Spire Regency Hospital

Updated 11 February 2022

Spire Regency Hospital is operated by Spire Healthcare Limited and located in Macclesfield, Cheshire. The hospital provides a range of elective inpatient and day case surgical procedures for NHS and private fee paying adult patients, including general surgery, orthopaedic surgery, ophthalmology, ear, nose and throat (ENT) surgery and some spinal and vascular surgery.

The hospital has two operating theatres that operate three theatre sessions per theatre, six days per week. The Byron suite (inpatient ward) has capacity to accommodate 18 patients in ensuite single rooms and is open 24 hours per day, seven days week. The Coleridge ward has capacity to accommodate six patients in individual rooms and is mainly used for day case patients.

The hospital provides a range of outpatient services for adults. Patients under 16 years of age can attend outpatient consultation appointments only. If these patients require any further care or treatment, they are referred to another of the provider’s hospitals.

The hospital provides day case endoscopy services and is in the process of building a new endoscopy and minor operations (EMO) suite. This is expected to be in place by the end of January 2022. Whilst the refurbishment work is completed, all endoscopy procedures have been carried out in the main theatres by the existing theatre staff. Endoscopy procedures are undertaken typically four days per week.

The diagnostic imaging department at the hospital provides a comprehensive range of diagnostic services for patients including general X-ray, computerized tomography (CT) scans, magnetic resonance imaging (MRI), bone density (DEXA) scanning, ultrasound and mammography.

Spire Regency Hospital has been registered since July 2016. The hospital was previously registered with CQC under a different provider since October 2010.

The hospital director has been the registered manager for the service since August 2018.

The service is registered to provide the following regulated activities:

• Diagnostic and screening procedures
• Surgical procedures
• Treatment of disease, disorder or injury

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.

We previously inspected Spire Regency Hospital during October 2016. The report was published February 2017. We rated the hospital as good overall, with an overall rating of good for surgery and the outpatient and diagnostic services. We inspected but did not rate medical care services as part of the inspection. There were no regulatory breaches identified during the inspection.

Updated 11 February 2022

Our rating of this service stayed the same. 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, 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. Most 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:

In Surgery;

• The surgical services did not achieve national standards for waiting times from referral to treatment. However, they had undertaken actions to improve this.
• The service had suspended some quality monitoring and audit activities due to COVID-19 pressures.
• The environment across the surgical wards and theatre areas was not always dementia friendly.

In Medical Care;

• The service had not installed a double sink for the process of endoscope decontamination. Although this was a temporary measure it was not in line with their own endoscopy policy.
• The new endoscopy pathway recording booklet was completed inconsistently.
• Chemical substances were not always stored in a lockable storage cupboard or sink in the decontamination room.

In Outpatients;

• The process for monitoring maintenance of equipment was not embedded and one of the fridges was not included in daily routine checks. The service level agreement for the ophthalmic laser was past the date for review, at time of inspection, however; renewed when highlighted.
• The service did not capture re-booking information following a cancellation or when a patient did not attend (DNA).The service had not embedded care for all patients with a protected characteristic such as a mental health need.

Updated 11 February 2022

Medical care services were a small proportion of hospital activity. This included endoscopy. The main service provided by this hospital was surgery. Where arrangements were the same, we have reported findings in the surgery section.

Due to the nature of the service provided and the limited activity at the time of our inspection we did not have enough evidence to rate medical care at the hospital.

Updated 11 February 2022

Diagnostic 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, caring, responsive and well-led. We inspect but do not rate effective for diagnostic imaging.

Updated 11 February 2022

Outpatients 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, responsive and well-led. We inspect but do not rate effective for outpatients.

Updated 11 February 2022

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.

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