Victoria Hospital

Updated 25 April 2017

Standard Health Ltd provides orthopaedic day case surgical procedures and an outpatient service one day a month at Victoria Hospital which is (the host hospital). The service was registered in 2011. The registered manager is Mr Gorav Datta. The service primarily serves the communities of the south coast of England. It also accepts patients’ referrals from outside this area.

The service is registered to provide the following regulated activities:

• Diagnostic and screening procedures

• Surgical procedures

• Treatment of disease, disorder, or injury

We last inspected the service in 2014 and there was one outstanding requirement for complaint. The provider sent us an action plan to show action taken to become compliant. We carried out an announced inspection of the service on 5 December 2016.

Updated 25 April 2017

Standard Health Ltd is registered with the Care Quality Commission and provides orthopaedic day case surgical procedures on average one day a month at Victoria Hospital which is herein referred to as the host hospital. This Standard Health service is provided at the Victoria Hospital which is part of Dorset Healthcare University Foundation Trust (DHUFT) through a service level agreement.

We carried out a routine announced inspection on the 5 December 2016, as part of our national programme to inspect and rate all independent providers. We inspected the core service of surgery as this is the main activity carried out at this location by the provider Standard Health Ltd.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection we took account of how the provider understood and complied with the Mental Capacity Act 2005.

The service provided by Standard Healthcare at this location was Orthopaedic day case surgery. Services were provided under a service level agreement with the host hospital. Some of these included:

• Theatres.

• Staffing including nursing and others.

• Infection control.

• Physiotherapy.

• Radiology and imaging

• Catering and laundry services.

• Clinical Waste disposal services.

• All equipment in theatres and day ward and their maintenance.

We rated this service as good overall because:

• The service had a good track record safety.

• There were appropriate systems to keep people safe and to learn from incidents.

• Staffing levels provided by the host hospital were planned to align with capacity which was part of service level agreement. This included sufficient staff with the appropriate skills, experience and training to keep patients safe and to meet their care needs.

• The provider followed the host hospital’s infection control policies and procedures to support safe care. The environment and equipment we inspected were clean and well maintained.

• Care was delivered in line with national guidance and the outcomes for patients were good.

• Patients could access care when they needed it and they were treated with compassion and their privacy and dignity was maintained at all times.

• Staff complied with peri- operative checklists and accurate records were maintained.

• The service had received consistently positive feedback from patients relating to their care and treatment.

We found areas that required improvements

• People were offered limited choices of food and fluids following day surgery.

• Staff did not always follow good practice guidance for the safe management of medicines in the anaesthetic room.

• The governance process was not robust as they did not reflect the processes taking place including the monitoring of service level agreement (SLA) and gaining assurances

We found the following areas of good practice in surgery:

• Patients’ satisfaction surveys for the provider were consistently high. In April 2016 100% of patients described their overall care as “very good or excellent.”

• Overall response to treatment times (RTT) rates for admitted patients for surgery and non- admitted patients were within expectations.

Ted Baker

Deputy Chief Inspector of Hospitals

Updated 25 April 2017

In the reporting period July 2015 to June 2016 there were 51 visits to the operating theatre as day case episodes of care recorded at this service. These were all patients who were NHS funded.

The service had a good track record for safety. Between July 2015 and June 2016, there were no serious incidents or never events reported by Standard Health at this hospital. Never events are serious incidents that are wholly preventable and have the potential to cause serious patient harm or death. There were no clinical incidents during the same time period. During 2015-2016 we did not receive any direct complaints, whistle blowing or safeguarding concerns reported to us related to Standard Health Ltd. The provider confirmed to us that they had not received any complaints.

Standard Health Ltd told us there were no reported cases of serious infections such as methicillin-resistant staphylococcus aureus (MRSA), Clostridium dificile (c.diff) or E-coli.