25 May 2023
During a routine inspection
We rated it as requires improvement because:
- The service did not ensure all single use consumables were in date. We found 57 microlance 3 needles which were out of date.
- The service did not ensure all the policies were version controlled and dated.
- Leaders did not run services well or support staff to develop their skills.
- At the time of inspection we did not see evidence of a medication audit trail.
- Medication strips we saw had been removed from the original packaging and placed inside a white box. The box had handwritten information on it.
- There was a lack of understanding and assurance that the risk register had been embedded into practice and was being monitored.
However:
- The service had enough staff to care for patients and keep them safe. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records.
- Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions.
- People could access the service when they needed it and did not have to wait too long for treatment.
- Staff were focused on the needs of patients receiving care. The service engaged well with patients to plan and manage services.