26 April 2022
During a routine inspection
We carried out an inspection of Louise Field Consulting using our comprehensive methodology on 26 April 2022. The service has not been previously inspected.
Our inspection was announced. We gave the provider short notice of the inspection date to ensure their availability on the day.
This was the first time we inspected the service. We rated it as good because:
- The registered manager was up to date with mandatory training and had the right qualifications, skills, training and experience to keep patients safe and to provide the right care and treatment. The registered manager understood how to protect patients from abuse. The service generally controlled infection risk well. A comprehensive assessment was completed for each patient including a feeding assessment and assessment of risk. Staff kept detailed records of patients’ care and treatment.
- The service followed national guidance and evidence-based practice. The registered manager supported primary care givers and legal guardians to make informed decisions about their baby’s care and treatment.
- There was a high level of aftercare available to primary care givers following their procedure. The registered manager treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
- The service was inclusive and took account of patients’ individual needs and preferences. People could access the service when they needed it. Services were offered seven days a week.
- It was easy for people to give feedback and raise concerns about care received. Feedback from primary care givers was consistently positive.
However:
- At the time of our inspection, the registered manager did not dispose of clinical waste and sharps used during the procedure in appropriate clinical waste at the point of care. This meant staff did not always control infection risk well.
- At the time of our inspection the service policies and procedures were not personalised to the service. Systems to monitor the effectiveness of care and treatment were not fully embedded. Governance processes were in place, although they were not fully embedded.