Spire Dunedin Hospital

Updated 19 May 2022

Spire Dunedin Hospital is a purpose-built private hospital managed by Spire Healthcare. The hospital provides care for private patients who are either covered by their insurance companies or are self-funding. Patients funded by the NHS, mostly through the NHS referral system can also be treated at Spire Dunedin Hospital.

The hospital has 16 private rooms, each with en-suite facilities, TV and Wi-Fi, and 8 day case beds. There are two operating theatres, both of which are laminar flow theatres for orthopaedic surgery. There is an on-site pharmacy which is open 8am to 4pm, Monday to Friday; there is also a restaurant for staff, as well as free car parking and a garden with tables and chairs, for warmer months. Patients were served in their room and visitors were also accommodated with refreshments.

The services include, but are not limited to, orthopaedics, gynaecology, general surgery, urology and ophthalmology. All patients are admitted and treated under the direct care of a consultant and medical care is supported 24 hours a day, seven days a week by an onsite resident medical officer (RMO). Patients are cared for and supported by registered nurses, healthcare assistants and allied health professionals such as physiotherapists who are employed by the hospital. At the time of our inspection, there was a hospital director and interim director of clinical services.

We last inspected the service in 2016.

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 service.

Updated 19 May 2022

Our rating of this location  stayed the same 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 collected safety information and used it to improve the service.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. 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. 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.
• 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. 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

However:

• We found several pieces of diagnostic imaging equipment that did not have visible servicing or electrical testing safety stickers on them, so staff could not be assured of their safe use.
• The service did not always have clear overview of equipment safety and maintenance for equipment in the outpatients clinics.
• Staff in outpatients did not always dispose of medical waste appropriately.

Updated 19 May 2022

Medical Care is a small proportion of hospital activity. The main service was Surgery. Where arrangements were the same, we have reported findings in the Surgery section.

We rated this service as good because it was safe, effective, caring, responsive and well-led.

Updated 19 May 2022

Children and young people’s services is a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, caring and responsive and well-led. We did not rate the effective domain.

Updated 19 May 2022

Diagnostics and Imaging is a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, effective, caring and responsive and well led.

Updated 19 May 2022

Outpatients was a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, effective, caring and responsive, and well led.

Updated 19 May 2022

Our rating of this service stayed the same. We rated it as good because it was safe, effective, caring, responsive and well led.