15 Jan to 16 Feb 2019
During a routine inspection
We rated it them as inadequate because:
- Our rating of safe was inadequate overall. Risks to patients using the diagnostic imaging services were not routinely assessed, including risks to the deteriorating patient. There was no processes in place for learning from incidents and when things went wrong and staff were working with out of date regulations. Staff in the theatre recovery area did not have the appropriate level of life support training in line with Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidance. The outpatient’s department did not consistently have enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and provide the right care and treatment. Records were not always available to all staff providing care. Records were not stored safely or securely within the department.
- Our rating of effective was good overall. The services provided care and treatment based on national guidance and evidence of its effectiveness. Managers checked to make sure staff followed guidance
- Our rating of caring was good overall. Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness.
- Our rating of responsive was good overall. The services planned and provided services in a way that met the needs of most local people. Services took account of patient’s individual needs and they could access services when they needed them.
- Our rating of well led was inadequate overall. Diagnostic services were not managed appropriately, leaders did not understand the challenges to the quality and sustainability of the service and had little oversight or understanding of the significant issues in the service. Not all risks in the outpatient’s department were fully recognised or mitigated.