Nuffield Health Woking Hospital is operated by Nuffield Health. The hospital has 26 beds. Facilities include two operating theatres, a ward that provides level one care, and X-ray, outpatient and diagnostic facilities.
The Nuffield Health Woking Hospital provides surgery and outpatients and diagnostic imaging. We inspected both of these core services.
We inspected this service using our comprehensive inspection methodology. We carried out announced inspection on the 8 and 9 November 2016.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
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 core service.
Services we rate
We rated this hospital as good overall.
We found good practice in relation to outpatient and surgical care:
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There were arrangements to report and investigate any critical incidents and to learn from these.
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Risks were identified and managed to minimise the risk of harm to patients and others.
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Patients were cared for in a clean and hygienic environment and there were systems to prevent and control the risk of infection. The environment was safe and generally fit for purpose. There was adequate equipment available which was well maintained.
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There were adequate numbers of staff with the skills experience and qualifications to meet patients’ needs. They were competent to do their jobs and were supported in developing their skills.
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Care was delivered in line with national guidelines and patients experienced good clinical outcomes.
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Patients’ pain was well managed.
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Patients received adequate food and drink that met their needs and were not fasted for longer than necessary.
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Patients were treated with dignity and respect, and were involved in planning their care. There were arrangements to ensure that individual’s needs were met.
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Patients could access care and treatment when they needed it without undue. They could access treatment by a full range of health professionals and there were arrangements to ensure safe care both in and out of hours. Discharge procedures ensured continuity of care with patients GP’s or other health care professionals.
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Complaints were well managed and comments were used to improve the service.
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There was a well understood vision, values and strategy for the service which prioritised safe care.
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There were robust governance systems that ensured the leadership team were assured of the quality and safety of the service.
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Staff felt well supported by the leadership team who were approachable and highly visible. They felt involved in the ongoing development of the hospital.
However, in out-patients we also found the following issues that the service provider needs to improve:
Following this inspection, we told the provider that it must take one action to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve. We also issued the provider with one requirement notice that affected outpatient and diagnostic services. Details are at the end of the report.
Professor Edward Baker
Deputy Chief Inspector of Hospitals (South)