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Based on the album title alone, I was expecting some über gore-Death played at warp speed with a vocalist literally puking his words, but Cleaning the Infirm is actually more... "disciplined" than that.  The vocals are quite guttural, but not the "burp style" I was expecting, Banishment's vocalist favouring a more "standard" Death growl style, so no complaint there.  The music itself is a mix of fast-paced Death Metal, more or less New York DM style - fast but not insanely fast to the point of all sounding the same, and a good amount of more mid-paced parts that give the album a bit of character, the band escaping the trap of sameness by changing the tempo often enough to keep the listener interested, and preventing this from getting too monotone.  Things get a hell of a lot more melodic in the second half of the closing track "Scourge Under Imperial Treachery", the take-no-prisoners style of the previous material being replaced by something closer to an apocalyptic type of atmosphere - this doesn't last very long, but it's different enough from the rest of the album to make an impression.

Cleansing the Infirm doesn't revolutionize Death Metal - it's a good blend of old school and newer Death Metal (but steering clear of core-ish gimmicks, fear not) that gets the job done.  Not exactly the most memorable material, and the album suffers a little bit from that - it's good while it lasts, but once it's over I found I didn't retain much more than a couple of passages (which is more than I can say of a good number of albums, mind you.)  But your mileage may vary on that one.