Background to this inspection
Updated
8 December 2022
SpaMedica Gloucester is operated by SpaMedica Ltd. The service offers cataract surgery for NHS funded patients.
In the 12 months before our inspection (October 2021 to September 2022), the service performed 3158 operations.
The clinical services are provided on the first floor of a shared building. The location had two distinct wings, one for assessment and administration, and one which contained the theatre suite.
The service did not treat children.
The service is registered to provide the following regulated activities:
• Diagnostic and screening procedures
• Surgical procedures
• Treatment of disease, disorder and injury
At the time of our inspection the registered manager had been in post for almost 2 years. During our inspection the service was being supported by the area manager and a neighbouring service manager, due to unplanned absence of the registered manager.
This is the first time we have inspected and rated this service. We inspected this service using our comprehensive inspection methodology. We carried out a short notice announced inspection on 01 November 2022.
To get to the heart of the patients’ experience we ask the same five questions of all services: are they safe, effective, caring, responsive to people’s needs and well led.
The main service provided by this hospital was surgery.
Updated
8 December 2022
We have not previously inspected the service. We rated it as outstanding 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 care and treatment based on national guidance and evidence based practice. Managers monitored the effectiveness of the service which consistently achieved good outcomes for patients. Outcomes for patients were significantly better when comparing to the national average. Managers made sure staff were competent in their roles. Staff worked well together for the benefit of patients, provided advise and information on living well and supported them to make decisions about their care. Key services were available seven days a week.
- 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. There was a strong patient-centred culture and staff created a welcoming and safe environment for their patients. Patients were overwhelmingly positive about how staff treated them.
- The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback which was consistently positive. 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 community to plan and manage services and all staff were committed to improving services continually.