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Archived: The Foscote Private Hospital Good

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All reports

Inspection report

Date of Inspection: 11 June 2013
Date of Publication: 12 July 2013
Inspection Report published 12 July 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 11 June 2013, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

Our judgement

People who used the service experienced safe and appropriate care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

The provider planned and delivered care, treatment and support, so that people were safe, their welfare was protected and their needs were met.

We spoke with three people using the service and two relatives. Everyone we spoke with spoke very highly of the service. One person said “this is excellent. I have been treated well and I have been well looked after”. Another person said “I really have no complaints at all. The treatment here is first class”. One relative told us how caring the nursing staff were. They said “I cannot praise them enough”. They told us that they were fully informed of the procedures and that any risks were explained to them. One person said “I know what is happening and that really helps”. One person told us how they were informed about what they should do when they get home and what to expect regarding mobility and pain. They said “I am confident I shall be able to cope at home and I know what to expect”.

We spoke with eight nursing staff who told us that they liked working at the hospital. One nurse said “I love it here. Because we are a small hospital we get more time to talk to the patients. I think it makes a difference”. Another said “It is a small team and we work so well together and the people are so nice”.

We observed nursing staff caring for people and saw this was done in a respectful and genuine fashion. They explained what was going on and took time to ensure the person understood what was happening. We saw that they knocked on the person’s door before entering the room and they were always polite and cheerful.

We looked at three care plans and noted that care and treatment was planned and delivered in a way that ensured people's safety and welfare. For example, we saw that there were risk assessments in place for clinical reasons such as the prevention of thrombosis or blood clots. These assessments enabled nursing staff to provide the right care and support to minimise the risks. We noted that the VTE (Venous Thromboembolism) risk assessment had been completed in each of the clinical records reviewed. This demonstrated effective management of the assessment process for people who may have been at risk of developing a clot as a result of reduced mobility.

People's needs were assessed and care and treatment was planned and delivered in line with their care pathway. For example, we saw that there were standardised care pathways for differing clinical procedures. We were told that the care pathways were based on National Institute for Clinical Excellence (NICE) guidance. The medical assessment was supported by a pre-admission assessment carried out by a senior nurse and any further care needs identified to support care planning.

Peoples’ diversity and cultural needs were catered for and respected. We asked the matron what arrangements were in place for a person with cultural or religious needs and they told us that at the pre-admission assessment stage any needs or issues were noted. For example, for those people needing alternative diets arrangements were made to procure preferred food and ingredients from appropriate sources. They also told us that they have the ‘language line’ facility for people whose first language is not English or they can call in a translator. If people using the service prefer a male nurse the matron said they would make one available.