We have not previously rated this service: We rated it as outstanding 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. However, the service should ensure staff supporting in theatre follow measures to mitigate the risk of cross infection. Staff assessed risks to patients for suitability for treatment, acted on them and kept good care records. Medicines were managed effectively and stored securely. The service managed safety incidents well and learned lessons from them.
Staff worked hard to provided good care and treatment. Outcomes for patients were consistently better than expected when compared with other similar services. Staff offered pain relief when patients needed it. Managers monitored the effectiveness of the service and made sure staff were competent. The service recognised the importance of continuing development of staff skill, competence and knowledge as integral to ensuring safe care. Staff worked well together for the benefit of patients. They kept them informed throughout their treatment and 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, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers. Feedback from patients was continually positive.
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’s individual needs and preferences were central to the delivery of tailored services. People could access the service when they needed it and did not have to wait long for treatment. Staff worked hard to minimise pressures on the local NHS acute services.
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 and were passionate about the values of ‘Every Patient, Every Time, No Excuses’ Staff felt respected, supported and valued. They were encouraged to put forward improvement ideas that if adopted were rolled out across the organisation and rewarded for their innovation. 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:
Best practice to prevent cross infection in theatre should be reviewed and monitored.