Latest Snippet(s)
Positive
"Privacy and dignity The service respected and promoted patients’ privacy and dignity."
Latest Snippet(s)
Positive
"Track record on safety The service had a good safety record."
Positive
"The service learned and shared lessons identified themes and took action to improve safety in the service."
Positive
"• All staff received uptodate safeguarding and safety training appropriate to their role."
Positive
"• There was a strong emphasis on the safety and wellbeing of all staff."
Positive
"• The service had a contractual agreement with the hospital whereby all safety checks of the premises and equipment were carried out in a timely manner."
Positive
"• The service learned from external safety events and patient safety alerts."
Positive
"• Leaders had established proper policies procedures and activities to ensure safety and assured themselves that they were operating as intended."
Positive
"At this inspection we found: • The service had comprehensive systems to manage risk so that safety incidents were less likely to happen."
Positive
"Health and safety policies were regularly reviewed and communicated to staff."
Positive
"• There were comprehensive risk assessments in relation to safety issues."
Positive
"• There was a system for receiving and acting on safety alerts."
Positive
"• The service had a system in place that alerted staff to any specific safety or clinical needs of a person using the service."
Neutral
"Staff received safety information from the service as part of their induction and refresher training for example fire safety."
Neutral
"This helped it to understand risks and gave a clear accurate and current picture that led to safety improvements."
Latest Snippet(s)
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
Latest Snippet(s)
Positive
"Kindness respect and compassion Staff treated patients with kindness respect and compassion."
Positive
"• Staff involved and treated people with compassion kindness dignity and respect."
Positive
"Privacy and dignity The service respected and promoted patients’ privacy and dignity."
Positive
"• Staff recognised the importance of people’s dignity and respect."
Positive
"Staff took steps to protect patients from abuse neglect harassment discrimination and breaches of their dignity and respect."
Positive
"• Staff were clear on their roles and accountabilities including in respect of safeguarding patient chaperoning and infection prevention and control."
Latest Snippet(s)
Positive
"• The provider had an equality and diversity subgroup of the senior management team that met regularly and considered all elements of patient equality and diversity to ensure that the service met patients’ needs."
Positive
"• The service actively promoted equality and diversity."
Neutral
"Staff had received equality and diversity training."
Latest Snippet(s)
Positive
"• The complaint policy and procedures were in line with recognised guidance."
Positive
"• Information about how to make a complaint or raise concerns was available and it was easy to do."
Latest Snippet(s)
Positive
"• Structures processes and systems to support good governance and management were clearly set out understood and effective."
Positive
"Governance arrangements There were clear responsibilities roles and systems of accountability to support good governance and management."
Positive
"• There was a strong clinical governance department that held twomonthly meetings with a set agenda for the discussion of quality issues such as significant events complaints service performance actions resulting from changes to best practice guidance changes to policy and clinical audits."
Positive
"We saw that concerns that had been raised by staff had been discussed in governance and quality improvement meetings."
Positive
"The governance and management of partnerships joint working arrangements and shared services promoted interactive and coordinated personcentred care."
Positive
"The organisation held regular governance and quality improvement meetings and the performance of the service was analysed on a daily basis."
Positive
"At the time of our inspection the service had started joint governance meetings with other organisations such as the hospital and had agreed the terms of reference for these."
Neutral
"Outcomes of discussions at clinical governance meetings were fed to the senior management team meetings."
Neutral
"There was a quarterly clinical governance report which reported on all governance issues including clinical audit."
Latest Snippet(s)
Positive
"• Quality and sustainability were discussed in relevant meetings where all staff had sufficient access to information."
Latest Snippet(s)
Positive
"They produced a quarterly quality assurance report that was based on the care quality commission CQC five key questions to assess progress."
Latest Snippet(s)
Positive
"Monitoring care and treatment The service was actively involved in quality improvement activity."
Positive
"We saw that concerns that had been raised by staff had been discussed in governance and quality improvement meetings."
Positive
"The organisation held regular governance and quality improvement meetings and the performance of the service was analysed on a daily basis."
Latest Snippet(s)
Positive
"Clinical audit had a positive impact on quality of care and outcomes for patients."
Positive
"• Clinical audit had a positive impact on quality of care and outcomes for patients."
Positive
"This report describes our judgement of the quality of care at this service."