Nuffield Health Brentwood Hospital

Ratings - Surgery

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

We rated the service as good. We found 1 breach of regulation in relation to governance.

Patient areas were safe, clean, well equipped, well furnished, well maintained and fit for purpose. The provider had enough staff to ensure people’s safety and meet their needs. Staff received training and appraisals to support safe care and treatment. Patient satisfaction surveys scored 85%. Patient outcome measures data showed patients reported an improvement in health in line with or better than the national average following surgery at Nuffield Health Brentwood. The service reviewed reported safety events and identified lessons learnt to identify and embed good practice. However, they did not always listen to concerns about safety and some staff reported not being trained in incident reporting. The service had not reported any never events or deaths related to surgery. Integrated care records covered the entire patient pathway from pre-operative assessment to discharge and included comprehensive care plans for identified care needs. Where unplanned transfers out occurred, we saw evidence of reviews to learn and prevent future occurrence. The service had clear responsibilities and roles, however there was a lack of accountability and good governance.

People's experience of this service

We spoke to patients during our on-site assessment. They told us staff were caring and respectful. They felt confident to raise concerns, should they have any. Patients were given time to discuss surgery ahead of admission, to make informed decisions. Patients told us that they felt safe and listened to and given information to support them following discharge.