02 February 2023
During a routine inspection
We rated this location as good overall because:
- The service had enough staff with the right qualifications, skills, training, and experience to keep patients safe and to provide the right care and treatment.
- Staff kept accurate care records.
- The service managed safety incidents well and had a process to learn lessons from them.
- Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work.
- Staff felt respected, supported, and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities.
- The service engaged well with patients and the community to plan and manage services and all staff were committed to continually improving services.
- The service made sure staff were competent for their roles. Managers appraised staff’s work performance and provided support for development.
However:
- The privacy and dignity of patients was not always maintained.
- The service did not always control infection risk well and did not always fully comply with infection prevention and control (IPC) measures.
- The service did not provide a clear understanding to patients for registering a complaint.
- The service did not improve assistance measures for patients after an incident which identified concerns regarding patient safety.
- The service did not have a formal quality review process for ultrasound images.