22 November 2022 and 21 December 2022
During a routine inspection
We have not previously rated this service. We rated it as good because:
- The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
- Staff provided good care and treatment and managed pain effectively. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- The service planned care to meet the needs of people and gaps in care in the region. Staff took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
- Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the wider healthcare community to plan and manage services and all staff were committed to improving services continually.
However:
- Audits identified a need for more consistent assurance of consultant compliance with the UK General Data Protection Regulations (GDPR).
- Coordinated and shared fire safety practise with other organisations in the building were inconsistent, although local arrangements reflected good practice. It was not evident the service had resolved concerns raised during a fire safety building inspection.
- While most of the hospital was fully compliant with national requirements for the clinical environment, some areas included carpets and soft furnishings, which were non-compliant. However, the service had risk mitigation in place for this.