The OrthTeam Centre - Manchester

We have not previously rated this location. We rated it as good because

• Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. Staff identified and quickly acted upon patients at risk of deterioration. The service used systems and processes to safely prescribe, administer, record and store medicines. The service managed patient safety incidents well.

• The service provided care and treatment based on national guidance and evidence-based practice. Staff protected the rights of patients subject to the Mental Health Act 1983. Staff assessed and monitored patients regularly to see if they were in pain, and gave pain relief in a timely way. The service made sure staff were competent for their roles. Staff worked together as a team to benefit patients. Staff gave patients practical support and advice to lead healthier lives. Staff supported patients to make informed decisions about their care and treatment.

• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. Staff provided emotional support to patients, families and carers to minimise their distress. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.

• The service planned and provided care in a way that met the needs of local people and the communities served. The service was inclusive and took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services. People could access the service when they needed it and received the right care promptly. Waiting times for treatment were in line with national standards. It was easy for people to give feedback and raise concerns about care received.

• Leaders had the skills and abilities to run the service. They understood and managed the priorities and issues the service faced. The service had a vision for what it wanted to achieve and a strategy to turn it into action. Staff felt respected, supported and valued. Leaders operated effective governance processes, throughout the service and with partner organisations. Leaders actively and openly engaged with patients, staff, equality groups, the public and local organisations to plan and manage services. All staff were committed to continually learning and improving services.

However:

In Outpatients;

• Not all records had the required information saved.
• Staff did not always carry out daily safety checks of emergency resuscitation equipment.
• The service did not carry out audits to evaluate clinical effectiveness of treatment.

In Diagnostic Imaging;

• Staff did not always have the correct level of training on how to recognise and report abuse and not all staff in the diagnostic imaging department had completed safeguarding adults level three training.
• Staff did not always carry out daily safety checks of emergency resuscitation equipment.
• The number of radiographers and radiology assistants did not always match the planned numbers.
• The local rules for radiation were not always visible and had not been reviewed and signed by all staff who worked in the department.