checks. Manager Audit FSS11 Stores Supervisor Chemical contamination during transport or receipt Separate transport for food and chemicals. Use chemicals in accordance with suppliers instructions. Yes Manager/Supervisor checks. Manager Audit FSS11 Stores Supervisor Foreign body contamination. Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Supervisor checks. Manager checks. Manager Audit FSS11 Stores Supervisor 126 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in catering stores HAZARDS PRODUCT TYPE Diet Bay AUDITOR J. Gee RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES CCP Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes (High risk ingred’ts) Temperature checks on equipment. Food Storage Temperature Control Log FSS2 Head of Production/ Stores Supervisor Cross contamination from raw to cooked foods. Separation of raw/cooked foods. Store prepared foods in separate chiller. Yes (High risk ingred’ts) Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Development of natural toxicants in foods. Store potatoes in cool, ventilated store - do not expose to sunlight. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in separate chemical/ cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production/ Stores Supervisor Bacterial growth due to excessive shelf life Rotate stock. Date stock. Use within use by date or discard. Head of Production/ Supervisor Manager Audit FSS11 Head of Production/ Stores Supervisor Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cooking from frozen is acceptable. If so follow cooking instructions. Thaw in raw meat chill or rapid thaw in a container to catch the blood / liquid. Yes (High risk ingred’ts) Yes Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Production/Cooks 127 MONITORING DATE 20/02/08 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Storage in Catering Department HAZARDS PRODUCT TYPE Diet Bay AUDITOR J. Gee MONITORING DATE 20/02/08 CCP Temperature abuse leading to growth of pathogenic bacteria. Good temperature controls over foods in storage. Freezers below -18ºC. Refrigerators/chillers 1-4ºC Maximum 8ºC Yes (High risk ingred’ts) Cross contamination from raw to cooked foods. Separation of raw / cooked foods store in appropriate store:- Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production Temperature checks on equipment. RECORDS PERSON/S RESPONSIBLE CONTROL MEASURES # Food Storage Temperature Control Log FSS2 Woodley Monitoring System Print Out. Head of Production - Raw meats / fish walk in meat chill - Unwashed vegetables or vegetables in outer packaging walk in vegetable chill - Milk / diary products walk in milk chill - High risk foods (other than milk) reach in refrigerators in temp. cont. area Storage in Growth of spore forming pathogenic bacteria/ moulds in dry foods. Keep dry goods dry. Transfer to sealed containers after opening. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production Development of natural toxicants in foods. Store potatoes in cool, ventilated store - do not expose to sunlight. Yes Head of Production/ Supervisor checks. Manager Audit FSS11 Head of Production Chemical contamination of foods. Store chemicals in cleaners store. Use in accordance with manufactures instructions. Yes. Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Foreign body contamination Keep foods covered. Keep environment and equipment in good condition. Good personal hygiene. Exclude pests. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production Bacterial growth due to excessive Rotate stock. Date stock. Yes Head of Production / Manager Audit Head of Production 128 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Catering Department (Cont’d) Preparation Preparation HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES shelf life Use within use by date or discard. Failure to thaw frozen meats/fish fully thereby preventing adequate cooking. Thaw all frozen meats/fish to a minimum of 0.1ºC unless manufacturers instructions indicate cook from frozen is acceptable. If so follow cooking instructions. Thaw in raw meat chill or rapid thaw in a container to catch the blood / liquid. Prepare in batches. Maximum time at room temperature 20 minutes in main kitchen. Prepare / assemble high risk foods in temperature controlled area. Limit exposure of high risk foods in temperature controlled area to 30 minutes. Temperature abuse - food left out for excessive periods allowing pathogenic bacteria to grow. Cross contamination from raw to cooked foods. Prepare foods in separate areas:Raw meats - use red coloured board / knife, in raw meat preparation area only. Raw fish - blue board Unwashed vegetables - green board Washed vegetables - white board Pastry area - white board High Risk Foods - white board/ knife. Good personal hygiene hand washing between raw/cooked foods. Use clean equipment. Thorough cleaning and disinfection of moulds after use. Contamination from water Use potable water from sink in diet 129 AUDITOR J. Gee CCP (High risk ingred’ts) Yes MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Supervisor FSS11 Checks with probe thermometer. Checks on operating temperature of refrigerator. Food Storage Temperature Log Sheet FSS2. Head of Productions/Cooks No Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Yes (high risk ingred’ts) Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Yes Supervision by Head of Manager Audit Head of Production ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES AUDITOR J. Gee CCP bay for cold mixes (Cont'd) MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Production FSS11 All persons preparing food. Chemicals Keep chemicals away from preparation area. Clean after food is prepared in accordance with chemical suppliers instructions. Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food. Foreign bodies Good housekeeping remove waste promptly. Good standards of personal hygiene. Exclude pests. Keep environment and equipment in good condition. Keep food covered as much as possible. Yes Head of Production/ Supervisor checks Manager Audit FSS11 Head of Production All persons preparing food. Failure to eliminate natural toxicants. Throw away potatoes that are green, damaged or strongly sprouting. Yes Head of Production / Supervisor checks. Manager Audit FSS11 Head of Production All persons preparing food. Product contamination from use of shell eggs. Shell eggs shall not be used for patients dishes. Liquid pasteurised egg or dried products must be used. Shell eggs may be used for staff after thorough cooking, i.e. boiling for 10 minutes or by frying in staff restaurant back bar. Yes Manager/ Supervisor checks. Manager Audit FSS11 Head of Production All persons preparing food. Cooking Failure to cook food properly thus pathogenic bacteria survive Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Cooking Failure to eliminate natural toxicants Cook thoroughly in appropriate equipment using sound techniques, stir casseroles/ soup to avoid cold spots Cook foods to a minimum core temperature of 75ºC Boil all dried pulses for a minimum of ten minutes until they are soft Yes Time and temperature checks Food Temperature Production Log Sheet FSS3 All staff (Cont’d) 130 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE Cooking/ Preparation for use in Diet Bay Chilling Preparation HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Head of Production / Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Excessive bacterial growth or contamination due to handling before chilling. Liquidise and add thick and easy then ensure food is blast chilled within half an hour of production. Yes All persons preparing food. Failure to chill food rapidly will allow growth of spore forming bacteria Chill in accordance with instructions in Food Safety Practice Codes No. 8. Chill in blast chiller Chill from +70ºc to <10ºc within 2½ hours. 30 minutes portioning 90 minutes chilling. Yes Time and temperature monitoring Blast chiller Process control Sheet FSS4 All persons preparing food who use blast chiller Cross contamination from raw foods, poor personal hygiene or dirty equipment etc. Good standards of personal hygiene Clean equipment after use in accordance with cleaning schedules Clean and disinfect probe thermometers before and after use. Yes Head of Production supervision/ Manager checks Manager Audit FSS11 Head of Production All persons preparing food using chiller Bacterial growth due to abuse of temperature controls. Bacterial contamination. Prepare food into moulds in temperature controlled room. Yes All persons preparing food. Manager Audit FSS11 Head of Production/All persons preparing food. 131 Head Chef/All persons preparing food in Diet Bay ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS Contamination from inefficiently cleaned moulds or damaged moulds. Freezing Regeneration Distribution Abuse of shelf life. PRODUCT TYPE Diet Bay CONTROL MEASURES Ensure moulds are free from food debris from previous use. Ensure they are thoroughly cleaned and disinfected after use. Discard damaged moulds Ensure food is used within 60 days. Clearly label with date of production/ diet type. AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS Yes All staff Manager Audit FSS11 PERSON/S RESPONSIBLE Foreign body contamination Cover food in freezer. Failure to regenerate foods thoroughly leading to survival of pathogenic bacteria. Regenerate to a minimum core temperature of 75ºc. Yes Time and temperature checks Food Production Temperature Log Sheet FSS3 All staff Foreign body contamination Good housekeeping remove waste promptly Good standards of personal hygiene Exclude pests Keep environment and equipment in good condition Keep food covered as much as possible Yes Manager/ Supervisors checks Manager Audit FSS11 Head of Production All persons preparing food Chemical contamination, e.g. misuse of chemical, spillages, use of food containers for storage and decanting of chemicals Keep chemicals away from preparation area Clean after food is prepared in accordance with chemical suppliers instructions Never decant chemicals into food containers Yes Supervision by Head of Production Manager Audit FSS11 Head of Production All persons preparing food Temperature abuse leading to growth of pathogenic bacteria Maintain temperature of hot foods above 63ºc to wards / servery. Maintain cold foods below 8ºc to Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production 132 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE wards / servery Food Service - Staff Food Service - Patients Cross contamination from raw foods, poor personal hygiene, etc. Keep food covered Transport in dedicated catering trolleys / vehicles. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Foreign bodies Keep food covered. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Chemical contamination Keep food covered Do not transport food and chemicals together. Yes Ward Service Quality Audit checks Ward Quality Audit Check FSS6 Head of Production Failure to maintain cold or hot service temperatures will allow the growth of pathogenic bacteria Maintain hot foods above 63o C. If food temperature falls below 63o C discard Maintain chilled food temperature below 8o C. If this temperature is exceeded for more than four hours throw food away Yes Time/temperature checks on food on display Food service Process control Sheet FSS5 Head of Production Food service staff Cross contamination of food on display by customers and foreign body contamination Keep food on display covered until service commences, display in small amounts to limit exposure, discard any high risk foods that have been exposed during service at the end of service Yes Cook / Supervisor checks Manager Audit FSS11 Head of Production Food service staff Foreign body contamination of food during service by patients Keep food covered until service commences. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production 133 ASSURED SAFE CATERING SYSTEM AREA: Kettering General Hospital NHS Foundation Trust PROCESS STAGE HAZARDS PRODUCT TYPE Diet Bay CONTROL MEASURES AUDITOR J. Gee CCP MONITORING DATE 20/02/08 RECORDS PERSON/S RESPONSIBLE Cross contamination of food during service Keep food covered until service commences. Clean service utensils to be used. Yes Ward Service audits Ward Service Audit Form FSS6 Head of Production Temperature abuse of food Maintain hot food above 63ºc up to the ward, Throw away hot food which is not eaten within 90 minutes. Maintain cold food below 8ºc. Food to be retained for service to be dated/ labelled and put in refrigerator. Food served to be eaten within 1½ hours or thrown away. Food stored in the refrigerator to be thrown away after 24 hours. Yes Ward Service audit Ward Service Audit Form FSS6 Head of Production / Ward Staff 134 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 003 Alfreton NHS Supplies T.01773 724048 F.01773 724219 004 Brake Bros 041 Hygiene Chemicals Ltd 064 Lockhart West Way Cotes Park Ind Estate Alfreton Derbyshire DE55 4QJ Customer Contact Centre Adelaide House Adelaide Street Macclesfield SK10 2QT Unit 4 Hazelwood Trading Estate Dominion Way East Worthing Trading Estate Worthing West Sussex BN14 8LU Lockhart House Arrowhead Road Theale Reading Berks RG7 4AH 6 Scirrocco Close Moulton park Northampton NN3 6AP KGH Rothwell Road Kettering Northants Cartwright Road Stevenage Herts SG1 4QA 071 ACR Fidelity 113 Pharmacy 097 Allied Bakeries 135 T.0870 2412694 F.01233 635072 Mr Jeff Tidd T.01903 210222 F.01903 210444 M.07799 764451 T.08701 678678 F.08701 678679 Account 511408 T.01604 491122 F.01604 493509 T.01536 492000 T.01438 341171/2 F.01438 341170 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 126 Alexander Workwear Plc Staff Uniforms A/C no 5206264 T.01454 416600 F.01454 411100 130 Burlodge 137 Zenith Café Bar (UK) Ltd 139 Nisbetts 141 Simon Jersey 146 Datasym (uk) Ltd 156 Rentokil Ltd 158 Avery Berkel UK Alexandra House Britannia Road Patchway Bristol BS12 5TP Unit 5, Hook Rise Business Centre 225 Hook Rise South Surbiton Surrey KT6 7LD Ronac House Selinas House Romford Berks RM8 1QH 1110 Aztec West Bristol BS12 4HR Skye Side Drive Altham Accrington Lancashire BBS 5YE Venture Tower Fratton Road Portsmouth Felcourt East Grinstead West Sussex RH19 2JY Foundry Lane Smethwick West Midlands B66 2LP 136 T.020 8879 5700 F.020 8879 5701 T.020 8592 2632 F.020 8599 6252 T.01454 855515 F.01454 855565 T.0870 111 8800 F.0870 111 8811 K3215 T.02392 828855 F.02392 828140 T.0342 833022 F.0342 326229 T.01922 430108 F.0121 6252677 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 161 JPG Services John Gee T.01530 810404 F.07860 239078 173 Opra Packaging Ltd 193 Kaiser & Kraft Ltd 203 Foodcare Systems Ltd 214 Reward Manufacturing Co Ltd 219 Colemans 225 The Hobart Manufacturing Co 230 DBC Foodservice 234 USS Catering & Bakery Ltd 125 Forest Road Coalville Leicestershire LE67 3SN Unit 15 Fairground Way Walsall West Midlands WS1 4NU Rhodes Way Watford Herts WD2 4FJ PO Box 45 Kings Lynn Norfolk PE30 2JY Sackville Mills Sackville Street Skipton N Yorks 9 Newlands Street Kettering Northants 11 Railton Road Kemptson Bedford MK42 7PW Denmark House Parkway Welwyn Garden City Herts AL8 6JN 9 Denington Court Denington Industrial Estate Wellingborough Northants NN8 2QR 137 T.01922 725081 F.01922 725081 T.01923 225123 F.01923 254605 T.01553 770148 F.01553 770146 T.01756 797755 F.01756 736644 T.01536 514535 F.01536 310434 T.07002 101101 F.01234 841219 T.01638 661121 F.01638 660630 T.01933 274675 F.01933 274620 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 254 Reynards (UK) Ltd T.0121 733 2010 F.0121 733 2122 263 Bradshaw Vehicle Manufacturers 268 Planglow Labelling Systems 293 Chartered Institute of Environmental Health 307 Allied Bakeries 301 Lifestyle Healthcare Ltd 314 Blanco Limited 14 Monkspath Business Park Highlands Road Shirley, Solihull West Midlands BG0 4NY New Lane Stibbington Peterborough PE8 6LW Company House Jacob Street Bristol BS2 OEQ Chadwick Court 15 Hatfields London SE1 8DJ Sunblest Lincoln Deacon Road Lincoln LN2 4JE Canterbury Business Park Henley on Thames Oxfordshire RG9 1DS Oxgate Lane London NW2 7JN 319 Kitchenequip Co 326 Hospital Caterers Association European Water Care Systems 328 Mrs Landon Regal House South Road Harlow Essex CM20 2BL 138 T.01780 782621 F.01780 783694 T.0117 317 8600 F.0117 317 8639 T.0207 328 6006 F.0207 328 0643 T.01522 528334 T.01491 570000 F.01491 570001 T.0208 4523399 F.0800 282846 T.01704 535577 F.01704 501999 T.01536 492743 F.01536 492741 T.01279 780250 F.01279 780268 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 337 Convotherm (Enodis) T.0208 5610433 F.0208 8483643 347 Catercare Catering Equipment 348 Moffat Catering Equipment 359 Houghton Hams Ltd 361 Fresenius Kabi 365 Health Service Journal 366 BACA 367 Weightron Bilanciai Enodis Distribution UK Swallowfield Way Hayes Middx UB3 1DQ Unit 6 Sharose Court Hicks Road Markyate Herts AL3 8JH E & R Moffat Limited Bonnybridge FK4 2BS 58-60 Tenter Road Moulton Park Northampton NN3 6AX Building C Hampton Court Manor Park Runcorn Chesire WA7 7UF Tower Publishing Services Ltd Tower House Sovereign Park Lathkill Street Market Harborough Clayfield Close Moulton Park Northampton NN1 6QN Titan Works Broombank Road Chesterfield Trading Estate Derbyshire S41 9QS 139 T.01582 842210 F.01582 842408 T.01324 812272 F.01324 814107 T.01604 644247 F.01604 671500 T.01928 579571 F.01928 571065 T. F. T.01604 499400 F.01604 494892 T.01246 260062 F.01246 260844 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME 368 Canon 369 370 380 381 383 386 387 388 ADDRESS Woodhatch Reigate Surrey RH2 8BF Tesco Carina Road Kettering Business Park Kettering Northants Sainsburys Northall Street Kettering Northants ATP Instrumentation Tournament Way Ivanhoe Industrial Estate Ashby de la Zouch Leics Le635 2UU MIW Office Solutions Ilfracombe House Back Row Whickham Newcastle Upon Tyne NE16 4AB Robot Coupe UK Ltd 2 Fleming Way Isleworth Middx TW7 6EU Indepth Hygiene Services Westmead House Ltd 123 Westmead Road Sutton Surrey SM1 4JH Tudor Business Forms 2 Meridan Centre Ltd Vulcan Way Croydon CRO 9UG Dairy Crest Cottage Leap Off Buffers Leap Rugby Warwickshire CN21 3XP 140 CONTACT T.0870 1226541 F.0870 1226980 T.0845 6779389 F. T.01536 411224 F. T. 01530 566800 F. 01530 560373 T. 0800 214287 F. 0800 0920805 T. 0208 232 1800 F. 0208 568 4966 T. 020 8661 7888 F. 020 8661 7506 T. 01689 844888 F. 01689 844999 T. 020 8818 7507 F. 020 8818 7543/05 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 391 Williams Refrigeration T: 01553 817000 F: 01553 817111 393 Corby Willowbrook Health Centre 394 Harborough Field Surgery Bryggen Road North Lynn Industrial Estate Kings Lynn Norfolk PE30 2HZ Cottingham Road Corby Northants NN17 2UR 160 Newton Road Rushden Northants NN10 0GP 395 Weavers Medical Centre T: 01536 513494 F: 01536 526330 398 GE Capital Equipment Finance Ltd 399 CF Asset Finance Ltd 401 Berry Recruitment 406 Furniture @ Work Ltd 409 Eskdaill Medical Centre 50 School Lane Kettering Northants NN16 ODH 2630 The Quadrant Aztec West Bristol BS32 4GQ Capital House Raynham Road Bishops Stortford Herts CM23 5TT 1st Floor, Norman House 97-99 London Road St Albans Herts AL1 1LN Head Office 333 Bath Street Glasgow G2 4ER Eskdaill Street Kettering Northants NN16 8RA 141 T: 01536 400600 F: 01536 403263 T: 01933 354200 F: 01933 354201 T: 0870 191 0303 F: 0870 567 3631 T: 01279 759444 F: 01279 759445 T:01727 868899 F: 01727 898652 T: 0870 241 5938 F: 0870 238 8259 T: 01536 522633 F: 01536 417572 Appendix 2 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST SUPPLIER LISTING CODE NAME ADDRESS CONTACT 412 Raj Foods T: 0208 965 6533 F: 0208 963 1251 416 Johnsons Catering Equipment 417 Salter Baker Consulting Ltd 568 Minerva Road Park Royal London NW10 6HJ Unit G3, Cowlairs Bulwell Nottingham NG5 9RA Botley Mill Southampton SO30 2GB 142 T: 0115 976 1621 F: 0115 979 4639 T: 01489 798282 F: 01489 798292 Appendix 3 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FSS INDEX Appendix 3 Standard forms FSS1 Daily delivery state FSS2 Diet Bay – Hot Food FSS2 Dolphin Temperature Log Sheet FSS2 Refrigerator Temperature Sheets FSS2 Woodley Alarm Record Sheet FSS3 Catering Production Control Form FSS3 Diet Bay – Cold Food Sheet FSS3 Diet Bay Pureed - Daily FSS4 Blast Chiller Process Control Sheet FSS5 Food Service Process Control Sheet FSS6 Ward Quality Audit Form FSS7 Probe Calibration Check Sheet FSS8 Maiintenance Request Control Sheet FSS9 Training Record Form FSS10 Special Function Control Sheet FSS11 Management Audit FSS12 Occupational Health Screening Form FSS13 Staff Agreement to Report Illness FSS13a Health Questionnaire – Visitors Notice Hygiene Policy FSS14 Hygiene for Food Handlers FSS15 Cleaning Checklist FSS16 Complaint / Incident Form FSS17 Hand Hygiene Policy FSS18 Guidance for Outside Caterers FSS19 HACCP Control Sheet for Monitoring FSS20 Cleaning Duties Schedule CPU FSS21 Signing off sheet – Cleaning Duties Schedule CPU FSS21a Signing off sheet – cleaning duties schedule – Post Grad Kitchen FSS22 Cleaning instructions for Robot Coupe FSS22a Robot Coupe Cleaning Control 143 FSS23 FSS24 FSS25 FSS26 FSS27 FSS28 FSS29 FSS30 FSS31 FSS32 FSS33 Porters Daily Cleaning Duties Schedule - CPU Kitchen Daily Cleaning Signature Sheet Patient Meal Delivery Service Cleaning Refilling Deep Fat Fryers Aspens Daily Cleaning Schedule Meal Replacement Pack Blast Chiller Operating Instructions Daily Cleaning Schedule – Belt Weekly Cleaning Schedule – Belt Post Graduate Medical Centre Servery Temperature Log Post Graduate Salad Bar Chiller 144 Appendix 4 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM JOB INSTRUCTIONS: USE OF ELECTRONIC PROBE THERMOMETER SJI 2 Manual: Quality Assurance in Assembly Kitchens Area: Instructions on use of probe thermometer Reference: Standard job instruction SJI2 Equipment required:Electronic probe thermometer; Chisel probe; Fail/between pack probe; Thermocouple probe; Pack of probe wipes; Standard recording documents ref no:B.S. 5750 requires that documented work instructions are prepared where their absence would adversely affect quality and so on. The following standard job instruction covers the training and use of an electronic probe thermometer. 1. Wash your hands thoroughly. 2. When you are going to take a temperature reading always make sure you have the right probe for the job. a) A chisel probe (see picture below) can be used for testing liquid or solid foods; b) A foil or between pack probe (see picture below) is used for frozen foods or chilled foods that are sealed in a pack e.g. packs of milk; c) A thermocouple (see picture below) is used for checking air temperatures. It cannot be cleaned properly and should not be used for checking food temperatures. Always make sure you have a packet of probe wipes and the forms you need to record the readings you have taken. 145 Figure 1 a) A chisel probe. b) A foil/between pack probe. c) A thermocouple probe. 3. Fix the right probe for the job to the thermometer. You do this by putting the prongs on the bottom of the probe into the holes at the top of the thermometer. (see figure 2 below ). Do this very carefully because the prongs are easily damaged and the probe will not work if you break them. You will see that the plug on the probe has a black notch on the side. This must be lined up with the groove in the top of the thermometer. When you have got it in the right place the probe will slide easily onto the thermometer. If it doesn't do not force it. When the probe is in the thermometer tighten the collar on the probe to fix it in position. Do not over tighten. 146 Figure 2 4. Prepare the food you are going to test. if it is in a foil carefully open it so that you can put the probe into it without going through the foil lid. 5. Wipe the probe carefully making sure that you clean all of it. Make sure you clean the part where the metal joins the handle. 6. Switch on the probe using the button on the side. Hold the button whilst you slowly count to two. The probe will switch itself off after ten minutes. 7. If the display on the probe reads a - number over -30ºc the probe is faulty do not use it. Report it to your supervisor. 8. If the display reads “Low batt” replace the battery before using it. A. LIQUID, SEMI-SOLID AND SOLID FOODS 147 a) Use a chisel probe put the end of it into the food. This is the part that measures the temperature. We need to make sure when we are measuring hot foods that we test the temperature in the middle because this is the coldest part. If it is a hot dish or a joint do not push the probe in too far otherwise you will get a false reading. This is because you will be picking up the heat from the pan or pot. see figure 3 below Figure 3 b) Leave the probe in the food for about two minutes to let it settle before taking the reading. REMEMBER The job is not done until you write the reading down on the right form! 148 If the reading is too high or too low tell your supervisor. B. FROZEN FOODS a) Use a foil/between pack probe. Sandwich the foil part of the probe between two packs of food. Make sure that all of the foil is touching the packs. Lightly press the top pack of food to make sure there is a good contact between the probe and the packs. b) Switch the probe on leave it for about two minutes to settle down. c) Write down the reading on the right form. REMEMBER The job is not done until you write the reading down on the right form! If the reading is too high or too low tell your supervisor. C. AIR a) Use a thermocouple. Put the tip in the area you need to test. Switch on the thermometer and leave it to settle down. This will take about two minutes. Write the reading down on the right form. REMEMBER The job is not done until you write the reading down on the right form. If the reading is too high or too low tell your supervisor. 9. When you have finished testing an item thoroughly clean the probe with a wipe. 10. When you have finished all the readings put the probe back where it belongs. Give the records to your supervisor. NOTE: The above instructions are based on the use of a E.T.I. Therma 20. If you are using a different instrument follow the manufacturers instructions. 149 TRAINING INFORMATION The Quality Assurance Manager shall train appropriate members of staff in the use of a probe thermometer. He shall demonstrate the use of he probe by:• Showing the probe to the trainee and will explain how the instrument works. The trainee will be shown the three types of probe and told their uses within the kitchen. • The Quality Assurance Manager will show the trainee how to use the probe thermometer with the right probe to check the temperatures of a liquid food, a solid food, an air temperature and frozen foods. This will include a demonstration of how to clean the probe using a wipe and the changing of probes. • The Quality Assurance Manager will show the trainee how to fill in a standard temperature record form, e.g. Form FSS3. The trainee will also be told of the importance of the maintenance of accurate records. • The trainee will be advised of the disciplinary and capability procedures with regards to failure to take, record or falsify the necessary temperature records It is expected that at the end of the training session the trainee will be able to:a) State which probe is to be used for which job; b) Demonstrate to the trainer the correct use of a probe thermometer. This must include the connection of a probe to the instrument, the use of a probe wipe to clean the probe, switching the probe on. c) Take at least one temperature reading of frozen food, liquid food, air and a hot joint or foil of food. d) Fill in the standard temperature record forms correctly e) State what action to take if the readings on the instrument are too high or too low, if the battery is low or if the probe is damaged. NOTE At the end of the training session the trainer must assess whether or not the above objectives have been achieved by the trainee and make an entry on their training record to that effect. This entry must be countersigned by the trainee. 150 Appendix 5 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM USEFUL TELEPHONE NUMBERS John Gee JPG Services Tel No: 01530 810404 Fax No: 01530 810404 Mobile: 07860 239078 Email: [email protected] 151 Appendix 8 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DISPOSAL OF STOCK If the stock has any financial value (as determined by the finance department) it may not be disposed of until tenders have been sought. Refer to the Standing Financial Instruction for further details. If the stock is deemed to have no financial value then the following procedure must be followed: a) Goods are checked by the Catering Services Manager and confirmed as unfit and suitable for disposal. b) The date, quantity and description of goods must be recorded together with the reason for disposal and be signed off by the Storeman or Head of Production and the Catering Services Manager. c) If in the opinion of the the incident leading to the production of unfit food should be reported to either the Environmental Health Officer or Trading Standards Officer, he/she will arrange this and the goods must be retained for future inspection. d) The stock requisition must be passed to the Catering Administration Assistant for costing and must be retained within the weekly provision cost file. e) Condemned goods may not be sold, consumed or kept (unless as in “C”) but must be removed from the premises and placed in the refuse compactor. 152 Appendix 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DOCUMENT AMENDMENTS Ref 1 2 3 Pg 35, 10.11 Pg 135 PSS1 FSS3 FSS5 FSS10 FSS20 FSS21 FSS22 FSS23 FSS24 FSS25 Distribution list Document control Section 4.2 Section 4.3 Details of change All references to Deputy Catering Services Manager amended to Catering Services Manager All references to Catering Production Manager amended to Head of Production Lyn Betts, Kettering Borough Council Whole section reviewed and amended Supplier list amended Amended Amended Amended – items Amended Amended Amended Cleaning duties schedule – new Signing off sheet – new Porters daily cleaning schedule – new Kitchen daily cleaning schedule – new Cleaning/refilling deep fat fryers – new October 2005 All reference to Head of Production changed to Head of Production Para 3 amended to include distribution via email and intranet Reference to PASA & traceability New 153 Copies to all Signed Section 6.15 Table amended to include walk in chiller stores, diet bay & chest freezer in tunnel Section 6.23 Table amended for fresh meat, frozen meat, fresh fish, frozen fish & shell eggs Section 7.6 Change of practice in preparation of raw meats Section 7.13 Reference to use of Lion branded shell eggs Section 10.18 Outside caterer form amended Section 11.21 To include over sleeves and laundering Section 12.2 Reference to Catering Services Manager, Mrs Sandra Smith, changed to Mrs Clara Partridge, Housekeeping Manager Section 15.5, Amended to reflect current 15.6 & food hygiene certificates 15.7 Section 16.8 Food Hazard Warnings now Food Alerts and action to be taken Section 17.4 New; Statement on verification Section 18.2 Review date updated February 2007 FSS5 Post Graduate Centre – Hot Service Form amended Appendix 5 Updated details Page 269 Occupational Health Physician – amended FSS27 New cleaning schedule Index Amended 20.02.2008 Front page Review date: September 2008 Page 1 Catering Manager amended to Catering Services Manager Page 2 Version 2, amendments Page 6 Addition to Index Page 8 All references to Operational Catering Manager, amended to Catering Services Manager 154 Page 10 Page 17 Page 19 Page 29 Page 32 Page 34 Page 35 Page 54 Page 135 Page 136 Page 136 Page 137 Page 140 Page 141 Page 142 Page 143 Page 144 Page 146 Page 147 Page 148 Page 149 Page 150 Page 151 Page 152 Page 153 Page 154 Page 155 Page 156 Page 157 Page 158 Page 159 Page 160 Page 161 Page 162 Page 163 All references to Head of Kitchen Production, amended to Head of Production 2.3 Authorising Officer amended to Head of Facilities Amendment to 6.5 Amendment to 6.17 Amendment to 6.29 Amendment to 9.1 Amendment to 10.1 Amendment to 10.10 Amendment to 16.2, 16.5 Remove Code 012 details Remove Code 118 details Amendment to Code 137 Remove Code 212 details Remove Code 356, 358 363 details Remove Code 374, 384 details Add Codes 388, 391, 393, 394, 395, 398, 399, 401 Add Codes 406, 409, 412, 413, 416, 417 Amendments to Suppliers Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title Amendment to Estates Authorised person FSS2b Amended form Amendment to title Amendment to title Amendment to title Amendment to title Amendment to title 155 Page 164 Page 165 179 Page 194 195 Page 200 Page 203 Page 253 Page 258 Page 268 Page 269 Page 270 Page 272 Page 274 Page 279 Page 280 Oct 2008 Page 154 Page 166 FSS DB4 Form amended – Head of Production added at foot of page – Amendments to titles Pages 167 & 8 Page 169 Page 171 Page 291 Page 269 FSS2 FSS2 Page 135 Section 11 Page 46 Section 13 Page 52 Section 15 Page 56 Section 18 Page 63 FSS DB2 Amendment to title Additional comment last line Amended comment last line FSS 19 amended sheet FSS 20 amended sheet FSS 21 amended sheet FSS 21a amended sheet FSS22B amended sheet FSS24 amended sheet FSS30 amended sheet FSS31 amended sheet Removed no longer in use Duplicated on page 169 removed Amended format Remove Replacement format Revised delivery times Revised sheet, unused items removed, to be renumbered To replace part of front sheet & report sheet replace pages 146, 147,148, 149,150,151,152,159,160 To replace part of front sheet & report sheet replace pages 155, 156, 158, 161 Amend Suppliers Amend 11.28 Amend 13.23 Amend 15.2 Amend 18.2 Page 175 156 FSS 2 FSS 25 FSS 33 FSS 34 FSS 35 Sept 09 Section 1 Page 46 Section 1 Page 52 Section 1 Page 56 Section 1 Page 63 FSS DB 2 FSS2 FSS 3 DB1 FFSS 3 DB4 FSS 25 FSS 33 FSS 34 Page 186 Amend title Page 289 New document New document FSA: Food Handlers:Fitness to work Baguette Temperature Control Sheet 11.28 – staff restaurant amended to servery area 13.23 – Para 1 …..sanitiser. Trolley returned to dishwash area. 15.2 Hygiene Awareness – included in Induction Pack Nutritional Training Course 18.2 – The review date is September 2010 Page 175 Content of sheet amended Page 186 33 – Title amended to 33 – Salad Bar Chiller Page 204 Sheet amended Page 205 Sheet amended Page 289 Sheet amended Aspens Hot Pie Cabinet recording sheet FSA Food Handlers – Fitness to Work 157 Appendix 12 Advice for caterers on allergy and intolerance Friday 7 May 2004 It’s very important for all caterers to be aware about food allergy and to take it seriously. This is because when someone eats a food they are allergic to, even the tiniest amount, this can cause a very severe reaction called anaphylaxis. In the UK about ten people die every year from an allergic reaction to food and many more end up in hospital. In most cases, the food that causes the reaction is from a restaurant or takeaway. So if someone with a food allergy asks you whether a dish contains a certain food, you should never guess the answer. Find out the information the customer wants and let them decide if they can eat the food. What foods cause allergic reactions? In theory, any food could cause an allergic reaction in someone, but labelling legislation requires certain foods always to be labelled on pre-packed foods. These are: • • • • • • • • • celery (including celeriac) cereals containing gluten, these are wheat, rye, barley, oats, spelt and kamut or their hybridised strains crustaceans, such as crabs, lobsters and prawns eggs fish lupin milk molluscs mustard 158 • • • • • nuts, such as, almonds, hazelnuts, walnuts, Brazil nuts, cashew nuts, pecans, pistachio nuts, macadamia nuts and Queensland nuts peanuts (also called groundnuts) sesame seeds soyabeans (sometimes called soya) sulphur dioxide and sulphites at levels above 10mg/kg or 10mg/litre expressed as SO2 These are the foods that we are referring to when we talk about ‘foods that can cause severe allergic reactions’. Some people need to avoid certain foods because of a food intolerance. About 1 in 100 people need to avoid gluten, a type of protein found in wheat, rye and barley, and some need to avoid oats too. This is because they have an intolerance to gluten, which is called coeliac disease. Other people need to avoid lactose, the sugar found in milk. How do I know whether a certain food is in one of our dishes? If you make a dish from scratch, you will know what goes into it. But remember that you will need to think about each of the ingredients you use and what they contain. You also need to consider what you use: • • • • to cook the dish to thicken a sauce as a topping or garnish in a salad dressing It's very important to check the ingredients of anything you buy in ready-made, such as desserts, pies, bread, sausages and sauces. Don't rely on what you think is in these products, because foods that can cause severe allergic reactions can turn up in products where you might not expect them. For example: • • • • • • • • • peanuts or nuts can be used in pesto unrefined nut oils can be used in salad dressings cakes and desserts can contain marzipan or frangipane (both made from almonds) or praline (made from hazelnuts as well as eggs, milk and wheat containing gluten) sauces can contain milk or flour containing gluten cheesecake bases can contain nuts to make them crunchier some Indian dishes can be thickened with ground almonds or peanut flour some Greek and Turkish dishes, such as houmous, can contain tahini (made from sesame seeds) soyabean flour can be in many food products, such as burgers, sausages, cakes, pastries and biscuits soyabean is used in some vegetarian products such as vegetarian mince 159 • • tofu (which is made from soyabean) is often used in Chinese dishes mustard is often used in dressings Remember that if someone asks you whether a dish contains a certain food, you should never guess the answer. Always check the ingredients carefully and if you can't find out then say you don't know. Ordering and storage What you should do • • • • • • Whenever possible, keep a copy of the ingredient information on labels of any ready-made foods you use, such as desserts and sauces. Keep ingredients in the original containers, where possible, or keep a copy of the labelling information. Check deliveries to make sure what is delivered is what you ordered. Check that the food delivered is the same brand you normally use. Different brands might have different ingredients. Look to see if your supplier has given information about any changes in the ingredients of the foods delivered. Always store foods separately in closed containers, especially peanuts, nuts, seeds, milk powder and flour. What can go wrong • • • • Ingredients information is missing, inaccurate, hard to read or misunderstood. Staff don’t realise that the food that has been delivered is different to what they normally use. Staff don’t realise that the ingredients of a food product have changed. Small amounts of a food that can cause severe allergic reactions get into other foods – for example, if containers are not sealed, or when foods are being moved from storage into the kitchen. Menu What you should do • • • • If a dish contains one of the foods that can cause severe allergic reactions, make sure you mention it in the name of the dish or the description on the menu, e.g. ‘strawberry mousse with almond shortbread’. Remember to update the menu when recipes change. If your menu is in a language other than English, provide a full translation. If you use unrefined nut or seed oils (also called cold-pressed or crude) in cooking or in dressings, say this on the menu. 160 • • • Don’t claim a dish is free from a particular food, unless you have taken steps to check this is correct. It’s a good idea to put a message on your menu, or on the wall, to let customers with food allergies know they can ask staff for advice about what dishes contain. It’s not a good idea to use logos on your menu to show whether dishes contain certain foods, because ingredients can change. What can go wrong • • Menus don’t contain full information about foods that can cause serious allergic reactions. This could be confusing. For example, if the menu says that one dish contains nuts, customers might think there are no nuts in other dishes where nuts aren’t mentioned. Hidden ingredients, especially peanuts and nuts, are not included in the product description – for example, nuts used in the base of a cheesecake. Preparation, cooking and cleaning What you should do • • • • When you have been asked to prepare a meal that doesn't contain a certain food, make sure worktops and all the equipment staff use is thoroughly cleaned with hot water and soap before they use them. This includes chopping boards, knives, food mixers, bowls, pans, and utensils used for stirring and serving. This is to prevent small amounts of the food that the person is allergic to from getting into their meal. Put up a sign if you use nuts in foods in self-service areas, such as salad bars or serve-yourself ice cream counters. This is because nuts from one food could get into another, for example if customers use the same spoon. When you have been asked to prepare a meal that doesn't contain a certain food, make sure that you don't cook it in oil that has already been used to cook other foods. For example, if food is cooked in oil that has already been used to cook prawns, this could cause a reaction in someone who is allergic to shellfish. When you have been asked to prepare a meal that doesn't contain a certain food, make sure staff wash their hands thoroughly with soap and water before they prepare the meal, and avoid touching other foods until they have finished preparing it. What can go wrong • Foods that can cause severe allergic reactions are put next to other foods, for example, pastries with nuts or seeds on top are put on the same baking tray as those without nuts or seeds. 161 • • • • Small amounts of foods that can cause severe allergic reactions get into other dishes, because worktops and equipment haven't been cleaned properly. Foods that can cause severe allergic reactions, especially nuts, seeds and milk products, can be transferred from one dish to another in self-service areas, for example if customers use the same spoon. Customer orders get mixed up – for example, a customer asking for a salad made without walnut oil dressing is given a salad with the usual dressing on it. Staff run out of one ingredient and use something else instead (for example, peanuts to replace another type of nut) and don’t tell the serving staff. Serving customers What you should do • • • • • • • Encourage customers to ask about whether the food they are allergic to is used in the dishes they want to order. Make sure that staff understand they should never guess whether an ingredient is in a dish or not. They should check with the kitchen staff every time someone asks for a meal that doesn’t contain a certain food. Make sure that if staff are not sure whether a dish contains a particular ingredient, and they can’t check, they tell the customer they don’t know. Don’t remove the food that someone is allergic to from a dish that has already been prepared, for example don’t remove the nut decoration from a gateau. There could still be small amounts of the food in the dish, and these are enough to trigger an allergic reaction. Make sure that kitchen staff always tell serving staff about any recipe changes, particularly if foods that can cause severe allergic reactions are now being used in a dish. When you have been asked to prepare a meal that doesn’t contain a certain food, always use separate serving utensils. In self-service areas make sure you have signs saying what is in each food, for example salads, desserts and sandwiches. What can go wrong • • • Staff don’t understand what the customer is asking for. Serving staff don’t check with the kitchen staff every time they are asked whether a dish contains a particular ingredient. The ingredients might have changed. Kitchen staff don’t tell serving staff about last-minute recipe changes. 162 • Desserts containing foods that can cause severe allergic reactions, such as nuts or cream, are placed on a sweet trolley and small amounts of the food can be transferred to other desserts. What should I do if I think a customer is having an allergic reaction? Sometimes it can be hard to tell if someone is having an allergic reaction. Other serious conditions can have similar symptoms. But even if you're not sure what the problem is, if someone is finding it hard to breathe, if their lips or mouth are swollen, or if they collapse, you should: • • • call 999 immediately and describe what is happening. don't move the person, because this could make them worse. send someone outside to wait for the ambulance and stay with your customer until help arrives. If someone has coeliac disease what foods do they need to avoid? People with coeliac disease need to avoid foods containing gluten, a type of protein found in wheat, barley and rye, and some also need to avoid oats. This means they need to avoid all foods containing these cereals. Lots of foods contain wheat, in particular, such as bread, pasta and semolina, plus pizza, pastry, biscuits and cakes. Wheat flour is used in most processed foods, for example in soups and sauces. And foods in batter or breadcrumbs aren't suitable for people with coeliac disease. Bear in mind that cereal products can be in foods that you might not expect, such as stock cubes, spice mixes, gravy granules, soy sauce, burgers and sausages. You should always check the ingredients of everything you use when you have been asked to provide a gluten-free meal. And remember that you shouldn't cook a gluten-free meal using the same pans, utensils or cooking oil as foods containing gluten. Rice, potatoes, buckwheat, millet, polenta, corn and corn flour don't contain gluten. You can also buy special products that are suitable for people with coeliac disease, such as gluten-free bread and gluten-free pasta. People with coeliac disease also have to avoid some alcoholic drinks made from cereals, such as beer and lager. Training You should train all the staff in your business before they start work, whether they are going to work in the kitchen or serve customers. The training should cover food hygiene and food allergy. Make sure your staff know that you take both of these issues very seriously. 163 It’s a good idea to write training sheets that set out what a member of staff should do when a customer asks for a meal that doesn’t contain a particular food. Make sure that staff understand that it’s better to tell a customer that they don’t know if a dish contains a particular food than to guess. What is the legal situation? Under section 14 of the Food Safety Act 1990 businesses must not ‘sell to the purchaser’s prejudice any food which is not of the nature, substance or quality demanded by the purchaser’. This means, for example, that if someone specifically asks for a meal that doesn’t contain a certain food and you give them a meal that does contain it, then you could be prosecuted. Similar legislation applies in Northern Ireland. The General Food Law Regulation 178/2002, prohibits ‘unsafe’ food being placed on the market. When deciding whether a food is ‘unsafe’, the information a business provides to its customers, including on food labels, in menu descriptions, and the information provided by serving staff, are taken into account. For a person with a food allergy, dishes containing the food they react to are ‘unsafe’, even though they are safe for most other people. So that means businesses will need to make sure that, when asked, they give people with food allergies the information they need about whether the food they react to is in a particular dish. If you are serving dishes that you say don’t contain a certain food, you must have procedures in place to make sure this is true. So it’s a good idea to have a written procedure for what staff should do when someone asks for a meal that doesn’t contain a certain food and you could include food allergy risks as part of your food safety management system. More information You could talk to enforcement officers from your local authority (for example an environmental health officer) about how you handle foods that can cause severe allergic reactions. The British Hospitality Association provides information on its website for caterers about food allergies on its website. The Hotel and Catering International Management Association provides advice and guidance for caterers. 164 External links The Food Standards Agency has no responsibility for the content of external websites Allergy UK Anaphylaxis Campaign Coeliac UK 165 Appendix 13 Food Handlers: Fitness to Work Regulatory Guidance and Best Practice Advice For Food Business Operators 2009 If you require this information in an alternative format – such as audio, large print, Braille – please contact us. 166 CONTACT TELEPHONE 020 7276 8829 Summary Intended audience: All food business operators except primary producers. (Primary producers can use it as best practice advice and Enforcement Officers will also find it useful) Regional coverage: Legal status: UK This guidance is intended to: • Accompany legislation. • Describe best practice. Purpose / summary: People who work around open food while suffering from certain infections (mainly from bacteria and viruses) can contaminate the food or surfaces the food may come into contact with. This can spread infection to other people through the food. This guidance helps managers and staff to prevent the spread of infection by advising which illnesses and symptoms staff should report and what managers should do in response. In summary: • Diarrhoea and/or vomiting are the main symptoms of illnesses that can be transmitted through food. • Staff handling food or working in a food handling area must report these symptoms to management immediately. • Managers must exclude staff with these symptoms from working with or around open food, normally for 48 hours from when symptoms stop naturally. Different action is required in some cases, as explained in section 9 of this document. In addition, all staff who handle food and who work around open food must always: • Wash and dry their hands before handling food, or surfaces likely to come into contact with food, especially after going to the toilet. This is because it is possible to be infected but not have symptoms. 167 SECTION CONTENTS PAGE 1. REGULATIONS REFERRED TO IN THIS GUIDANCE 3 2. INTENDED AUDIENCE 3 3. PURPOSE AND LEGAL STATUS 3 4. LEGAL REQUIREMENTS 3 5. FOOD HANDLERS 4 6. WHY INFECTIONS ARE A PROBLEM 4 7. SYMPTOMS OF GASTROINTESTINAL INFECTION 5 8. ACTION TO TAKE 5 9. RETURNING TO WORK 9 10. WHEN THE CAUSE OF INFECTION IS KNOWN 10 11. WHEN EXCLUSION MAY NOT BE NEEDED 13 12. OTHER GUIDANCE 14 13. CONTACTS FOR FURTHER INFORMATION 15 ANNEX 1: SUMMARY INFORMATION FOR ALL PEOPLE WORKING IN A FOOD HANDLING AREA 16 ANNEX 2: SUMMARY INFORMATION FOR MANAGERS 17 ANNEX 3: QUESTIONNAIRE: PRE-EMPLOYMENT / VISITOR / RETURNING FROM ABROAD 18 168 1. REGULATIONS REFERRED TO IN THIS GUIDANCE Regulation (EC) 852/2004 on the hygiene of foodstuffs. A copy is here. 2. INTENDED AUDIENCE This guidance applies to all UK food business operators other than primary producers (e.g. farmers and growers). Different legal requirements apply to primary producers, but they can consider this guidance document to be best practice. Guidance on what rules apply to primary producers and how to comply can be found on our website at www.food.gov.uk (direct link here). This guidance document also applies to premises that require approval to handle food of animal origin, e.g. fresh meat cutting plants. However, on occasion these businesses may need to take a different approach to compliance. See section 12 for where to get further information. Local Authority enforcement officers will also find this guidance useful, but can also refer to more technical guidance from their Health Protection Agency. 3. PURPOSE AND LEGAL STATUS These guidance notes have been produced to provide informal, non-binding advice on: • • the legal requirements of Annex II, Chapter VIII of Regulation (EC) 852/2004 on the hygiene of foodstuffs; and best practice in this area. These guidance notes should be read in conjunction with the legislation itself. The guidance on legal requirements should not be taken as an authoritative statement or interpretation of the law, as only the courts have this power. It is ultimately the responsibility of individual businesses to ensure their compliance with the law. Compliance with the advice on best practice is not required by law. To distinguish between the two types of information, all advice on best practice is in shaded boxes, with a heading of Best Practice. 4. LEGAL REQUIREMENTS The law requires that in all food businesses other than those engaged in primary production (e.g. farmers and growers) and associated operations: • “No person suffering from, or being a carrier of a disease likely to be transmitted through food or afflicted, for example, with infected wounds, skin infections, sores or diarrhoea is to be permitted to handle food or enter any food-handling area in any capacity if there is any likelihood of direct or indirect contamination.“ • “Any person so affected and employed in a food business and who is likely to come into contact with food is to report immediately the illness or symptoms, and if possible their causes, to their manager or supervisor.” 169 The people referred to in these requirements are commonly referred to as food handlers. 5. FOOD HANDLERS Where it is used, the term ‘food handler’ mainly refers to people who directly touch open food as part of their work. They can be employed or agency staff. However, it also includes anyone who may touch food contact surfaces or other surfaces in rooms where open food is handled. This is because they can also contaminate food by spreading bacteria for example to surfaces that food will come into contact with, e.g. work tops and food packaging before it is used. They can also contaminate other surfaces such as door handles which can then contaminate the hands of people who handle food directly for example. The term can therefore apply to managers, cleaners, maintenance contractors and inspectors for example. It is the effect of their presence that is important, not the reason for them being there. Best Practice Prevention is better than cure. Excluding unnecessary visitors from food handling areas and minimising the amount of direct contact with food and food contact surfaces will help to avoid the risk of spreading any infections people may have. 6. WHY INFECTIONS ARE A PROBLEM Bacteria When bacteria infect an individual and cause gastrointestinal illness (food poisoning), they live and multiply in the gut and are excreted in faeces or in vomit. The risk of bacteria spreading is highest when the infected person has diarrhoea and vomiting because there are lots of bacteria and a loose or liquid stool is more likely to contaminate hands and other things. Some types of bacteria that cause food poisoning can also infect damaged skin and can be carried in the nose and throat. Food may be contaminated with harmful bacteria, either directly by an infected food handler, or indirectly through contact with a food contact surface that has been contaminated by an infected food handler. Foods which will not be cooked before being eaten are of greater risk because cooking is a process that would kill many of the bacteria present. People can also have infections without showing any symptoms. This can be because they are long-term carriers of infectious bacteria; because they just have very mild infections; or because they are only in the early stages of illness and symptoms are not yet apparent. This is one reason why it is important for food handlers to always follow the hand-washing guidance in this document (see section 8). 170 Viruses Some viruses can be transmitted through food and spread in much the same way as bacteria, with similar effects. The main differences are that viruses cannot multiply on food but can survive on food for long periods. Viruses can spread via contaminated hands and some can also spread through the air, especially when an infected person vomits. This characteristic is often what causes large scale outbreaks of viral infection in enclosed environments. Viruses are also generally quite easy to destroy by cooking food. Other organisms Some types of parasitic worms can infect the human intestines. They spread by laying tiny eggs inside the infected person, which are shed in faeces. Protozoa, such as amoeba, are single celled organisms that can infect the human intestines and body and can cause serious illness such as dysentery. They can also spread through faeces. Infections caused by these organisms are not common in the UK. 7. SYMPTOMS OF GASTROINTESTINAL INFECTION The most common symptoms of an infection are: • • Diarrhoea. Vomiting. Other symptoms can include: • • • Stomach cramps or pain. Nausea. Fever. Although diarrhoea is a very common condition in the community, it is difficult to define so as to exclude all normal variations of bowel habit. It usually implies a change in bowel habit with loose or liquid stools which are being passed more frequently than normal. Three or more loose stools in 24 hours is a very general indication of diarrhoea that may be infectious, but this can vary. If this is not followed by any more symptoms or further diarrhoea then it is not likely to be infectious. 8. ACTION TO TAKE Managers Annex 2 contains a simple summary of the requirements for managers. Managers must exclude any person from food handling duties and food handling areas if they have an infection of the stomach or gut (demonstrated by them having the symptoms described in section 7) and/or if they have an area of infected skin that cannot be covered (as described in section 6 and 10). The length of the exclusion is usually 48 hours from when their symptoms stop and is explained fully in section 9. Some exceptions to this requirement are described in section 10. If you are in doubt about whether to exclude 171 someone, it is advisable to take into account the nature of the likely consequences of something going wrong should you make the wrong decision. Factors to consider include the nature of their duties and the food, processes that will be applied to the food and whether vulnerable people will be consuming the food, e.g. young children or people who are already ill. Food handling duties would include directly handling open food or touching surfaces that will come into direct contact with food, such as primary food packaging before use and food equipment. Food handling areas are where these activities take place. It follows that the affected member of staff could be given work elsewhere in the premises, such as warehouse operations where only packaged food is handled, although they should practice good personal hygiene, especially washing their hands thoroughly after using the toilet, so as not to spread the infection to other workers. The legal requirement also extends to managing the risk from contamination by other infected workers and visitors to rooms and areas where open food is stored or handled, e.g. managers, maintenance contractors, inspectors etc. Therefore, use of the terms ‘food handlers’, ‘staff’ and ‘workers’ in this document should be taken to include these additional people. Identifying infected food handlers usually relies on food handlers reporting illnesses, symptoms and conditions and so requires their understanding and cooperation to work effectively. Annex 1 contains a simple summary for managers to give to anyone working in a food handling area, to help them understand what to report and to do. Best Practice It is best to assume that the cause of any symptoms like those described is an infection and the food handler should be excluded until evidence to the contrary is received. See section 11 for advice on when exclusion may not be needed though. Excluding infected food handlers from the entire premises is also an option, as this will remove the potential risk of contamination of food via other staff who may use the same facilities, e.g. toilets or canteens, as the infected person. Pre-employment checks on the health of food handlers and other workers in food businesses are not required by law, but they have been common in the food industry for many years. Such checks are usually in the form of questionnaires and requirements to obtain medical clearance certificates before working. These can provide a useful snapshot of someone’s health at a point in time and reveal information about their past which could be relevant. They also provide an opportunity to emphasise to food handlers the importance of personal health and hygiene to the safety of food. However, they cannot be relied on and don’t guarantee the future health status of any individual. An example of a pre-employment questionnaire is at Annex 3. These checks are not required by food hygiene legislation. However, Local Authorities do have special powers, under separate public health legislation, to require individuals to undergo tests in certain circumstances if they suspect 172 that they pose a risk to public health. Hand swabs to assess the level of bacterial contamination are also used by some businesses before and during employment to assess the level of personal hygiene practices of individuals. This can inform the level of supervision and training required, as well as any subsequent management action. Penalising staff for being ill, for example by not paying them when they are excluded from work, could lead to them working whilst ill and may lead to food safety problems. Incentives to have few sick days can have a similar effect. Statutory sick pay is available in many cases, usually this requires a certificate from a GP though. Details can be found here. http://www.direct.gov.uk/en/MoneyTaxAndBenefits/BenefitsTaxCreditsAndOtherSupport/Illorinjured/DG_10018786 Staff excluded for longer periods because of more serious infectious diseases may also be able to receive financial support from their local authority. Workers in a food handling area Annex 1 contains a simple summary of the symptoms and requirements that anyone working in a food handling area needs to be aware of. Anyone working in a food business who is likely to come into contact with food must report to their manager immediately if they have an illness that is likely to be passed on through food or if they have certain medical conditions that could lead to this. They should immediately seek to exclude themselves from food handling duties and areas if they develop such symptoms at work. It is also a legal requirement for every person working in a food handling area to maintain a high degree of personal cleanliness and to wear suitable, clean and, where necessary, protective clothing. The key action is to: Ensure you wash (and dry) your hands thoroughly with soap and warm water before working with or around food, especially after using the toilet. Your hands can also come into contact with bacteria and viruses from other sources, such as from other people, raw foods or even yourself. Therefore, it is also very important to wash your hands after: • • • nappies. • • • • Handling raw food, such as meat Changing a dressing or touching open wounds. Any contact with other people’s faeces or vomit, e.g. changing Touching animals / pets. Handling waste and touching bins. Cleaning. Breaks. It also helps to wash your hands regularly throughout the day, especially after cleaning or touching your nose, mouth, face, ears and hair. Avoiding such contact is best. Other ways to reduce the risks of contamination include 173 minimising the amount you touch ready to eat foods and food contact surfaces. Drying hands thoroughly is important because wet hands spread bacteria more easily. Try to avoid using anything that will re-contaminate hands. Also remember that when washing the most commonly missed parts are the back of the hand and tops of the finger tips around the nails. Best Practice Anti-bacterial gels (often referred to as hand sanitizers) are often used in addition to hand washing, but they only work on clean hands. This is because they can kill bacteria, but don’t work properly on dirty or greasy hands. They also don’t kill norovirus. These gels are usually alcohol based, but alternatives exist. If you decide to use them, understand their limitations and try to select one which also moisturises so as to minimise skin damage from use. Include demonstration of a good hand washing technique at induction. This should focus on ensuring that the whole hand is cleaned and dried. Safer food better business for example includes a best practice method. Nails should be kept short to make hand washing easier. Liquid soap is better at removing dirt from under long nails. Gloves can be used to cover damaged skin or protect hands from risk of developing skin conditions such as dermatitis, which can be caused by prolonged food handling and wet work such as dish washing. Many people also believe that gloves are safer than using clean hands – this is not necessarily true. Gloves are not a substitute for good personal hygiene and hand washing. Gloves can become contaminated with bacteria in much the same way as hands can, even when they are new, and should be kept clean and sanitised in a similar way to bare hands. Even if sterile gloves are used they are only beneficial when a new glove is used for each activity and contamination of the new glove or hands is avoided when changing gloves. When selecting gloves bear in mind that some people have an allergy to latex or develop one from regular contact. Alternative glove materials include nitrile, vinyl, rubber and plastic. Many businesses prefer to use anti-bacteria soap, but this is not necessary as normal soap has been shown to be very effective. It is the responsibility of the food business operator to ensure that people who are not directly employed by them, e.g. maintenance staff, contractors and other visitors to food handling areas, do not pose a risk to food safety. They may know very little about food safety and may not understand the risk they pose to food if they are ill. Therefore, it is important that managers gather information about the health of such people and offer information or advice and supervision if required. Best Practice Annex 3 contains an example of questions you could put to visitors. 174 Contaminated food Managers should assess the risk to food safety of anyone found to have been working with or around food whilst ill. The level of risk and action to take will depend on many factors such as the nature of the food, any processes applied to it, shelf life and storage conditions and the level of contact the ill person has had with it, e.g. a manager walking through a food handling area will be less risk than a chef directly preparing food. The likely consumers of the food could also be a factor if known, e.g. producing food for young children will require a high degree of precaution. If any unsafe food is still on the market the food business operator must notify their local authority immediately. If in doubt contact them or the FSA for advice. Best Practice Planning what you would do in advance of an incident will probably help you to make better decisions should one happen. This could be incorporated into your HACCP based food safety management procedures. 9. RETURNING TO WORK After an illness In most cases of infection, bacteria and viruses can still be found in someone’s faeces after symptoms stop. It is therefore important that managers continue to exclude food handlers for a period of time after this. 48 hours is the recommended length of time. This is counted from the time that symptoms (mainly diarrhoea) stop of their own accord or from the end of any treatment of the symptoms with medicine such as anti-diarrhoeal drugs (if they are used). For example, symptoms end from 5pm Monday, so the person can safely resume work from 5pm Wednesday. You can count from the time of the first normal stool if you aren’t sure when symptoms ended. If the individual is diagnosed with a specific infection, this may require different action. See section 10 for guidance. If the cause has been confirmed as noninfective (see section 11) after they were excluded then they can also return. It is reasonable to presume that a single bout (e.g. one loose stool) or incidence of vomiting is not infectious if 24 hours have elapsed without any further symptoms and this is not accompanied by fever. In this case, as long as there is no other evidence to suggest an infectious cause, the person would only pose a very low risk of being infected and could resume work before the 48-hour limit. Extra care should be taken over personal hygiene practices on return to work though, especially hand washing. A different approach may be needed if their work requires extra precautions to protect very vulnerable consumers, such as people who are already ill or young children. Small numbers of bacteria and viruses can continue to be found in someone’s faeces for weeks or more after they have recovered from an infection. However, this is unlikely to pose a risk as long as good hand washing and good hygiene practices are carried out when at work in a food business. Only 175 in some special cases (see section 9) is it necessary to require negative faecal samples before returning to work, to ensure the infection has gone. Best Practice Managers may wish to interview all staff on return to work to assure themselves that they have received all the relevant information and that different action (as in Section 10) is not needed. Returning from holidays / workers new to the UK There are many diseases and infections that are prevalent in other countries, particularly in less developed countries, that are not common in the UK. Most of these infections will develop quickly, but some can take weeks. Best Practice Managers and food handlers should be aware of these facts and anyone falling ill after coming to the UK to work or just returning from a visit abroad should seek medical advice quickly. The questionnaire in Annex 3 can be used to gather information from any new staff and existing staff returning to work from visits or holidays abroad. 10. WHEN THE CAUSE OF INFECTION IS KNOWN If the individual has been diagnosed by a medical professional (e.g. their doctor) with a specific infection, this may require different action. For the infections listed below you should follow the guidance in section 7 & 8. • • • • • • • • • • Salmonella (except Salmonella Typhi and Salmonella Paratyphi A, B or C) Campylobacter Vibrio (except Vibrio cholerae O1 and O139) Yersinia Bacillus Staphylococcus aureus Clostridium perfringens Protozoa, e.g. Cryptosporidium, Giardia lamblia (except Entamoeba histolytica) Shigella sonnei (but not Shigella dysenteriae, flexneri, and boydii) Worms (except Threadworm and Taenia solium) Other infections may require different action. Those requiring different action are covered below. If the infection is not covered above or below, then it is advisable to exclude the food handler and seek medical advice. Most of the information in this section reflects advice from Health Protection Agencies (HPAs) in the UK. Therefore, in the case of any confusion or apparent contradiction, the advice from the HPAs should take precedence. 176 Salmonella Typhi and Salmonella Paratyphi A, B or C (Enteric fever) These organisms cause enteric fever and paratyphoid fever respectively, which is a severe illness that can be fatal in the absence of medical treatment. It is known to be easy to pass on and there may be prolonged, intermittent excretion of bacteria after symptoms stop. It is most common in less developed countries and so in food businesses will most likely be associated with people who have travelled abroad or who have come to work in the UK. Anyone who suspects they are suffering from this illness or has had it in the past, or who has a lot of contact with someone who has it should be excluded from food handling and food handling areas until cleared to return to work by a medical professional. The investigation and management of their case should be referred to the local authority and health professionals who should seek advice from the Health Protection Agency. If the person is confirmed as being infected or is a carrier of the bacteria, the exclusion period could be lengthy, three months or more, to allow for treatment and confirmation of clearance of infection through faecal testing. Verocytotoxin-producing Escherichia coli (E. coli) Infection with these strains of E. coli (e.g. E. coli O157) can be fatal and the number of organisms needed to cause infection is very low. Therefore, more stringent precautions are needed than normal. A food handler with such an infection should remain excluded until medical clearance is obtained. This will be decided by the medical professional but will usually require two consecutive, negative, faecal samples, the second sample being taken 48 hours after the symptoms have stopped naturally. Anyone who has household contact with someone infected with E. coli O157 should inform their manager. They should be excluded from any work that involves direct handling or serving open ready to eat foods until microbiological clearance is obtained in the same way. If managers are not confident in their personal hygiene practices, or of they are unable to protect themselves from the infected person, e.g. if they are a parent, they should also be excluded from all food handling duties and areas. Norovirus Norovirus is often associated with the sudden onset of projectile vomiting, although not always. Other symptoms are the same as bacterial infections, i.e. diarrhoea and vomiting, often with fever. Routes of transmission include poor hand washing after using the toilet but also if an infected person vomits near other people or food. This is because the virus can drift through the air in tiny particles of vomit and land on food and food-contact surfaces or infect people directly. Destroying any food that may have become unsafe and cleaning up and disinfecting thoroughly over a wide area after someone has been sick in or near a food handling area is therefore very important, including as a precaution even if Norovirus is not known to be the cause. The virus can be difficult to remove, especially from soft furnishing. Anyone who has household contact with someone infected with Norovirus should inform their manager. 177 Best Practice Because of the ease with which Norovirus can be spread to other people, it is best practice to exclude symptomatic food handlers from the entire food business site and not just food handling duties and areas, even if Norovirus is only suspected. Once excluded, they should remain away for 48 hours from when symptoms stop. If their symptoms don’t develop, return to work is possible after 24 hours from contact with the infected person (24 hours is the normal incubation period). When outbreaks occur, it is important to note that workers who fall ill during an outbreak can easily be victims of the outbreak, not the cause. If Norovirus is confirmed and someone has been sick anywhere on the premises of the food business then effective cleaning is vital. Sodium hypochlorite disinfectants are the best to use on cleanable surfaces. Norovirus can be very difficult to kill in soft furnishings and sodium hypochlorite cannot be used because it will cause damage. Other liquid disinfectants and/or steam cleaning should be considered. In some cases, destroying the furniture may be the best way to ensure the complete elimination of the virus from the food business. Advice can be sought from the local authority if needed. Hepatitis A Rare in the UK. The most typical symptom is jaundice, which is a yellowish discolouration of the skin and whites of the eyes. Hepatitis A is most infectious in the period before symptoms appear, but is still infectious during the first week of illness. Food handlers with this infection should therefore remain off work for seven days after the onset of jaundice and/or other symptoms. Any food handler who develops jaundice for an unknown reason should be excluded immediately and seek medical advice. Exclusion is not required for people who are in household contact with infected people, as long as they follow good hygiene practice. Hepatitis A is not common in the UK, but is in many other countries around the world. If someone is found to be infected, destroying any food that may have been become unsafe and cleaning up and disinfecting thoroughly over a wide area is important. Infected or injured skin Damaged skin or sores caused by injury or disease, e.g. boils and septic cuts, can become infected with bacteria such as Staphylococcus aureus, which can cause food poisoning. Symptoms of infection include scaling, weeping or discharge from lesions. It is usually acceptable to continue working with food as long as the infected area is completely covered, e.g. by use of a distinctively coloured, waterproof dressing. If an infected lesion cannot be effectively covered then the person should be excluded from any work likely to lead to the contamination of food. Lesions that may not be possible to cover adequately would include weeping lesions of the eyes, ears, mouth and gums. 178 Best Practice Best Practice Covering any dressings on hands with a rubber (or a similar material Glove can be considered as an additional layer of protection Entamoeba histolytica (Amoebic dysentery) In addition to the normal 48 hour exclusion, people handling and serving open ready to eat foods should seek medical clearance. This usually involved a single negative stool sample taken at least a week after the end of treatment. Shigella dysenteriae, flexneri, and boydii Rare in the UK. In addition to the normal 48 hour exclusion, people handling and serving open ready to eat foods should seek medical clearance. This usually involves two consecutive negative stool samples taken at intervals of at least 48 hours. Anyone who has household contact with someone infected with these bacteria should inform their manager. They should be excluded from any work that involves direct handling or serving open ready to eat foods until medical clearance is obtained in the same way. Worms – Threadworm and Taenia solium Threadworm – exclude from direct handling and serving of open ready to eat foods until the infected person is treated. Taenia solium – exclude from direct handling and serving of open ready to eat foods until two negative stool tests at 1 and 2 weeks post treatment. Exclude from all food handling duties and areas also if managers are not confident in their personal hygiene practices. Rare in the UK. Vibrio cholerae O1 and O139 Rare in the UK. In addition to the normal 48 hour exclusion, people handling and serving open ready to eat foods should seek medical clearance. This usually involves two consecutive negative stool samples taken at intervals of at least 24 hours. 11. WHEN EXCLUSION MAY NOT BE NEEDED Non-infective causes of symptoms Infections are not the only cause of diarrhoea and vomiting and exclusion is not required where there is good evidence of a non-infective cause. Examples of this are listed below. 179 Best Practice • Morning sickness during pregnancy. • Some medicines and medical treatments. • Inflammation of the bowel including diverticulitis, ulcerative colitis, and Crohn's disease. • • • • Irritable bowel syndrome. Cancer of the bowel. Malabsorption syndromes (e.g. coeliac disease and cystic fibrosis). Dietary indiscretion (e.g. consuming too much alcohol or spicy food.). 180 Best Practice If in doubt, it is best to assume that the cause is an infection and to exclude the person until there evidence to show it is safe for them to return to work. Chest and respiratory diseases It would be extremely unusual for such an infection to cause illness through food contamination. However, it is quite common for people to have bacteria such as Staphylococcus aureus in their nasal passages, mouth or throat, which can contaminate food if they sneeze or cough on it. If food handlers are unable to work without coughing or sneezing on open food, then they should work elsewhere until they can. A history of tuberculosis is not a reason to exclude a food handler for food safety reasons. However, the disease may affect an individual’s general health in such a way as to make them unfit for work or they may pose a risk of infection to others in the workplace. Health professionals can provide further advice if it is needed. Blood-borne infections Workers with blood-borne infections, such as hepatitis B, hepatitis C and HIV, are not a hazard to food safety as long as they are otherwise in good health. Colostomy or ileostomy These do not preclude working as a food handler. However, anyone with one working in a food business should seek medical advice and notify their manager if there is any change from their usual bowel habits, because they can suffer from infections in the same way as anyone else. Household contact A food handler who has someone in their household suffering from diarrhoea and vomiting does not always require exclusion, but, they should inform their manager and take extra precautions, such as more stringent personal hygiene practices. If they start to feel unwell at work they should report this immediately to their manager or supervisor. Cases that may require exclusion are where the contact has enteric fever, E. coli O157 and Norovirus (see section 10). 12. OTHER GUIDANCE Industry Guides Several food industry sectors have developed Industry Guides to Good Hygiene Practice which the FSA has officially recognised. These include sector specific guidance on complying with all aspects of general hygiene legislation. Information on whether a guide is available for your sector can be found on our website at www.food.gov.uk (direct link here). 181 Best Practice Safer food, better business (SFBB) / CookSafe / Safe Catering SFBB is an innovative and practical approach to food safety management that has been developed to help small businesses in England and Wales, such as 182 caterers and retailers, put in place food safety management procedures and comply with food hygiene regulations. Several packs are available. A similar approach is taken in Scotland via their ‘CookSafe’ manual and Northern Ireland via their ‘Safe Catering’ guide. If you would like to order a pack or an interactive DVD guide to implementing SFBB (available in 16 languages) call FSA Publications on 0845 606 0667 or email [email protected]. Further information is available from FSA (below). Approved premises This guidance document and the legislation to which it refers also apply to premises that require approval to handle food of animal origin. Nevertheless, there may on occasion still be a need for these businesses to take a different approach to compliance with the general fitness to work requirement than that described here. Any separate, relevant FSA guidance should also be referred to. Further information for approved premises can be found on our website at www.food.gov.uk or from your enforcement body. 13. CONTACTS FOR FURTHER INFORMATION Local authorities Food hygiene legislation is enforced by Local Food Authorities’ Environmental Health Services, which is usually part of your local council. You should speak to them for advice about how to comply with personal hygiene rules. You can locate yours at www.food.gov.uk/enforcement/enforceessential/yourarea/. Health professionals Incident specific guidance is available from occupational health providers and the UK Health Protection Agencies (HPA). Staff can also contact their doctor for advice. A more technical guide on this subject for public health physicians and Environmental Health Professionals can be found on the HPA website at: www.hpa.org.uk/cdph/issues/CDPHVol7/no4/guidelines2404.pdf. The Food Standards Agency For general guidance you can contact the FSA at the following addresses: England Food Standards Agency, 125 Kingsway, London, WC2B 6NH. Tel: 020 7276 8971. [email protected] Scotland Food Standards Agency Scotland, 6th Floor, St Magnus House, 25 Guild Street, Aberdeen, AB11 6NJ. Tel: 01224 288 356. [email protected] Wales Food Standards Agency Wales, 11th Floor, Southgate House, Wood Street, Cardiff, CF10 1EW. Tel: 029 2067 8999. [email protected] Northern Food Standards Agency Northern Ireland, 10c Clarendon Road, Ireland Belfast, BT1 3BG. Tel: 028 9041 7713. [email protected] 183 ANNEX 1: SUMMARY INFORMATION FOR ALL PEOPLE WORKING IN A FOOD HANDLING AREA Your Responsibilities You can pass on illnesses when you work with or around food. To prevent this: • Tell the manager immediately if you are ill • Wash and dry your hands with soap and warm water, especially after going to the toilet • You can affect the safety of food when working with or around food. o Your hands and clothes can spread harmful bacteria or viruses to food or surfaces that will come into contact with food. o These bacteria or viruses can come from you if you are ill. • Tell the manager if you have: o Diarrhoea or vomiting. o Stomach pain, nausea, fever or jaundice. o Someone living with you with diarrhoea or vomiting. o Infected skin, nose or throat. • If you fall ill at work: o Seek to leave the food handling area and tell your manager what has happened. • When returning to work after an illness: o Take extra care when washing your hands. o Tell the manager if they don’t know you were ill, for example if you were ill on holiday. • Wash and dry your hands thoroughly with soap and warm water before working with any food, especially after going to the toilet. o Also wash your hands after handling anything that might be contaminated and throughout the day. o Avoidance is better than removal – where practical try not to touch things that might require you to then wash your hands. 184 ANNEX 2: SUMMARY INFORMATION FOR MANAGERS MANAGERS Understand: • The law requires you to exclude anyone from work if they have an infection that can be passed on through food and there is any likelihood of them contaminating food directly or indirectly. • This would apply to people employed as food handlers or to other staff working in areas where open food is handled. • Diarrhoea and/or vomiting are the main symptoms of infections that can be transmitted through food. • Other symptoms can include Stomach cramps or pain, nausea and fever. Skin infections are also a problem. • This is because some infections, mainly from bacteria and viruses, can spread in faeces and vomit. This can contaminate infected persons’ hands when they have diarrhoea or vomiting. Vomiting can also spread it directly. If an infected person contaminates food or food contact surfaces, in many cases the infection can spread to people who eat the food. Action to take: • • Ensure that all staff handling food and anyone working in a food handling area knows to report the symptoms of infection and if they have close contact with someone with these symptoms. Exclude staff with these symptoms from working with or around open food. Returning to work: • The exclusion period is normally 48 hours from when symptoms stop naturally. Different action is required in special cases. • When excluded staff return to work ensure that they take extra hygiene precautions, particularly hand washing. • Not all cases of diarrhoea or vomiting are infectious, e.g. morning sickness, so exclusion is not always needed. Other facts: • People can have infections without symptoms so it is important that managers try to ensure that everyone washes and dries their hands regularly at work, especially after using the toilet. • Managers should assess the risk to food safety of anyone found to have been working with or around food whilst infectious and take the appropriate action to ensure that unsafe food is not released. • If you are not sure what to do in any situation, you can seek advice from a health professional or your local authority. 185 ANNEX 3: QUESTIONNAIRE: PRE-EMPLOYMENT / VISITOR / RETURNING FROM ABROAD Questionnaire - Pre-employment / Visitor / Returning from Abroad (This can be used as a best practice tool to help establish the health status of new staff, visitors, staff returning from abroad and new workers from abroad.) 186 At present, or in the last seven days, are you suffering from: i) diarrhoea and/or vomiting? Yes / No ii) Yes / No Stomach pain, nausea or fever. At present, are you suffering from: NAME: JOB TITLE BUSINESS: i) skin infections of the hands, arms or face. E.g. boils, styes, septic fingers, discharge from eye / ear / gums / mouth. Yes / No ii) jaundice. Yes / No Do you suffer from: i) a recurring bowel disorder? Yes / No ii) recurring infections of the skin, ear or throat? Yes / No Have you ever had typhoid or paratyphoid fever or are you now known to be a carrier of Salmonella Typhi or Paratyphi. Yes / No Are you a carrier of any type of Salmonella? Yes / No In the last 21 days have you had contact with anyone, at home or abroad, who may have been suffering from typhoid or paratyphoid? Yes / No DATE: SIGNATURE: MANAGEMENT ACTION TAKEN Countries visited in the last 6 weeks Any ‘YES’ answer will require an assessment of their suitability to work. The FSA guidance document, Food Handlers Fitness to Work will help. Health professionals and your Environmental Health Department can also hel 187 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 1 FOOD SAFETY MANAGEMENT SYSTEM DAILY DELIVERY STATE DAY:_____________________________________________________ SUPPLIER Order no ALLIED BAKERIES SO D BROWNS FOODSERVICE 0500 - F BROWNS FOODSERVICE 0101 - F SANDWICHKING 0500 - D SANDWICH KING 0101 - D CAMBRIDGE PRODUCE 0500 - R CAMBRIDGE PRODUCE 0101 - S DAIRYCREST 0101 - S D F FR W = = = = Department Fridge Freezer Wards AMB = S = DG = Delivery no Temp Ambient Store Dry Goods Time in DATE: _____________________________________ R E A In Store = = = A/R Restaurant Equipment Aspens Location SO C O Signature = = = Standing Order Clothing Office Head of Production:______________________________________ 183 NOTES: 1. Date: Enter date in numbers e.g. January 1st 1999 is 1.1.99. 2. Time: Enter time on 24 hour clock. 3. Menu item: Enter name of item and receipt and distribution code. 4. Temperature: All readings are to be entered in ºC Acceptance temperatures are:Chilled foods. Target below 8ºC. Reject above 10ºC Frozen foods. Target below -18ºC. Reject above -12ºC Note: If the temperature is above target you must tell the Head of Production 5. Enter date code on label. Note: Chilled foods other than sandwiches must have a minimum shelf life of three days on delivery 6. Quality / packaging: Is packaging clean, undamaged, properly labelled and is product quality acceptable Enter Yes or No If No, put details in column 8 7. Accept: 8. Comments: Enter all comments relating to product failing to meet the necessary standards where appropriate a brief note on what the problem was. If you find it necessary to send foods back, tell your Head of Production straight away. 9. Signature: Enter Yes or No. Please sign all entries. 184 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS DB 2 DIET BAY PRODUCTION CONTROL FORM – HOT FOOD Date: __________________________________ MENU ITEM SUPPER TIME AT END OF COOKING TEMP ºC AT END OF COOKING TIME AT END OF MOULDING Leek & Tomato Soup Pea & Ham Soup Baby Carrots Cheese & Potato Pie Chocolate Sponge & Sauce Cod & Parsley Sauce Green Beans Jam Sponge & Custard Lamb with Vegetables Mixed Bean Casserole Mixed Vegetables Pasta & Tomato Sauce Roast Chicken & Stuffing Savoury Pork Semolina Pudding Steak & Mushroom Casserole Steak & Mushroom Casserole CRITICAL CONTROL POINTS - Regenerate to minimum 82ºC 185 PORTIONS PRODUCED TIME INTO FREEZER COMMENTS SIGNATURE KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – DOLPHIN TEMPERATURE LOG SHEET DATE TIME LUNCH SENT: TIME LUNCH ARRIVED CHEF LUNCH. OBSERVATIONS COMMENTS TEMP WHEN COOKED: TEMP AT WARD: TIME SUPPER SENT: TIME SUPPER ARRIVED OBSERVATIONS AND COMMENTS BY SENIOR MEMBER OF WARD STAFF ON DUTY SIGNED 1 2 3 4 SUPPER CHEF OBSERVATIONS COMMENTS TEMP WHEN COOKED: TEMP AT WARD: OBSERVATIONS AND COMMENTS BY SENIOR MEMBER OF WARD STAFF ON DUTY SIGNED 1 2 3 4 0 0 Note: Minimum cooking temperature 82ºC. Minimum temperature on arrival at ward 75 C. If at receipt below 75 C contact Catering Department on Ext 2739 This sheet must be returned to the kitchen with the trolley after each mealtime 186 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 2 FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT:1 – FRIDGE – VEG PREP ROOM DATE OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 187 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 2 – FREEZER – DIETS – MAIN KITCHEN OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 188 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 3 – FRIDGE – DIET BAY OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 189 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 5 – FREEEZER – DIET BAY OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production ____________________________ 190 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 7 – FREEZER – DIETS – MAIN KITCHEN OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 191 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 8 – FRIDGE – S/W ROOM OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production 192 _____________________________ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 10 – FREEZER – (ICE CREAM) - TUNNEL OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 193 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 29 – FREEZER – VEG PREP ROOM OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 194 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 30 – FREEZER – VEG PREP ROOM OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 195 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM POST GRADUATE CENTRE – TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 33 – SALAD BAR CHILLER OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _____________________________ 196 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM REFRIGERATOR TEMPERATURE LOG SHEET WEEK COMMENCING:__________________________________ UNIT: DATE 34 – FRIDGE (MRP’S) – PORTERS LODGE OPERATING TEMPERATURE AM TIME CHECKED BY OPERATING TEMPERATURE PM TIME CHECKED BY Monday Tuesday Wednesday Thursday Friday Saturday Sunday COMMENTS: KEY FOOD SAFETY ADVICE The operating temperature should be below 5ºC and a freezer -18ºC. If this temperature is exceeded check the unit again after 1 hour. If the temperature is still high adjust the thermostat. If after adjusting to maximum setting unit is not maintaining temperature call a maintenance engineer. Head of Production _________________ 197 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 2 FOOD SAFETY MANAGEMENT SYSTEM – WOODLEY FRIDGE / FREEZER ALARM RECORDING SHEET DATE REF NO TIME TEMP INITIAL ACTION TAKEN RESULT SECONDARY ACTION TAKEN SIGN In the event of persistent alarms sounding with no obvious reason for them to be doing to, Estates Department should be contacted and a report filed to the Catering Services Manager Note: Only authorised members of staff shall mute the alarm on the Woodley System. The authorised staff: Head of Facilities, Catering Services Manager, Head of Production, Head Chefs or Duty Supervisors who have been trained on the use of the Woodley System. All other personnel should report any alarms to the Senior Supervisor at the time. Estates Authorised person – Out of Hours – Contact via SWITCHBOARD 198 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 3 FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 1 MONDAY LUNCH PRODUCTION MENU ITEM START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Oxtail soup Roast lamb Cottage pie Pasta napolitaine Mushroom quiche Cauliflower Carrots Roast potatoes Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 199 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 1 SUPPER MENU ITEM MONDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Carrot soup Beef lasagne Mixed vegetable curry Tomato omelette Mixed vegetables Jacket potato Pilau rice Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production 200 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 2 LUNCH MENU ITEM TUESDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Mushroom soup Roast chicken Pork stroganoff Vegetable chilli Quiche lorraine Broccoli Diced swede Boiled rice Fresh mashed potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 201 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 2 SUPPER MENU ITEM TUESDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Vegetable broth Beef bolognaise Cauliflower cheese Mushroom omelette Green beans Jacket potato Mashed potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 202 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 3 LUNCH MENU ITEM WEDNESDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Vegetable soup Roast turkey Beef onion pie Leek onion & pot hotpot Cheese & herb quiche Carrots Cabbage Roast potatoes Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 203 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 3 SUPPER MENU ITEM WEDNESDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Chicken soup Sausages & onions Spicy veg cous cous Omelette with peppers Peas Jacket potato Mashed potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 204 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 4 LUNCH MENU ITEM THURSDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Asparagus soup Baked gammon Chicken casserole Cheese, onion & pot pie Spinach & pepper quiche Cauliflower Mixed veg Boiled potatoes Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 205 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 4 SUPPER MENU ITEM THURSDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Tom & veg soup Beef casserole Mixed veg stroganoff Cheese omelette Sweetcorn Boiled rice Mashed potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 206 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 5 LUNCH MENU ITEM FRIDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Leek & potato soup Lamb casserole Veg & bean cottage pie Battered fish Cheese & onion quiche Mushy peas Carrot & swede Chips Mashed potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 207 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 5 SUPPER MENU ITEM FRIDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Mushroom soup Sweet & sour chic & noodles Macaroni cheese Tomato omelette Mixed vegetables Jacket potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 208 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 6 LUNCH MENU ITEM SATURDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Vegetable soup Roast pork Chicken curry Vegetable lasagne Quiche lorraine Garden peas Roasted parsnips Boiled rice Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 209 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 6 SUPPER MENU ITEM SATURDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Minestrone soup Irish stew Macar & smoked haddock Mushroom omelette Green beans Jacket potato Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 210 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 7 LUNCH MENU ITEM SUNDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Tomato soup Roast beef Chicken & ham pie Veg goulash & dumpling Mix chse & chive quiche Carrots Green beans Roast potatoes Mashed potatoes Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 211 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CATERING PRODUCTION CONTROL FORM DATE MENU DAY 7 SUPPER MENU ITEM SUNDAY PRODUCTION START TIME FINISH TIME FINAL TEMP BELT START TEMP SIGN 45 MINS TEMP ACTION Red lentil soup Chicken a la king Sweet & sour vegs Plain omelette Peas Boiled rice Jacket potato Gravy KEY FOOD SAFETY POINTS - - check and record the temperature of all foods at the end of prime cooking / regeneration o o cook / regenerate to a minimum core temperature of 75 c. Patient foods to be 82 c. check and record temperature at 45 minutes into serving time check core temperatures with a clean probe ALL FOOD TO BE DISPOSED OF AT THE END OF THE BELT Head of Production : 212 FINISH TEMP TIME SIGN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS DB1 FOOD SAFETY MANAGEMENT SYSTEM DIET BAY PRODUCTION CONTROL FORM – COLD FOOD MENU ITEM LUNCH PORTIONS PRODUCED DATED & LABELLED FROZEN (Y/N) Baked beans Cheese Cucumber Cucumber sauce Garlic potato Ham Mashed potato Orange starter Parsley sauce Peaches Peas Pineapple crush Tomatoes Turkey pate Tuna pate Vegetable pate CRITICAL CONTROL POINTS - Minimum cooking temperature 75ºC. - Time from cook to freezer maximum 45 minutes. - Ensure all utensils / moulds are clean prior to use. 213 COMMENTS SIGNATURE KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS DB4 FOOD SAFETY MANAGEMENT SYSTEM DIET BAY FOOD SERVICE RECORD – PUREED FOOD FOR PATIENT SERVICE DAILY MENU ITEM LUNCH O SIGNATURE o SIGNATURE TIME AT START OF COOKING TIME AT END OF COOKING TEMP C TIME TO REGEN OVEN TIME TEMP C SOUP HOT FOOD HOT PUDDING COLD LIQUID COLD FOOD COLD PUDDING MENU ITEM SUPPER SOUP HOT FOOD HOT PUDDING COLD LIQUID COLD FOOD COLD PUDDING 214 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 4 FOOD SAFETY MANAGEMENT SYSTEM BLAST CHILLER PROCESS CONTROL SHEET Weekly: DATE FOOD TYPE BEFORE CHILLING INITIALS AFTER CHILLING INITIALS FOOD COVERED, DATED AND PLACED IN REFIGERATOR YES / NO TEMP C o TEMP C TIME TIME Head of Production_____________________________________________________________ KEY FOOD SAFETY POINTS * Switch on blast chiller for 30 minutes prior to use * Portion food into clean container * Depth of food maximum 1¼” * Load chiller in a batch and keep door closed * * * * Record tem / time o Blast chill to 3 C in 90 minutes Take food out, cover, date and label it After chilling transfer to refrigerator KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 5 FOOD SAFETY MANAGEMENT SYSTEM 215 COMMENTS DATE: RESTAURANT TEMPERATURE DOCUMENT Product MONDAY LUNCH Garnish/ Accompaniment Soup of the day Cottage pie Croutons Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Fried haddock breadcrumbs Roast lamb Steak & kidney Pudding Chickpea & veg curry Veg stroganoff Pasta napolitaine Mushroom quiche Halal chicken curry Jacket pots Diced carrots Cauliflower cheese Mashed potatoes Roast potatoes Braised rice 216 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product MONDAY SUPPER Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Chicken & potato hot pot Beef lasagne Vegetable bakes Chicken pie Tomato omelette Mixed veg curry Baked beans Jacket potato Mixed vegs 217 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product TUESDAY LUNCH Garnish/ Accompaniment Soup of the day Chilli con carne Croutons Steamed Hoki Parsley sauce Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Pork stroganoff Roast chicken Stuffing Quiche lorraine Vegetable chilli Vegetable bakes French bread pizza Thai style lamb balls Jacket potato Creamed sweetcorn & onion Broccoli Diced swede Mashed potatoes Tarragon scented rice 218 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product TUESDAY SUPPER Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Beef bolognaise Cornish pasty individual Turkey burger Mushroom omelette Cheesy cauliflower Jacket potato Green beans Baked beans Chef special o f the day Jacket potato 219 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product WEDNESDAY LUNCH Soup of the day Beef & onion pie Sausage & veg hotpot Hoki with mushrooms Beef lasagne (Halal) Cheese & herb quiche Leek,onion & potato hotpot Sag aloo Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Croutons Jacket potato Baton carrots Mashed potatoes Roast potatoes Tumeric rice Buttered cabbage 220 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product WEDNESDAY SUPPER Garnish/ Accompaniment Beef burgers and onions Braised sausage lyonnaise Savoury chicken risotto Jumbo fish fingers Omelette with sweet peppers Spicy cous cous Jacket potatoes Garden peas Bun Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Baked beans 221 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product THURSDAY LUNCH Garnish/ Accompaniment Soup of the day Chicken fajitas Croutons Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Salsa Gammon Mixed meat & noodles Cheese onion & potato pie Vegetable cous cous Spinach & red pepper quiche Halal Shepherd Pie with mustard mash Jacket potatoes Cauliflower florets Mashed potatoes Mixed vegetables Parsley potatoes Pilau rice 222 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product THURSDAY SUPPER Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Portions st 1 Service Portions 2nd Service Total portions Beef casserole Jumbo sausage roll Fish pie with mash topping Cheese omelette Vegetable stroganoff Jacket potatoes Braised rice Garden peas Baked beans KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST 223 Portions time ran out No of portions remaining at end of service Signature FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product FRIDAY LUNCH Garnish/ Accompaniment Soup of the day Chicken adobo Honey glazed pork ribs Lamb casserole Fried fish in breadcrumb Jacket potato Croutons Sweet & sour vegetables Veg & bean cottage pie Cauliflower& broccoli cheese Chunky (halal) curry Jacket potato Carrots & swede Mashed potatoes Mushroom rice Mushroom onion topping Noodles Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service & Mushy peas Vegetable bakes 224 Portions st 1 Service Portions 2nd Service Total portions Portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product FRIDAY SUPPER Beef & kidney pie Poached fish duglere Sweet & sour chicken Macaroni cheese Plain ometette Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Noodles Jacket potato Sweetcorn Baked beans 225 Portions st 1 Service Portions 2nd Service Total Portions portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product SATURDAY LUNCH Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Baked beans Chicken and veg curry Egg & veg fried rice Garden peas Coconut sauce curry Jacket potato Mashed potatoes Mushroom rice Quiche lorraine Roast pork Apple sauce Stuffing Roasted parsnips Vegetable lasagne 226 Portions st 1 Service Portions 2nd Service Total Portions portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product SATURDAY SUPPER Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Chicken pie Irish stew Macaroni& smoked haddock Cheese mushroom omelette Vegetable bake & Tomato sauce Baked beans Green beans Mashed potatoes 227 Portions st 1 Service Portions 2nd Service Total Portions portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product SUNDAY LUNCH Garnish/ Accompaniment Roast beef Yorkshire pudding Chicken & ham pie Chef dish of the day Cheese & chive quiche Vegetable ghoulash Carrots Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Dumplings Green beans Mashed potatoes Roast potatoes Roast parsnips Boiled rice 228 Portions st 1 Service Portions 2nd Service Total Portions portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DATE: RESTAURANT TEMPERATURE DOCUMENT Product SUNDAY SUPPER Chicken a la king Meat & potato pie Mini grill bacon sausage, burger Sweet & sour veg Tomato omelette Baked beans Garnish/ Accompaniment Time sent o Temp C at start of service o Temp C nd at 2 service o Temp C at end of Service Tomato Onion ring Mushroom Rice Jacket potato Garden peas Fish cakes & parsley sauce 229 Portions st 1 Service Portions 2nd Service Total Portions portions time ran out No of portions remaining at end of service Signature KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM RESTAURANT : HOT SERVICE AREA: ____________E_(BREAKFAST)____________ MENU ITEM DATE: ________________________ START SERVICE TEMP ºC TIME END SERVICE TEMP ºC BACON BAKED BEANS HASH BROWNS FRIED BREAD MUSHROOMS SAUSAGES TOMATOES Key food safety points : Hot food above 63°C Cold foods below 8°C Head of Production: 230 TIME SIGNED KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM FSS 5A RESTAURANT : SALAD BAR AREA: ________________________ MENU ITEM DATE: ________________________ START SERVICE TEMP ºC TIME END SERVICE TEMP ºC Key food safety points : Hot food above 63°C Cold foods below 8°C Temperatures to be taken at 2.00 pm and 7.30 pm - every food item above 8oC to be discarded Head of Production: 231 TIME SIGNED KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 6 FOOD SAFETY MANAGEMENT SYSTEM WARD QUALITY AUDIT REPORT FORM Date: __________________ MENU ITEM Ward visited: TEMP ºC ON DISPATCH 1. 2. 3. 4. 5. TIME OF DISPATCH __________________ ___________________________ TIME TROLLEY ARRIVES AT WARD __________________ TIME SERVICE COMMENCES __________________ PORTION SIZE: APPEARANCE: COMMENTS: SUMMARY: Minimum Service Temp ºc _______________________________ Maximum Service Temp ºc ______________________________ 10. 11. 12. 13. Average Temperature Loss ºc ____________________________ Time Delay Dispatch/Arrival _____________________________ Time Delay Arrival/Service _______________________________ Time Delay Start/End Service _______________________ TEMP ºC START OF SERVICE/ARRIVAL TEMP ºC AND TIME END OF SERVICE 1. 2. 3. 4. 5. QUALITY: 6. 7. 8. 9. Auditor: _____________________ 14. 6. 7. 8. 9. 10. 11. 12. 13. 14. .. Head of Production …………………………………………………………………. 232 222 FSS 11 PATIENT AND STAFF COMMENTS NAME: _________________________________ STAFF/PATIENT NAME: _________________________________ STAFF/PATIENT NAME: _________________________________ STAFF/PATIENT NAME: _________________________________ STAFF/PATIENT NAME: _________________________________ STAFF/PATIENT NAME: _________________________________ STAFF/PATIENT 233 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 7 FOOD SAFETY MANAGEMENT SYSTEM ELECTRONIC PROBE THERMOMETER CALIBRATION RECORD SHEET MONTH: ME NO CHECKER: DESCRIPTION CALIBRATED SEE SEPARATE FILE Catering Services Manager: 234 RETEST RETEST DUE FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS8 FOOD SAFETY MANAGEMENT SYSTEM MAINTENANCE REQUESTS CONTROL SHEET IN HOUSE MAINTENANCE REQUEST BOOK USED IN PLACE OF FORM BOOK AVAILABLE ON REQUEST SITE: ITEM/ EQUIPMENT LOCATION MONTH: DESCRIPTION OF DEFECT NUMBER MAINTENANCE REQUEST FORM YES/NO REPORTED BY REPORTED TO Catering Services Manager: 235 ENGINEERS COMMENTS/ DATE BACK IN SERVICE FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 9 FOOD SAFETY MANAGEMENT SYSTEM TRAINING RECORD FORM SEE SEPARATE RECORDS NAME:__________________________________ SUBJECT DATE TRAINER TRAINEE COMMENTS Induction Hygiene Awareness Basic Food Hygiene Certificate Cleaning/COSHH Personal Hygiene Catering Services Manager:__________________________________________ 236 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 10 FOOD SAFETY MANAGEMENT SYSTEM SPECIAL FUNCTION DAILY CONTROL SHEET – HOT MENU ITEM TIME OUT OF FREEZER TEMP ºC END OF COOKING TIME END OF COOKING TIME REQUIRED KEY FOOD SAFETY POINTS - Check and record the temperature of all foods at the end of prime cooking/regereation o o - Cook/regenerate to a minimum core temperature of 75 C. Foods to be at 82 C. - Check core temperatures with a clean probe - ALL FOOD MUST BE DISPOSED OF AT THE END OF THE FUNCTION 237 o TEMP C AT DISPATCH TIME AT DELIVERY SIGNATURE FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM SPECIAL FUNCTION DAILY CONTROL SHEET – COLD MENU ITEM TIME OUT OF FREEZER TEMP ºC END OF COOKING TIME END OF COOKING TIME REQUIRED KEY FOOD SAFETY POINTS - Check and record the temperature of all foods at the end of prime cooking/regereation o o - Cook/regenerate to a minimum core temperature of 75 C. Foods to be at 82 C. - Check core temperatures with a clean probe - ALL FOOD MUST BE DISPOSED OF AT THE END OF THE FUNCTION 238 o TEMP C AT DISPATCH TIME AT DELIVERY SIGNATURE FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 11 MANAGEMENT AUDIT REPORT Audit carried out by: __________________ Date:_____________ Auditor:______________________________ Signature:____________________________ AUDIT NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Time:____________ TITLE / AREA Kitchen Hygiene Trap Porters Cleaning Room Equipment (Tin) Store Kitchen Freezer Tunnel Kitchen Hand Wash Vegetable Prep Room Inc Fridge 6, Freezer 29 & 30, Walk in Chiller Stores External Area Stores Receipt Area Stores Decant Area Stores Walk in Dairy Fridge Stores Walk in Freezer Stores Office Stores Corridor Meat Chiller Decant Area Disposables Store Kitchen External Area Kitchen Pan Wash Area Main Kitchen Production Pastry Room Chefs Office Diet Bay Kitchen Tunnel Kitchen Chilled Salad Prep Room Holding Room/Sandwich Room Chemical Store Belt PLATING Area Belt Trolley Park Belt Hygiene Trap Belt Dishwash Room Restaurant Dishwash Area Restaurant Servery Area Restaurant Dry Goods Store Restaurant Chilled Store Ladies Changing Room Gents Changing Room Action Plan 239 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: __________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 1. KITCHEN HYGIENE TRAP YES General − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Coats clean 2. Hand wash soaps filled 3. Insectocutor clean 4. Paper towels filled 5. 6. Sinks clean 240 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by:___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 2. PORTERS CLEANING ROOM YES NO Clean and tidy Walls and floors clean Light diffusers clean General condition 1. Chemicals stored correctly 2. Linen basket empty 3. Mops stored correctly 4. Rack tidy 241 Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 3. EQUIPMENT (TIN) STORE Time:____________ COMMENTS − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Diet moulds clean and stored correctly 2. Equipment stored correctly 3. Uniform store – all uniforms stored correctly 242 ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 4. KITCHEN FREEZER TUNNEL YES NO − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Freezers 2 Clean inside and outside 2. Freezer 7 Clean inside and out 3. Correct storage of food 4. Operating temperature checked 5. Seals clean and intact 243 Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 5. KITCHEN HAND WASH YES NO − Clean and tidy − Walls and floor clean − General condition 1. Paper towels filled 2. Hand wash soaps filled 244 Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 6. VEGETABLE PREP ROOM – INCLUDING FRIDGE 6, FREEZER 29 & 30, WALK IN CHILLER YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Alarm checked 2. Can opener clean 3. Food in date and dated 4. Food stored correctly 5. Fridge seals clean and intact 6. Hand wash sink clean 7. Veg prep machine clean & stored Correctly 8. Shevles clean 9. Veg prep sink clean 245 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 7. STORES EXTERNAL AREA Time:____________ COMMENTS − Clean and tidy − Walls and floor clean − − General condition 246 ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 8. STORES RECEIPT AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Evidence of stock rotation 2. Quality control checks available 3. Scales clean 4. Probe record sheets 5. Probe available and clean 6. Telephone 247 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 9. STORES DECANT AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Alarms checked 2. Storage shelving 3. Hand wash sink 4. 248 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 10. STORES WALK IN DAIRY FRIDGE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Alarm working 2. Door seals in good condition 3. Free from debris 4. Operating at correct temperature .5. Storage shelves clean 249 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 11. STORES WALK IN FREEZER & CHILLER YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Door seals 2. Correct storage of contents 3. Operating at correct temperature 4. 250 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 12. STORES OFFICE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. All stock in date 2. Food stored correctly 251 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 13. STORES CORRIDOR YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Insectocutor - - 252 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 14. MEAT CHILLER DECANT AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Alarm checked 2. Free from debris 3. Operating at correct temperature 4. Only raw meat / fish / eggs stored in this area 5. Decant area clean and tidy, goods correctly 253 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 15. DISPOSABLES STORE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Correct storage − − 254 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 16. KITCHEN EXTERNAL AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Any holes in outside walls 2. Fly screens in place and in order 3. Free from debris 4. Free from pest infestation 5. Safety maintained 6. Waste bins covered − 255 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 17. KITCHEN PAN WASH AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Bello pump working 2. Curtains clean 3. Drainage clean and clear 4. Extraction working and clean 5. Hand wash sink clean and tidy 6. Insectocutor 7. Pan wash in working order 8. Sinks clean and tidy 9. Storage rack clean and tidy 10. Waste disposal clean and tidy and working 256 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 18. MAIN KITCHEN PRODUCTION YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. 6 burner range 2. Brat pan 1 3. Brat pan 2 4. Canopies 5. Childrens trolley 6. Chopping boards 7. Convection oven 1 8. Convection oven 2 9. Copper 1 10. Copper 2 11. Deep fryer 1 12. Deep fryer 2 13. Drain gullies 14. Drains 15. Extractor vents 16. Grille 17. Hand held equipment 18. Pillars 257 NO Time:____________ COMMENTS ACTION FSS 11 19. Regen oven 20. Restaurant trolley 21. Solid top 22. Storage shelves 23. Utilities piping 24. Walls 25. Waste bins 26. Work surfaces 27. 258 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 19. PASTRY ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Hand wash sink 2. Hobart mixer 1 3. Hobart mixer 2 4. Hobart mixer 3 5. Ingredients bins x 5 6. Insect traps should be present 7. Pastry oven 8. Pie machine tables 9. Stainless steel tables 10. Stock rotation 259 NO Time:____________ COMMENTS ACTION FSS 11 11. Storage rack 1 12. Storage rack 2 13. Blue storage trays 260 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 20. CHEFS OFFICE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Free from food 2. Woodley system checked − 261 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 21. DIET BAY YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. 6 ring gas burner 2. Blender / Blitzer 3. Canopy 4. Extraction 5. Fridge 6. Hand held blender x 2 7. Hand wash sink 8. Microwave 9. Prep sink 262 NO Time:____________ COMMENTS ACTION FSS 11 10. Regen oven 1 11. Regen oven 2 12. Storage shelving 13. Walls 14. Work surfaces 15. Telephone 16. Freezer 263 FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 22. KITCHEN TUNNEL YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Bin 2. Blast chiller - compliance 3. Hand sink /soap / towels 4. Ice cream freezer 5. Plasters − 264 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 23. KITCHEN CHILLED SALAD PREP ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Bin 2. Chilling compressor 1 3. Chilling compressor 2 4. Fridge 5. Hand wash 6. Meat slicer 7. Plasters 8. Storage shelving 9. Tables 265 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 24. HOLDING ROOM/SANDWICH ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Door seals and handles intact 2. Food covered, dated, labelled, not stored under chilling units 3. Sandwich storage box clean 4. Storage racks clean 266 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 25. CHEMICAL STORE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Chemicals in date 2. Chemicals stored correctly 3. Chemical containers undamaged 4. Door locked − 267 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 26. BELT PLATING AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Curtains 2. Equipment clean – including under belt compartments 3. Extraction grills 4. Storage equipment 5. Walls − 268 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 27. BELT TROLLEY PARK YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Bumper rails 2. Curtains 3. Curtains to wash 4. Drain gullies 5. Food gullies clean 6. Insectocutor 7. Ventiltion grilles clean 269 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 28. BELT HYGIENE TRAP YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Coats clean 2. Hand wash soaps filled 3. Insectocutor clean 4. Paper towels filled 5. Plasters filled 6. Sinks clean 7. No personal effects on lockers 8. Debris removed 270 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 29. BELT DISHWASH ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Bins 2. Cutlery sink 1, chemicals present and correct 3. Cutlery sink 2, chemicals present and correct 4. Dishwasher clean 5. Hand wash sink clean and tidy 6. Stainless steel storage racks and tidy 7. Ventilation grilles, clean and dust free 8. Waste disposal clean and working 9. Waste containers clean 9. 271 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 30. RESTAURANT DISHWASH AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Air conditioning clean and working 2. Chemical stored correctly 3. Cleaning racks clean and tidy 4. Equipment cupboards clean and tidy 5. Food service trolleys clean and tidy − − 272 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 31. RESTAURANT SERVERY AREA YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Work surfaces free from debris 2. Deep fat fryers oil in useable condition 3. Regen oven in usable condition 4. Refridgerator clean and correctly used 5. 6. 273 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 32. RESTAURANT DRY GOODS STORE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Evidence of stock rotation 2. Free from food debris 3. Goods in date 4. Tea/coffee flasks dry inside − 274 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 33. RESTAURANT CHILLED STORE YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Evidence of stock rotation 2. Free from food debris 3. Goods in date 4. Goods stored correctly 5. Operating at correct temperature − − 275 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 34. LADIES CHANGING ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Area clean and tidy 2. Hand wash sinks 3. Lockers locked 4. Safety shoes stored correctly 5. Showers 6. Toilets 276 NO Time:____________ COMMENTS ACTION FSS 11 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ 35. GENTS CHANGING ROOM YES − Clean and tidy − Walls and floor clean − Light diffusers clean − General condition 1. Area clean and tidy 2. Hand wash sinks 3. Lockers locked 4. Safety shoes stored correctly 5. Showers 6. Toilets 277 NO Time:____________ COMMENTS ACTION KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MANAGEMENT AUDIT REPORT- ACTION PLAN Audit carried out by: ___________________ Date:_____________ Auditor:______________________________ Signature:____________________________ Date FAULT Responsility of Catering 278 Estates Time:____________ Comments Date completed Rothwell Road, Kettering, Northants NN16 8UZ Main Switchboard: 01536 492000 Direct Dial: 01536 492234 Direct Fax: 01536 492235 OCCUPATIONAL HEALTH SERVICE CONFIDENTIAL (FSS 12) HEALTH DECLARATION QUESTIONNAIRE CANDIDATE TO COMPLETE (Please use BLOCK CAPITALS) SURNAME _______________________________________________ FORENAMES ______________________________________ PREVIOUS / MAIDEN NAMES ________________________________ MR/MRS/MISS/MS/DR ___________ M/F________________ DATE OF BIRTH ________________________________ MOBILE NO_______________________________________ ADDRESS______________________________________________________________________________________________________ _______________________________________________ POST CODE____________________ TEL NO________________________ G.P.’s NAME___________________________________ ADDRESS_______________________________________________________ ________________________________________________________________________________ TEL NO________________________ NHS NO _______________________________________ NATIONAL INSURANCE NO _______________________________________ POST APPLIED FOR _____________________________________________________________________________________________ DEPARTMENT _________________________________________________________________________________________________ Have you ever worked for Kettering General Hospital NHS Foundation Trust before? YES NO If yes, what year did you leave the Trust? Details of previous employment, and in particular any work-related hazards, are an important part of your Occupational Health record. Please fill in this section as completely as you can. If you have had many different jobs it would be most useful to record the main type of work you have done. PREVIOUS EMPLOYMENT (if any) DATES Place and nature of work (a) (b) (c) (d) 279 OCCUPATIONAL HAZARDS Confidential Medical History YES NO DETAILS & DATES Please ensure that you complete ALL sections Have you taken sick leave from work/training or education during the past two years? If yes, please state on how many occasions and approximately how many days in total does this amount to Have you ever been admitted to a hospital of any kind for treatment? If yes please give details. Have you ever attended out-patient clinics, if so which? Have you ever been treated in Accident & Emergency Department? (a) If yes, how many times have you attended in the last 3 years? (b) and with what conditions/problems? Have you ever had any major accidents? Have you ever had any industrial injury or illness? Have you previously left a job/training course on grounds of ill health? If so, give reason Do you have problems working shifts or at night? To protect your health at work, please indicate to Occupational Health if you are pregnant or breastfeeding. (This is in accordance with The Management of Health & Safety at Work Regulations 1999) Do you have any problems with vision or colour blindness? If yes is the vision corrected with glasses or contact lenses? Do you have hearing difficulties or ear problems? If yes is it corrected/improved with hearing aids? Have you ever lived or worked abroad? If yes state countries (a) Do you regularly need to consult your General Practitioner if yes, with what conditions/problems? Do you take any medication? If yes give details? What is your height? What is your weight? DO YOU HAVE OR HAVE YOU HAD ANY OF THE FOLLOWING Chest problems, breathing difficulties, asthma, wheezing or recurrent bronchitis Tuberculosis (TB) or recurrent cough, bloody phlegm, unexplained fever/weight loss in the last 12 months Have you been in contact with anyone suffering from TB Eczema, dermatitis or other skin problems, e.g. persistent boils. If yes, state which part of the body is affected and the treatment required 280 Heart conditions or high/low blood pressure Persistent or recurrent backache, sciatica, disc or other back problems Problems with your neck, shoulders, arms, hands/wrists e.g whiplash, carpal tunnel Other joint problems such as arthritis or rheumatism Any difficulty in standing, bending, lifting or other movements Any physical limitation, which may affect your work or require job modification ANY ADDITIONAL INFORMATION Confidential Medical History NO YES DETAILS & DATES Please ensure that you complete ALL sections Dependence on drugs or alcohol Consultation/treatment in a Mental Health Clinic Had time off work for stress related problems Epilepsy, fits, blackouts or recurrent dizziness, please state which Diabetes, if yes do you require insulin? Liver disease or jaundice Persistent diarrhoea Any allergies (to medicines or other substances e.g. latex) Any significant health problems (or operations) not mentioned above Have you had any of the following infections: Chicken pox or shingles, please specify which and when MRSA (Methicillin Resistant Staph. Aureus) A blood borne virus (e.g. Hepatitis B, C or HIV) *Any additional information please complete on a separate sheet SCREENING AND IMMUNISATIONS – NOT CONFIDENTIAL INFORMATION The following information may be passed on to other Occupational Health Departments and/or your manager for infection control purposes to protect you and your patients. If unsure of dates check with your GP prior to returning this questionnaire. Hepatitis B Full course DATE/S 1 st 2 nd Last booster date: Last blood test date: 3rd 281 Result: Hepatitis C MMR or Rubella immunisation (German measles) TB - Heaf Test (most recent) BCG Chest x-ray Tetanus – primary course Polio – primary course Diphtheria – primary course No immunisation yet available Date: Date: Hepatitis A Varicella - immunisation Date: Date: Date: Date: Date: Date: Date: Date: Meningitis C - immunisation Date: Typhoid – primary course Antibody blood level result Date: Antibody blood level result Date: Result: Grade Scar present YES Result: Last booster date: Last booster date: Last booster date: Last booster date: Last booster date: Antibody blood level result Date: NO All medical staff including trainee GP’s, dentists, Midwives, Nurses, Theatre Practitioners and students/trainees involved in Exposure Prone Procedures (EPP) are required to attach a copy of their Hepatitis B Immunity status, i.e. laboratory test result. Health clearance WILL be delayed if you do not supply this documentation HEALTH CARE WORKERS LIKELY TO PERFORM EXPOSURE PRONE PROCEDURES. Exposure prone procedures are those where there is a risk that injury to the health care worker could result in their blood contaminating the patient’s open tissues. These procedures include those in which the health care worker’s hands may be in contact with sharp instruments, needle tips or sharp tissues (spicules of bone or teeth) inside a patient’s open body cavity, wound or confined anatomic space where the hands or fingertips may not be completely visible at all times. This includes all doctors, dentists, midwives, and nurses, operating department assistants, paramedics and students/trainees, researchers in the above disciplines who may perform such procedures during the course of their work. It also refers to any other health care worker who carries out exposure prone procedures as part of their job. It is unethical for health care workers who know or believe themselves to be infected with any blood borne viruses (HIV, hepatitis B or C) to put patients at risk by failing to seek appropriate counselling or by failing to act upon it when given. Such behaviour may result in proceedings by your regulatory body, which may lead to the cessation of your ability to practice professionally. (Procedures where the hands and fingertips of the health care worker are visible and outside the patient’s body at all times and internal examinations or procedures that do not require the use of sharp instruments are not considered to be exposure prone. Routine infection control procedures must be adhered to at all times). If you are unsure whether or not your job involves exposure prone procedures please contact the Occupational Health department for advice. 282 Declaration for applicant to complete I declare that the information I have given is correct to the best of my knowledge. I consent to a clinical assessment, if required. I understand that the job offer is conditional subject to satisfactory occupational health clearance. I understand that if I have withheld information this may adversely affect efforts to place me in suitable employment and may lead to disciplinary action at a later date which may include dismissal. No confidential or personal health information will be released without my written permission. However, this does not include immunisation details, which can be made available to my employer. I agree that the Trust may process the information contained in this questionnaire for the purposes described above in accordance with the Data Protection legislation. Signed……………………………………Print Name…………………………Date…………………… FOR OCCUPATIONAL HEALTH USE ONLY Paper screening ONLY required For Medical with OH Physician YES / NO FSS12 Reason for Health Interview/Medical Fit for post For health interview with OHN Adviser Sign:……………….. …………….Date:………………… Fit for night work Needs vaccination review on commencement Fit for manual handling YES/NO/NR Needs to be on………………….Dept Surveillance programme YES/NO Documented evidence of Hepatitis B immunity supplied YES/NO/NR 283 Name:…………………….. Signed:…………………… KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST – FSS 13 FOOD SAFETY MANAGEMENT SYSTEM Dec 05 CATERING STAFF AGREEMENT TO REPORT ILLNESS We ask you to read and sign this document. We demand high standards from all our staff and visitors. Please comply with the following:1. 2. 3. 4. Protective clothing and headwear must be worn in the unit. It must be properly fastened Watches and jewellery should not be worn (except plain gold wedding rings) Hands must be washed after using the toilet and before entering the food area Any illness affecting the nose, throat, ears, skin, intestine or respiratory system must be reported to the Duty Supervisor or Catering Services Manager 5. Cuts, open sores, boils, pimples and other skin lesions should be properly and immediately treated and should be kept covered with blue food standard dressing at all times. Please ask for a dressing to be provided for your use. No smoking, chewing of gum or sweets, or spitting in the food rooms is permitted 6. Nail varnish or perfume is not permitted You must report immediately to the Duty Supervisor or Catering Services Manager if the following health problems occur:- 1. 2. 3. 4. 5. 6. 7. Suffered from sickness and/or vomiting, diarrhoea Skin trouble affecting hands/arms or face Boils, styes or septic fingers Discharge from eye, ear or gums/mouth If you suffer from recurring skin or ear trouble If you suffer from a recurring bowel disorder If you have contact with anyone at home or abroad who may be suffering from typhoid or paratyphoid PLEASE REMEMBER PERSONAL HYGIENE CAN HAVE A DIRECT EFFECT ON THE SAFETY OF OUR SERVICE I have read and understood this Hygiene Policy Statement. I have a copy for my personal records. Signed ……………………………………………………. Date ……………………………………… NAME IN BLOCK CAPITALS …………………………………………………………………………. A copy of this form will be retained on your personal file SIGNATURE OF SUPERVISOR …………………………………………. .. Date ……………………………………… 284 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST - FSS 13a FOOD SAFETY MANAGEMENT SYSTEM VISITORS NOTICE HYGIENE POLICY Welcome to Kettering General Hospital - Catering Department. Please sign our visitors book registering your presence on our site. We ask you to read and sign this document. We demand high standards from all our staff and visitors. Please comply with the following:1. Protective clothing and headwear must be worn in the unit. It must be properly fastened and not taken off site at any time. 2. Watches and jewellery should not be worn (except plain gold wedding rings and ear sleepers). 3. Hands must be washed after using the toilet and before entering food areas. 4. Any illness affecting the nose, throat, ears, skin, intestine or respiratory system must be reported to the catering staff member you have come to see. 5. Cuts, open sores, boils, pimples and other skin lesions should be properly and immediately treated and should be kept covered with blue food standard dressing at all times. Please ask and a dressing will be provided for your use. 6. Nail varnish or perfume is not permitted. Please answer the following:1. Have you now, or have you over the last seven days suffered from diarrhoea and/or vomiting? 2. At present are you suffering from: - skin trouble affecting, hands arms or face? - boils,styes or septic fingers? - discharge from eye, ear or gums/mouth? 3. 4. 5. Do you suffer from:- recurring skin or ear trouble? - a recurring bowel disorder? Have you ever had, or are you now known to be a carrier of, typhoid or paratyphoid? In the last 21 days have you been in contact with anyone at home or abroad, who may have been suffering from typhoid or paratyphoid? YES/NO YES/NO YES/NO YES/NO YES/NO PLEASE REMEMBER YOUR PERSONAL HYGIENE CAN HAVE A DIRECT EFFECT ON THE SAFETY OF OUR SERVICE I have read and understood this Hygiene Policy Statement. Failure to comply may result in Kettering General Hospital NHS Foundation Trust denying me and/or my company access to the site. SIGNED ………………………………………………………… DATE ………………………………….. NAME IN BLOCK CAPITALS ………………………………………………………………………..…… THIS FORM IS CONFIDENTIAL AND WILL BE DESTROYED AFTER 7 DAYS 285 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS14 GOOD HYGIENE PRACTICE FOR PEOPLE WORKING IN AREAS WHERE FOOD IS HANDLED 1. Wash and dry your hands: - before and after handling food, and - after going to the toilet. 2. Report any illness to management. 3. Do not work if you are suffering from diarrhoea and/or vomiting. 4. Do not handle food if you have scaly or infected lesions on your skin which cannot be totally covered during food handling. 5. Ensure cuts and abrasions on exposed areas are totally covered with a distinctively coloured waterproof dressing. 6. Do not spit in food handling areas. 7. Do not smoke in food handling areas. 8. Do not eat or chew gum in food handling areas. 9. Wear clean protective clothing, including adequate hair covering. 10. Ensure work surfaces and utensils are clean. Clean as you go. 11. Follow food safety instructions on packaging or those given by your Supervisor or those in the Food Safety System. 286 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 15 CLEANING CHECKLIST LOCATION: COLD PREPARATION AREA TASK Wash hand basin FREQUENCY Daily Glass/Wall Daily After use Robot Coupe After use Slicers After use Chopping boards Handles Refrigerator 1 Handles Refrigerator 2 Deep clean Refrigerator 1 Deep clean Refrigerator 2 Floor AM AM PM PM WEDNESDAY AM PM THURSDAY AM PM FRIDAY AM PM SATURDAY AM PM SUNDAY AM COMMENTS PM AM/PM Tables Waste Bin TUESDAY AM/PM Door/Handle Sink unit MONDAY Daily After use Daily Daily Weekly Weekly Am/PM PLEASE INITIAL IN THE APPROPRIATE CELL WHEN COMPLETED 287 Head of Production:_________________________ KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 16 ALLEGED FOOD POISONING INCIDENT FORM Date........................................................................ Time:...................................................... Name of person receiving complaint:....................................................................................................... Name of complainant: Home / Hospital .............................................................................................................................................................. .............................................................................................................................................................. .............................................................................................................................................................. Tel No............................................................ Details of symptoms: ............................................................................................................................. .............................................................................................................................................................. .............................................................................................................................................................. Date and time of onset: ......................................................................................................................... Details of food consumed: ....................... (Full history to be attached) ................................................................................................................... .............................................................................................................................................................. .............................................................................................................................................................. Details of other persons affected: .......................................................................................................... .............................................................................................................................................................. .............................................................................................................................................................. .............................................................................................................................................................. Summary of action taken: Notification to Head of Dept YES/NO Notification to E.H.O YES/NO Quarantine suspect food YES/NO Prepare incident file YES/NO Contact legal advisers / insurers YES/NO Written report YES/NO Investigation completed: Date:.................................................................... Time: ................................................................... Signed.......................................................................................... 288 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 17 HAND HYGIENE POLICY (Infection Control Policy 2 – included for information) Hand washing is a simple procedure, which if performed properly contributes more than any other single thing to the control of hospital-acquired infection. The majority of micro organisms are easily removed by washing with soap and water. When to wash hands Hands should be washed with soap and water before and after any direct contact with patients, especially:• • • • • • • • Before and after handling invasive devices e.g CVP lines, urinary catheter Before and after dressing wounds Before and after contact with immunocomprimised patients Before and after handling food After handling body fluid After removing gloves After using the toilet Before leaving the clinical area How to wash your hands • • • The use of elbow operated taps is recommended in clinical areas to avoid transferring organisms either to the clean hands when the tap is switched off or to the next person. Use of soap from a supplied dispenser, bar soap is not recommended as this can become heavily contaminated with micro organisms. Wet hands before applying soap. This helps reduce contact with harsh chemicals that can damage the skin. 289 INFECTION CONTROL IN YOUR HANDS 1. Massage palm to palm 2. Rub right palm over left dorsum and vice versa 3. Rub palm to palm with fingers interlaced 4. Massage backs of fingers in opposing palm with fingers interlocked. 5. Rotate right thumb clasped in left palm and vice versa 6. Rotate fingers of left hand in right palm and vice versa 290 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 18 REQUEST TO USE “OUTSIDE CATERERS” ON NHS PREMISES TO BE COMPLETED BY PERSON ORGANISING THE MEETING Name ………………………………………………………………………………………………… Date food services required ……………………………Venue ………………………………. TO BE COMPLETED BY THE CONTRACTOR 3 1 Name of contractor …………………………………………………………… 2 Are you registered with the local Environmental Health Department? Yes/No Have you been served with any improvement or Emergency Prohibition Notices or been prosecuted for food hygiene offences in the last 2 years, served by an Environmental Health Officer? Yes/No If yes, indicate the problem ………………………………………………………………………………………………. ………………………………………………………………………………………………. 4 Indicate what procedures you have in place to ensure food safety/quality of food. If necessary, demonstrate your operational policies ………………………………………………………………………………………………. ………………………………………………………………………………………………. 5 Indicate what procedures you have in place to control the safety of equipment you may wish to use within the Trust’s premises ……………………………………………………………………………………………….. ……………………………………………………………………………… 6 Are you willing to allow access to your premises? ………………………………………………………………………………………………... Please delete as appropriate To be sent to:Head of Facilities Glebe House Kettering General Hospital NHS Foundation Trust Rothwell Road Kettering, Northants NN16 8UZ 291 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 19 HACCP CONTROL SHEET FOR MONITORING HACCP CONTROL DOCUMENTS NO Fr LOCATION A D KITCHEN PRODUCTION CONTROL SHEET B D GALLEY KITCHEN PROD CONTROL FORM C W KITCHEN SIGNATURE SHEET D.1 W KITCHEN CLEANING CONTROL FORM D.2 W KITCHEN CLEANING COLD PREP AREA E D REST SERVERY CONTROL FORM BREAKFAST F D POST GRAD SERVERY CONTROL FORM G D DIET BAY PRODUCTION CONTROL FORMS H D DIET BAY FOOD SERVICE RECORD 1 W FRIDGE VEG PREP ROOM 2 W FREEZER – DIETS – MAIN KITCHEN 3 W FRIDGE – DIET BAY 4 D ROBOT COUPE BLENDER 5 D FREEZER – DIET BAY 7 W FREEZER – DIETS – MAIN KITCHEN 8 W FRIDGE S/W ROOM 9 W WOODLEY TEMPERATURE CONTROL 10 W FREEZER (ICE CREAM) TUNNEL 11 W ASPENS – S/W FRIDGE 14 W RESTAURANT SALAD BAR X 2 20 W FRIDGE BEHIND SERVERY 22 D FUNCTION TEMPERATURE SHEETS 27 W TREATMENT CENTRE 28 W YOGHURT & CAKE CHILLER 29 W FREEZER – VEG PREP ROOM 30 W FREEZER – VEG PREP ROOM 31 W RESTAURANT S/W CHILLER 32 W BLAST CHILLER 34 W MEAL REPLACEMENT PACK FRIDGE RESPONSIBILITY OF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF REST SUPERVISOR REST SUPERVISOR HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF HEAD CHEF BELT SUPERVISOR ASPENS SUPERVISOR REST SUPERVISOR REST SUPERVISOR HEAD CHEF REST SUPERVISOR REST SUPERVISOR HEAD CHEF HEAD CHEF REST SUPERVISOR HEAD CHEF HEAD CHEF Signed 292 WEEK ENDING FSS No M T W 1 2 24 21 15 5E 5F 3DB1 & DB2 DB4 2 2 2 22B 2 2 2 2A 2 2 2 2 10 2 2 2 2 2 4 2 T F S S SIGN ACTION KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 20 CLEANING DUTIES SCHEDULE - CPU CHEFS Frequency Task KITCHEN PORTER By whom Frequency Task By whom Daily Bratt pan 1 Both shifts Daily Floor (evening) sweep, wash Porters/chefs Daily Bratt pan 2 Both shifts Daily Drains Porter Daily Boiling kettle 1 Both shifts Daily Vegetable preparation room Porter Daily Boiling kettle 2 Both shifts Daily Tunnel Porter Daily Floors (midday) Both shifts Weekly/daily Diet bay Diet chefs Weekly/daily Pastry room Pastry chef Weekly Convotherm oven 1 Early shift Weekly Tin room Porter Weekly Convotherm oven 2 Early shift Weekly Hygiene trap Porter Weekly Convotherm oven 3 Early shift Weekly Vegetable preparation fridges & freezers Porter Weekly Pastry oven Late shift Weekly Porters room Porter Weekly Deep clean solid top Both shifts Weekly Tops and sides of oven and equipment Porter Weekly Deep clean gas burner Both shifts Weekly Regen oven Late shift Weekly Blast chiller Late shift Head of Production ____________________________ 293 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 21 SIGNING OFF SHEET – CLEANING DUTIES SCHEDULE - CPU Frequency Equipment Daily BRATT PAN 1 Daily BRATT PAN 2 Daily BOILING KETTLE 1 BOILING KETTLE 2 FLOORS – MIDDAY Robo Coupe Blender Diet Bay Daily Daily Daily Weekly / Daily Weekly / Daily Weekly Pastry Room Convo Oven 1 Weekly Convo Oven 2 Weekly Convo Oven 3 Weekly Regen Oven Weekly Pastry oven Shift MONDAY TUESDAY WEDNESDAY E L E L E L E L E L E L Diet Chef Pastry Chef E L E L E L L L E L Head of Production 294 THURSDAY FRIDAY SATURDAY SUNDAY KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 21 SIGNING OFF SHEET – CLEANING DUTIES SCHEDULE - CPU Frequency Equipment Daily BRATT PAN 1 Daily BRATT PAN 2 Daily BOILING KETTLE 1 BOILING KETTLE 2 FLOORS – MIDDAY Robo Coupe Blender Diet Bay Daily Daily Daily Weekly / Daily Weekly / Daily Weekly Pastry Room Convo Oven 1 Weekly Convo Oven 2 Weekly Convo Oven 3 Weekly Regen Oven Weekly Pastry oven Shift MONDAY TUESDAY WEDNESDAY E L E L E L E L E L E L Diet Chef Pastry Chef E L E L E L L L E L Head of Production 295 THURSDAY FRIDAY SATURDAY SUNDAY KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM - FSS22a CLEANING INSTRUCTIONS FOR ROBOT COUPE 1. Clean immediately after use 2. Place the bell in a bucket of hot water and sanitiser 3. Switch the machine on for a few seconds to clean the bell 4. Disconnect the power and clean the metal shaft, with fresh sanitiser solution, immerse for a minimum of 2 minutes 5. Rinse under running water 6. Air dry by placing on a clean rack 7. Complete the cleaning form (if equipment has not been used – state on form) 296 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS22b ROBOT COUPE BLENDER CLEANING CONTROL FORM - CPU WEEK ENDING DATE ……………………………………………………………… THE BLENDER HAS BEEN CLEANED ACCORDING TO THE WRITTEN INSTRUCTIONS PRODUCT BLENDED TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY 1. 2. 3. 4. 5. Clean immediately after use Place the bell in a bucket of hot water and sanitiser Switch the machine on for a few seconds to clean the bell Disconnect the power and clean the metal shaft, sanitiser and rinse under running water Complete the cleaning form (if not used then state on this form) 297 SIGNATURE KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FSS 23 FOOD SAFETY MANAGEMENT SYSTEM – FSS 23 PORTERS DAILY CLEANING DUTIES SCHEDULE – CPU WEEK ENDING ____________________________________________________________________ AREA CLEANING TASK EARLY LATE FREQUENCY DAILY DUSTBINS EMPTY WASH EQUIPMEN T Early MAIN KITCHEN OVENS ALL SALAD ROOM BLAST CHILLER FRIDGES SHELVING Early Weekly Early Weekly Weekly MAIN KITCHEN TUNNEL MAIN KITCHEN CLEANING CUPBOARD MAIN KITCHEN PASTRY ROOM POT STORE RACKING SALAD ROOM TROLLIES SWEEP & MOP “ “ “ “ “ “ Late Late Late WEEKLY Late ALL DAILY DAILY WEEKLY ROTATE Late WEEKLY ROTATE Early Weekly Early Early Weekly Weekly Early Early Early Early Weekly Weekly Weekly Daily 298 COMPLETED MON TUES WEDS THURS FRI SAT SUN KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 24 KITCHEN DAILY CLEANING SIGNATURE SHEET Week commencing __________________________________________________________________________ I confirm that the kitchen has been left in accordance with the daily cleaning schedule DAY Time Signed off Signed by MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY 299 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FSS 25 FOOD SAFETY MANAGEMENT SYSTEM PATIENT MEAL DELIVERY SERVICE DELIVERY PORTER ………………………………………………………………………………….. DATE …………………………………………….. LUNCH SUPPER WARD TARGET ACTUAL SIGNATURE WARD TARGET ACTUAL SIGNATURE ARRIVAL TIME LABOUR GYNAE POPLAR ROWAN FOTHERINGHAY ASHTON LILFORD HARROWDEN A HARROWDEN C DEENE A DEENE B DEENE C CCU / CCCU BARNWELL B BARNWELL C CLIFFORD ALTHORP MAU SPENCER NASEBY A NASEBY B LAMPORT TWYWELL A M LEE H C PRETTY A H C PRETTY B 11.45-12.00 12.00-12.15 12.00-12.15 12.00-12.15 12.05-12.20 12.05-12.20 12.05-12.20 12.15-12.30 12.15-12.30 12.25-12.40 12.25-12.40 12.25-12.40 12.40-12.55 12.40-12.55 12.45-13.00 12.47-13.02 12.49-13.04 12.50-13.05 12.50-13.05 13.00-13.15 13.00-13.15 13.05-13.20 13.05-13.20 13.10-13.25 13.10-13.25 13.10-13.25 LABOUR GYNAE POPLAR ROWAN FOTHERINGHAY ASHTON LILFORD HARROWDEN A HARROWDEN C DEENE A DEENE B DEENE C CCU / CCCU BARNWELL B BARNWELL C CLIFFORD ALTHORP MAU SPENCER NASEBY A NASEBY B LAMPORT TWYWELL A M LEE H C PRETTY A H C PRETTY B 300 16.10-16.25 16.20-16.35 16.20-16.35 16.20-16.35 16.25-16.40 16.25-16.40 16.25-16.40 16.35-16.50 16.35-16.50 16.45-17.00 16.45-17.00 16.45-17.00 16.35-17.10 17.00-17.15 17.00-17.15 17.02-17.17 17.04-17.19 17.06-17.21 17.06-12.21 17.15-17.30 17.15-17.17 17.20-17.35 17.20-17.35 17.25-17.40 17.25-17.40 17.25-17.40 1. KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM CLEANING / REFILLING DEEP FAT FRYERS Make sure fryers are switched off 2. Make sure oil in fryers is cold, use a probe to check the temperature 3. Get two buckets and a draining pipe 4. Remove baskets and tray 5. Lift elements and lock into place 6. Place bucket under draining pipe 7. Place draining pipe in the hole, which is on the front of the fryers on the right hand side and lock on, check that the draining pipe is secure 8. Pull back lever, which is on the left hand side at the front of the fryers, to the right 9. Drain oil, making sure oil is draining into bucket. Do not overfill buckets (2” from the top) 10. When buckets are full (2” from the top), remove to a safe place not spilling on the floor 11. Pull black lever back into place 12. When empty you will need a rubbish bag and a spoon 13. Remove all breadcrumbs etc from bottom of fryers and place in a rubbish bin 14. When fryers are completely empty of oil and breadcrumbs etc, spray with degreaser and wipe down all areas 15. Remove draining pipe 16. Dry out with a blue cloth 17. Replace elements, tray and baskets 18. Fill fryers with oil. Two containers of oil in each 19. Check floor for any spillages and clean 20. Switch fryer on if required 21. Using a funnel pour dirty oil back into the containers that the clean oil came from 22. Dispose of dirty oil in containers in the rubbish compound 301 FSS26 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FSS27 FOOD SAFETY MANAGEMENT SYSTEM ASPENS DAILY CLEANING SCHEDULE Regular cleaning thro day * Task to complete Initial Use a clean cloth and sanitiser for all cleaning tasks 1 Wipe out all chiller units before refilling with stock *2 Empty and wash out coffee machine capsule inserts *3 Wipe outside of coffee machines 4 Empty and wash out bins underneath machines insert new liner *5 Empty large waste bin, replace with new bin liner. Wipe over inside *6 Wipe over all counters, including underneath condiment containers *7 Wipe all stainless steel sides and bar rails *8 Wipe over all tables, breakfast bar and all chairs *9 Keep soup kettle and tray clean at all times *10 Clean hand wash sink, wipe surrounding area *11 Empty and wipe over stainless steel pedal bin *12 Wipe over all customer trays 13 Wipe over tea and coffee containers 14 Change condiment containers, replenish into clean ones *15 Check and wash down high chair before and after customer use 16 Wipe out all storage cupboards, rotating all stock 17 Keep cleaning cupboard clean and tidy 18 Sweep floor, damp mop whole area 302 FSS 28 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM MEAL REPLACEMENT PACKS DATE KEY C N S V - WARD REASON FOR ISSUE MRP TYPE TIME Child Normal Soft Vegetarian 303 ORDERED BY WARD STAFF NAME DELIVERED TO WARD - STAFF NAME FSS29 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM BLAST CHILLER OPERATING INSTRUCTIONS DIGITAL DISPLAY INTERNAL PROBE Running Time 0:00 1 On/Off 2 Start ? oC Temp of food being probed 3 Set 4 5 P1 1 ½ hour timed programme P2 Dense product programme 6 Time/probe Defrost ֠ Alarm Switch on Blast Chiller 30 minutes prior to use Press button 1 You should now see 0:00 on the digital display Hold button 3 in whilst you press button 4 Press button four to select the programme you require P1 or P2 Press button 2 The chiller should now start Prepare food to be blast chilled Portion Food into clean shallow container (do not cover) The depth of the food should be a maximum of 2” or 50mm Load chiller leaving 2” or 50mm gap between each container Sanitise chiller probe then position into one tray of food Record time and temperature of food at the start of chilling Close door Blast chill to less than 3 oC in 90 minutes With a hand held kitchen probe check temperature of foods before removing from cabinet, if at the desired temperature, then complete ‘after chilling’ Temperature Records Remove food, cover, date and label it Transfer to a refrigerator or holding room 304 Programme P1 = Timed 1 ½ hour programme which stops at the end of the programme and alarm sounds. Press button 6 to mute alarm. Food should be removed and refrigerated at the end of programme Programme P2 = Continuous programme that will hold food at the desired temperature until food is removed. Ideal for dense products such as meat joints. Programme P3 = Not used 305 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM DAILY CLEANING LIST – BELT Week beginning:- Monday Tuesday Clean washroom floors, top & bottom of machine, and where bins are kept Clean inside flite machine, hose down the curtain; remove all food debris Remove both sets of jets and clean both of them Clean under flite machine, remove all food debris Empty all bins, including office and hand wash room Clean curtains, remove all dried on food stains Wipe down plate lowerators & put lids through flite machine Clean tray from inside the belt Clean belt room and trolley park floor (Porters) Signed by Supervisor on completion 306 Wednesday Thursday Friday Saturday Sunday KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM WEEKLY CLEANING LIST – BELT Week beginning:- Monday Tuesday Clean all coloured cups Deep clean food trolleys Descale all bain-maries Clean trolley stands Clean blue and grey bins Signed by Supervisor on completion 307 Wednesday Thursday Friday Saturday Sunday FSS 32 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM POST GRADUATE MEDICAL EDUCATION CENTRE AREA: ________________________F (POST GRAD SERVERY) DATE: ________________________ MENU ITEM START SERVICE TEMP ºC Key food safety points : Hot food above 63°C Cold foods below 8°C Head of Production: 308 TIME END SERVICE TEMP ºC TIME SIGNED KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 33 INTERIM ASPENS HOT PIE CABINET TEMPERATURE RECORDING SHEET DATE: Time Batch 1 °C Time °C Time Batch 2 °C Time °C Minced beef & onion pie Steak & kidney pie Chicken & mushroom pie Cheese & onion pie All steak pie Meat & potato pie Sausage roll Cornish pasty KEY FOOD SAFETY POINTS • Check and record the temperature of all foods on receipt, all temperatures must be above 82°C • Check and record the temperature after 1 hour • Discard any food with a core temperature below 75°C • Check core temperatures with a clean probe 309 Time °C Batch 3 Time °C KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM ASPENS HOT PIE CABINET TEMPERATURE RECORDING SHEET DATE: Batch 1 Sent Batch 2 Discarded Sent Batch 3 Discarded Sent Discarded Minced beef & onion pie Steak & kidney pie Chicken & mushroom pie Cheese & onion pie All steak pie Meat & potato pie Sausage roll Cornish pasty KEY FOOD SAFETY POINTS • Check and record the temperature of all foods on receipt, all temperatures must be above 82°C • Check and record the temperature after 1 hour • Discard any food with a core temperature below 75°C • Check core temperatures with a clean probe Head of Production: ____________________________ 310 KETTERING GENERAL HOSPITAL NHS FOUNDATION TRUST FOOD SAFETY MANAGEMENT SYSTEM – FSS 34 BAGUETTE TEMPERATURE CONTROL SHEET – RESTAURANT DATE: Temperature Time °C Yes No Removal from chilled holding After 2 hours in chilled cabinet After 4 hours in chilled cabinet After 6 hours in chilled cabinet Are all fillings in date FILLINGS DISCARDED REASON KEY FOOD SAFETY POINTS • Check and record the temperature of all foods on receipt, all temperatures must be below 5°C • Discard any food with a core temperature above 5°C • Check core temperatures with a clean probe • Once opened all fillings should be used within 3 days or disposed of 311
© Copyright 2026 Paperzz