This service is rated as Good overall.
This was the service’s first inspection.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Extra Care Queen Elizabeth Hospital on 5 May 2022, as part of our inspection programme.
At this inspection we found:
- The service had systems to manage risk so that safety incidents were less likely to happen, however there were some gaps in the oversight of risks pertaining to the use of the hospital building.
- The service learned from incidents and used these to improve their processes.
- There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns.
- The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- There was a programme of quality improvement, including clinical audit.
- Staff involved and treated people with compassion, kindness, dignity and respect.
- Patients were able to access care and treatment from the service in an appropriate method within an appropriate timescale for their needs.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- Staff had the skills, knowledge and experience to deliver effective care.
- Leaders demonstrated they had the capacity and skills to deliver high-quality, sustainable care.
- Patient feedback about the service had been positive.
The areas where the provider should make improvements are:
- Continue to develop governance and oversight arrangements so that the provider can assure themselves fully that procedures and policies put in place by the hospital, in effect, the landlord, work properly.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care