4 June 2021
During a routine inspection
We have not rated this service before. 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 design, maintenance and use of facilities and premises kept people safe.
- Staff provided good care and treatment, gave patients pain relief when they needed it. Staff worked well together for the benefit of patients, 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. They provided support to patients.
- The service planned care to meet the needs of patients and took account of patients’ individual needs. 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 felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountability. The service engaged well with patients and all staff were committed to improving service continually.
However,
- Maintenance and use of some equipment was inconsistent. For example, no regular checks were done for items stored in black treatment trolleys kept in the recovery room and treatment room. We found some cleaning products stored unlocked underneath the hand basin. There was no sharps bin and wall-mounted paper towel dispenser in the recovery room. The treatment room could not be locked from outside. This meant the room was not secure during non-operational days. There were some non-complaint actions identified in the annual infection prevention and control audit in March 2021 that the service was still working on.