25-26 January 2022
During a routine inspection
This is the first time we have inspected this service. We rated it as requires improvement because:
We inspected and rated the diagnostic imaging service as good in all domains. The children and young people’s service was not actively being delivered at the time of the inspection however we inspected and rated safe and well led, we rated safe as inadequate and well led as requires improvement and requires improvement overall. We inspected but only rated well led in outpatients due to insufficient evidence because of the nature of the service provision. However, we rated well led as inadequate. We deviated from the aggregation rules and rated the service as requires improvement overall.
We found that;
In diagnostic imaging services
- The service controlled infection risk well. Staff assessed risks to patients. The service managed safety incidents well and learned lessons from them.
- Staff provided good care and treatment. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, 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, and helped them understand their conditions. They provided emotional support to patients, families and carers.
- 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. All staff were committed to improving services continually.
In Children and Young people’s services;
- The service did not have enough staff trained to care for children and young people and keep them safe.
- Staff did not have training in key skills including paediatric life support at the time of the inspection.
- The service did not plan care to meet the needs of local people or take account of patients’ individual needs this included children and young people or make it easy for them to raise concern.
- The service was not focused on the additional needs of children and young people attending the service.
However,
- They controlled infection risk well. The service managed safety incidents well and learned lessons from them.
- The provider informed us following the inspection that all staff had now been trained in paediatric basic life support.
In outpatients;
- There was no clear evidence that the provider had an effective system in place to ensure the effective identification and management of potential risks and quality performance of the Outpatient services.
- Managers did not actively monitor the effectiveness of the service.
However;
- The service controlled infection risk well. The service reviewed safety incidents well and learned lessons from them. They made sure staff were competent.