Harmonic Medical Sonography Limited

We rated this location as requires improvement because:

• The service did not always provide mandatory training in key skills to all staff or make sure everyone completed it.
• Not all staff had completed training on how to recognise abuse and systems for delivering and ensuring this was in place were not always clear.
• The service did not always control infection risk well. The service did not manage clinical waste safely at the time of inspection.
• The provider did not monitor or have oversight of when ultrasound machines had last been serviced.
• The service did not always check to make sure policies were regularly reviewed. The service did not always collect outcome data or monitor the effectiveness of care. Records were not always stored securely.
• It was not always easy for staff to find information on how to raise a concern. The service had no whistleblowing policy in place at the time of inspection.
• Governance systems were unclear and there was a lack of corporate oversight in management of issues and risks across the service.

However:

• The service had enough staff with the right qualifications, skills, training and experience to keep patients safe from avoidable harm and to provide the right care and treatment.
• The service held regular CPD meetings to keep staff up to date with best practice and national guidance.
• The service made sure staff were competent for their roles. Managers appraised staff’s work performance and held supervision meetings with them to provide support and development.