360 Visualise - Ilkley

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 and managed safety incidents well.
• Managers made sure staff had the knowledge, skills and experience to undertake their role. 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, families, and carers.
• The service 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 operated some governance processes throughout the service. We saw limited evidence of clinical and internal audit to monitor quality and operational processes in place. Some risks to the service were identified, although, plans were not in place to cope with unexpected events. The service had recently identified a vision or values. Leaders supported staff to develop their skills and staff felt respected, supported, and valued and were generally clear about their roles and accountabilities. Staff were focused on the needs of patients receiving care.

However:

• We did not see any formal monitoring of mandatory training in place.
• The non-wipeable sofa was raised as a potential infection risk to the registered manager.
• There was no sink in the clinic room.
• We observed that the door to the clinical room was unlocked on one occasion during the inspection and alerted the registered manager.
• The radiation dosage chart was available, however, was not displayed in the room the scanner was in which meant staff did not have immediate access to the information.
• The dental nurse had no access to a senior dental nurse for support.
• There was no evidence of a written consent in the patients notes.
• A complaints register was not in place.
• The service did not have a formalised clinical audit schedule in place.
• To date, no pause and check audits had taken place.
• There was no formal feedback process by the referring dentists with regards to the quality of the scans undertaken to ensure that the quality of scans was satisfactory.
• We did not see how progress against the business plan was going to be monitored.
• A business continuity plan was not in place in case of failure of essential services.