Archived: Spire Sussex Hospital

Updated 9 May 2017

The Spire Sussex  Hospital is a purpose built building co-located with the Conquest Hospital, part of East Sussex Healthcare NHS Trust. It is operated by a parent company, Spire Healthcare Limited. It opened originally as part of the BUPA group in 1997 and was named Spire Sussex  Hospital when the group was rebranded in 2007 as Spire Healthcare.

The hospital primarily serves the communities of the Hastings and East Sussex and West Kent area. It also accepts patient referrals from outside this area. The hospital is situated on the outskirts of Hastings and serves a mixed urban and rural area which includes some areas of social deprivation. Services are provided to NHS patients, and private patients who maybe insured or who self-pay to cover the costs of their treatment.

The hospital currently provides services to adults only. It stopped providing children’s services in July 2016, and stopped services for young people from September 2016. It offers outpatient and inpatient services for a range of specialities including Orthopaedics, Ophthalmology, Gynaecology, Urology, Ear, Cosmetic and general surgery. Additional services offered on an outpatient basis include Rheumatology, Dermatology and Cardiology. These services are supported by on-site physiotherapy and diagnostic imaging departments.

The hospital has been registered with the CQC to carry out the following regulated activities since November 2010:

• Family Planning

• Diagnostic and screening procedures

• Surgical procedures

• Treatment of disease, disorder and injury

The hospital has had a registered manager, also the matron, in post since August 2015. The current designated controlled drugs accountable officer (CDAO) has been in post since July 2015 and who is also the hospital director. Spire Healthcare Limited has a nominated individual.

The hospital has been inspected once before in October 2013 which found that the hospital was meeting all standards of quality and safety it was inspected against. We have not yet inspected or rated this service using our new methodology. There were no special reviews or investigations of the hospital ongoing by the CQC at any time during the 12 months before this inspection.

Updated 9 May 2017

Spire Sussex Hospital is operated by Spire Healthcare Limited. The hospital has 29 beds. Facilities include two operating theatres X-ray, outpatient and physiotherapy departments.

The hospital provides surgery and outpatients and diagnostic imaging. We inspected both of these core services.

We inspected this service using our comprehensive inspection methodology. We carried out the announced part of the inspection on 19 and 20 December 2016 along with an unannounced visit to the hospital on 5 January 2017.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The main service provided by this hospital was surgery. Where our findings on surgery for example, management arrangements, also apply to other services, we do not repeat the information but cross-refer to the surgery core service.

Services we rate

We rated this hospital as outstanding overall, and we rated caring, responsive and well–led as outstanding. This was because:

• People were truly respected as individuals and supported to be involved in their care. There was a strong focus on maintaining the privacy and dignity of patients. Patients’ feedback about the quality of care and their experience was overwhelmingly positive.

• Patients received a service that was tailored to meet their needs. There were systems that ensured patients with special needs, such as those living with dementia, received appropriate care although these accounted for a small proportion of patients seen.

• Patients could access care and treatment promptly at a time that suited them.

• Complaints were taken seriously and were investigated and responded to within agreed timescales. Changes to the service were made as a result of complaints

• The hospital management team worked collaboratively with commissioners and a co-located NHS hospital to ensure the needs of the local population were met. The management team were proactive in developing services, such as the installation of an MRI scanner to meet local needs.

• The vision and values were understood and well embedded in staff’s daily work. Staff felt supported by a leadership team that inspired them and who were credible and visible. Staff were proud to work at the hospital and there were high levels of satisfaction across all staff groups. Staff felt involved in the running of the hospital on a day to day level and in major projects.

• A safe and high quality service was assured through robust governance structures that proactively reviewed performance, identified areas of risk or emerging concern and made arrangements to mitigate these risks and drive improvement .

• There were innovative approaches to gather feedback from patients and actions to improve services were made as a result of such information.

We rated safe and effective as good. This was because:

• Data demonstrated a good track record in safety. There were clearly defined systems to report, investigate and learn from incidents and when things went wrong, and the duty of candour was enacted.

• There were sufficient numbers of staff with the necessary skills, experience and qualifications to meet patients’ needs. There was a programme of mandatory training in key safety areas which all staff completed and systems for checking staff competencies and for identifying and meeting staff’s training needs.

• There were systems and processes for recognising and reporting potential abuse, for preventing and controlling infection and for managing medicines which were consistently applied by staff.

• Care was planned and delivered in line with current standards and best practice. There were audit arrangements to provide assurance of this and systems to review new guidance and oversee its implementation.

• Patients had access to a full range of health care professionals who worked together as an integrated team to meet patients’ needs. Staff could access patients’ records and other clinical information when it was required. There were systems to follow up patients after discharge and to liaise with their GPs.

• Patients consented to their treatment in line with relevant legislation, including those who may lack capacity to make decisions for themselves.

Following this inspection, we told the provider it should make some improvements, even though a regulation had not been breached, to help improve the service.

Professor Edward Baker

Deputy Chief Inspector of Hospitals (South)

Updated 9 May 2017

We rated this service as outstanding because people were protected from avoidable harm and abuse and there were systems for reporting and learning from safety incidents. Patients received care and treatment that was based on current national guidelines from staff who were competent to do their jobs. Patients were valued as individuals and their dignity was truly respected. Feedback from patients was unfailingly positive. Patients could access care and treatment in a timely way and there was flexibility around timing of appointments. The individual needs of patients were recognised and arrangements made to meet them. The leadership was robust and visible, with a focus on providing a safe service that met the needs of the patients. There were robust governance arrangements that gave adequate assurance and which drove improvement. Staff demonstrated the organisation's values through their work.

Updated 9 May 2017

Surgery was the main activity of the hospital. Where our findings on surgery also apply to other services, we do not repeat the information but cross-refer to the surgery section. We rated this service as outstanding because patients were protected from abuse and avoidable harm and received care and treatment that reflected best practice guidance from competent staff. Patients were treated as partners in their care, and valued as individuals which protected their dignity and privacy. Patients’ feedback was overwhelmingly positive. Services were  tailored to individual needs and there was flexibility to ensure patients choices and preferences were respected. The management team were focused on the delivery of safe and effective care, and there were robust governance arrangements used to drive service improvement. All staff showed an appreciation of the hospital’s values and this was demonstrated in their daily work.