Cherish-UK

We had not previously inspected this service. We rated it as requires improvement because:

• Managers did not identify, mitigate or control all risks within the service.
• The service had out of date equipment and no robust process around the management of equipment.
• The service did not record, monitor or learn from incidents.
• Staff had not had appraisals.
• The service did not have clear and detailed policies.
• Staff did not always robustly complete audits and there was limited action and learning from the results.
• Managers did not check the suitability of all staff that worked in the clinic.
• Managers did not always ensure that there was an up to date Disclosure and Barring Services (DBS) check for all members of staff.
• Medicines were not always stored safely or appropriately.
• Staff did not always ensure that infection control was well managed, and checklists did not reflect the cleaning that took place within the clinic.
• Processes were not clear around how to manage and evacuate a seriously ill adult from the first floor.
• Consent forms did not detail the risks and benefits of the scans provided.
• Managers did not always make sure that complaints were shared and lessons were learned.
• Managers did not always have oversight of the issues within the service including lack of audits, risk assessments, out of date equipment and lack of employment checks.

However:

• Staff treated women 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 women, families and carers.
• The service planned care to meet the needs of local people, took account of women's individual needs, and made it easy for people to give feedback. People could access the service when they needed it.