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We are carrying out a review of quality at The Belvedere Private Hospital. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 7 November 2012
Date of Publication: 24 February 2012
Inspection Report published 24 February 2012 PDF | 94.86 KB

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

Enforcement action taken

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 7 November 2012, checked how people were cared for at each stage of their treatment and care and talked with staff.

Our judgement

People did not experience care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

At our inspection on 13 September 2012 we found there was a risk that care and treatment was not planned and delivered in a way that was intended to ensure people's safety and welfare. We spoke with temporary staff who told us they had not received any formal induction to working in the theatre suite and were not aware of the hospital's policies and procedures. Arrangements were not in place to deal with foreseeable emergencies. We found that essential life-saving medicines were not available in the emergency trolleys in the ward and in the operating rooms.

At our inspection on 07 November 2012 we found that there were insufficient arrangements in place to deal with foreseeable emergencies. The resuscitation trolleys on both the ground and first floor, had checklists for both trolleys that had been completed showing that the contents of the resuscitation trolley and emergency drugs in the ward area of the hospital had been monitored. The checklists were completed on the days that the theatre was operating and staff we spoke with confirmed this was the case. The checks indicated that the trolleys contained all the medicines and equipment that had been listed. However, there was not a defibrillator on the first floor trolley. The trolley on the ground floor contained all the medicines listed, but not the quantities stated and two pieces of equipment were out of date. Staff told us that the defibrillator was not working; therefore the one from the first floor had been placed on the ground floor trolley. This meant that there was no defibrillator on the first floor and therefore if this equipment was required there would be a delay in staff being able to respond in an emergency.

The Belvedere Private Clinic Policy on Anaphylaxis dated November 2012, stated there would be a stock of drugs in case of an individual having an allergic reaction, and that these would be available as an anaphylactic shock drug pack on the emergency trolley. However, we found that the trolley did contain the named medicines but these had not been packaged together as an anaphylactic shock pack and therefore would not be easily identified in an emergency and was not in line with the provider’s policy.