8 July 2022
During a routine inspection
The service had not been rated before. We rated it as requires improvement because:
Staff did not have training in paediatric basis life support.
The service did not have a deteriorating adult or child policy in place.
The service did not undertake DBS checks on all staff members.
The service did not provide information in an accessible format for all.
Leaders did not have a contractual agreement in place for the sub-letting of the treatment room within the service.
The service did not have a strategy to demonstrate its commitment to ongoing quality patient care.
Risks identified by the service, and actions taken to mitigate these risks, where not recorded.
However,
The service had enough staff to care for patients. Staff understood how to protect patients from abuse. The service controlled infection risk well. Staff kept good care records. The service managed safety incidents well and learned lessons from them.
Staff provided good care and treatment, gave patients enough to eat and drink. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available to suit patients' needs.
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 planned care to meet the needs of local people, 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 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 improving services continually.