Buckshaw Hospital

Updated 16 June 2023

Buckshaw Hospital opened in October 2021 and is 1 of 33 centres across the UK where Ramsey Health Care UK Operations Limited is working in partnership with the NHS.

The hospital provides services for adults over the age of 18 years only. Children were not seen at this service.

We have not previously inspected this service.

Buckshaw Hospital has day surgery facilities including 2 theatres, single patient pods with sliding doors, outpatient/pre-assessment rooms and a treatment room. The day unit is developed for the assessment, diagnosis and treatment of conditions on a day case basis for both NHS and private patients locally.

Buckshaw Hospital adds the following additional facilities to those which are already in place at another Ramsay hospital (3 miles away) with:

• 2 theatres 8 recovery pods.
• 4 admission pods.
• 6 outpatient consulting rooms.
• 1 treatment room.
• Appropriate waiting area – admissions lounge.
• Free onsite parking.

Surgical procedures included ambulatory and day surgery only, gastroenterology, general surgery (including laparoscopic inguinal hernia repair and breast surgery), orthopaedics, gynaecology, urology and ear, nose and throat procedures.

In the 12 months prior to our inspection, 5,822 surgical procedures had been carried out at Buckshaw Hospital.

Buckshaw Hospital offers flexible appointments to patients choosing to attend the service for a private diagnostic or NHS funded scan and had the following facilities for diagnostic imaging:

• Waiting area specifically for the department

• 2 scanning rooms

• 2 control rooms

• A cannulation area

• A recovery room

• A counselling room

• Patient changing areas with lockers

• Patient toilets

• A plant room

• Mammography room

The diagnostic imaging department offered patients Magnetic Resonance Imaging (MRI) scans, Computed Tomography (CT) scans, Ultrasound scans and 3D Mammography scans.

In the 12 months prior to our inspection, 10,997 scans had been carried out at Buckshaw Hospital.

Updated 16 June 2023

This was the first inspection of this service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Leaders 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.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. They provided emotional support to patients, families and carers. Feedback from patients was positive.
• 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.
• Experienced and compassionate leaders ran services effectively using reliable information systems and supported staff to develop their skills. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care and took pride in their work. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However

• Not all staff had received an appraisal in the last 12 months.
• Records of employment checks were disorganised. At the time of our inspection the service was not able to demonstrate full compliance with the requirements of Schedule 3 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
• Records of temperature checks for medications were not always completed.
• Departmental meetings were not always completed regularly and did not always follow the standing agenda.

Updated 16 June 2023

We inspected but did not rate this core service.

• The endoscopy service performed well for cleanliness. The design of the environment followed national guidance. The department had suitable facilities to meet the needs of patients.
• Staff assessed and monitored patients regularly to see if they were in pain, and gave pain relief in a timely way. Staff monitored the effectiveness of care and treatment. Staff supported patients to make informed decisions about their care and treatment.
• 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.
• Experienced and compassionate leaders ran services effectively using reliable information systems and supported staff to develop their skills. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care and took pride in their work. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

The service only provided endoscopy under the medical care core service and therefore is a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery report.

Updated 16 June 2023

This was the first inspection of this service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service-controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients food and drink if required, and monitored pain. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients.
• 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 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 improving services continually.

However,

• Staff did not always adhere to best practice for disinfecting probes and temperature recordings for all medications were not always completed.
• The local rules for radiation needed updating to ensure the main contacts were included, the department should have information visible for patients regarding key staff for the department.
• Personal development reviews were not always completed in a timely manner and
• Departmental meetings were not completed regularly and did not always adhere to the standard agenda.

Updated 16 June 2023

This was the first inspection of this core service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Leaders 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.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. They provided emotional support to patients, families and carers. Feedback from patients was positive.
• 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.
• Experienced and compassionate leaders ran services effectively using reliable information systems and supported staff to develop their skills. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care and took pride in their work. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However

• Not all staff had received an appraisal in the last 12 months.
• Records of employment checks were disorganised. At the time of our inspection the service was not able to demonstrate full compliance with the requirements of Schedule 3 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.