23 November 2022
During a routine inspection
We rated this service for the first time. 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. Staff assessed risks to patients, acted on them and kept good care records. The service took actions and made improvement since last focused inspection in February 2022.
Staff provided good care and treatment and gave patients enough to eat and drink. The registered manager made sure staff were competent. 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, and helped them understand their conditions. They provided emotional support to patients.
The service planned care to meet the needs of patients, 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 were visible and approachable in the service for patients and staff and supported staff to develop their skills. Staff felt respected, supported and valued. Staff were clear about their roles and accountabilities. The service engaged well with patients.
However,
The service did not use World Health Organisation (WHO) surgical safety checklist.
‘Sharps’ were disposed of in the incorrect bins.
The service did not have effective systems to store and check some medicines.
There was fine dust on the resuscitation trolley.
The provider did not keep any record of the follow up calls within patient’s notes.
The service did not use any formal pain scoring tool to assess pain, did not record pain in detail in patient’s record and did not audit pain.
The provider displayed incorrect information for staff as which organisation to contact in case of a sharp’s injury.