Beacon Park Hospital

Updated 6 April 2023

Background

Beacon Park Hospital opened in May 2020 and is 1 of 34 centres across the UK where Ramsay Health Care UK Operations Limited is working in partnership with the NHS. Beacon Park Hospital has day case facilities including 1 theatre combined with endoscopy, 6-day case pods with sliding doors, outpatient/pre-assessment rooms and a treatment room. The day unit is developed for the assessment, diagnosis and treatment of conditions on a day case basis for both NHS and private patients locally. The hospital does not treat children under the age of 18 years old.

Beacon Park Hospital adds the following additional facilities to those which are already in place at Rowley Hall Hospital (3 miles away) with:

• 1 theatre with 2 recovery bays.
• Ambulatory Unit with 6 pods, gender specific areas.
• C-Arm X-ray for guided procedures.
• 3 outpatient consulting rooms with 1 being used as an ophthalmology room.
• 1 treatment room.
• Appropriate waiting area – admissions lounge.
• Up to 80 parking bays.
• Access to a mobile MRI pad.
• Access to a mobile CT scanner.

Surgical procedures included ambulatory and day surgery only, gastroenterology, general surgery (including laparoscopic inguinal hernia repair), ophthalmic orthopaedics, colorectal endoscopy, ophthalmology (included laser), podiatric surgery, urology and ear, nose and throat procedures.

The day surgery facility provides services for private, insured and NHS patients within the local community and further afield. The new facility includes a theatre and recovery area, 6 day-patient pods, 3 outpatient consulting rooms, 2 pre-assessment rooms and a minor treatment room offering treatment for pain management, urology, endoscopy and ophthalmology (eye care).

There is a contract with a local NHS trust. The provider has moved over all local anaesthetic treatments to Beacon Park Hospital and they were undertaking endoscopy, cataract operations, pain management and foot and ankle local anaesthetic work

The main service provided by this hospital was surgery. Where our findings on surgery, for example, management arrangements, also apply to other services, we do not repeat the information but cross-refer to the surgery service.

Updated 6 April 2023

We carried out an unannounced comprehensive inspection of the services on 3 August and 28 September 2022, we completed a further follow up inspection on 21 February 2023.

Beacon Park Hospital opened in May 2020, the hospital is managed by Ramsay Health Care UK Operations Ltd and is part of a network of over 34 hospitals across England. In addition, they run hospitals in Australia, Indonesia and France and Scandinavia.

As this was the first inspection of this hospital, we inspected 4 core services: surgery, medical care, outpatients and diagnostic imaging and screening. The same senior management team supported both this hospital and Ramsay Rowley Hall Hospital. The overarching governance and reporting systems worked in conjunction. Many staff worked across both hospitals.

At the time of inspection, the hospital director was the CQC registered manager and had been in post since August 2019. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The hospital is registered to provide the following regulated activities:

• Diagnostic and screening procedures

• Family planning

• Surgical procedures

• Treatment of disease, disorder or injury

Following this inspection our overall rating of this service was good. We rated it as good because:

• The service had enough staff to care for patients and keep them safe at the time of the inspection. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available 7 days a week.
• Staff treated patients with great compassion and kindness, fully respected their privacy and dignity, took account of their individual needs in a person centred, holistic way, and helped them understand their conditions. They provided emotional support to patients, families and carers. Feedback from patients was exceptional.
• 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 could access the service when they needed it and did not have to wait too long for treatment.
• Experienced and compassionate leaders ran services very effectively using reliable information systems and supported staff to develop their skills. Staff fully understood the service’s vision and values, and how to apply them in their work. Staff felt respected, fully supported and valued. They were fully focused on the needs of patients receiving care and took pride in their work. Staff were very 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:

• There were gaps in cleaning documentation for the C-arm X-Ray machine and lead personal protective equipment.
• There were gaps in daily checks documentation for the C-arm X-Ray machine.
• We did not see evidence that quality assurance testing was carried out on the C-arm X-Ray machine monthly.
• One oxygen cylinder was not secure in the recovery area. This was resolved on the day of our inspection.
• A portal appliance label of check was not displayed on 1 piece of equipment. This was resolved on the day of our inspection.
• Not all records were securely. A theatre list was left in recovery which contained patient information.
• During our inspection we noted that the door to the area designated for the collection clinical waste was open with the padlock not locked.
• Several storerooms were not locked this included the intravenous medication store cupboard, the specimen room and the cleaning cupboard.
• The service provided drinks for patients, but no food was available.

Updated 6 April 2023

This was our first inspection of this service. We rated it as good 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. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients a drink and biscuits following an endoscopy procedure and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available during opening hours.
• 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.
• 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 could access the service when they needed it and did not have to wait too long for treatment.
• Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported, and valued.

However:

• One oxygen cylinder was not secure in the recovery area. This was resolved on the day of our inspection.
• A portal appliance label of check was not displayed on 1 piece of equipment. This was resolved on the day of our inspection.
• Not all records were securely. A theatre list was left in recovery which contained patient information.

Updated 6 April 2023

The service has not been previously rated. We rated it as good because:

• Staff generally received and kept up-to-date with their mandatory training, including safeguarding training.
• The service had clear systems in place to ensure that risks were assessed and appropriately managed.
• The service had enough staff with the right qualifications, skills, training and experience to provide the right care and treatment to patients.
• The service monitored the effectiveness of care and treatment through a series of local audits.
• Staff treated patients with compassion and kindness and respected their privacy and dignity.
• Facilities and premises were appropriate for the services being delivered.
• Leaders had the skills and abilities to run the service, were visible and approachable in the service. They supported staff to develop their skills and take on more senior roles.
• Staff felt respected, supported and valued.
• Leaders operated effective governance processes, staff were clear about their roles and had regular opportunities to meet, discuss and learn from the performance of the service.

However:

• There were gaps in cleaning documentation for the C-arm X-Ray machine and lead personal protective equipment.
• There were gaps in daily checks documentation for the C-arm X-Ray machine.
• We did not see evidence that quality assurance testing was carried out on the C-arm X-Ray machine monthly.

Updated 6 April 2023

This was our first inspection of this service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment to patients and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, 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.
• 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 could access the service when they needed it and did not have to wait too long for treatment.
• 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. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• During our inspection we noted that the door to the area designated for the collection clinical waste was open with the padlock not locked.
• Several storerooms were not locked this included the intravenous medication store cupboard, the specimen room and the cleaning cupboard.
• The service provided drinks for patients, but no food was available.

Updated 6 April 2023

This was the first inspection of this service. We rated it as good 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. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available 7 days a week.
• 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.
• 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 could access the service when they needed it and did not have to wait too long for treatment.
• 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. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.