You are here

The Belvedere Private Hospital Requires improvement

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.
All reports

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 be cared for by staff who are properly qualified and able to do their job (outcome 12)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by staff who are fit, appropriately qualified and are physically and mentally able to do their job.

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 were not always cared for, or supported by, suitably qualified, skilled and experienced staff.

Reasons for our judgement

When we inspected the service on 13 September 2012 we found that appropriate checks were not made on all staff before they started work at the hospital. The provider had not undertaken a criminal records bureau (CRB) check for some of the staff before they started at the hospital. The provider wrote to us and told us they would take action on this issue.

When we inspected the service on 07 November 2012, there was no evidence that appropriate checks were always undertaken before staff began work. Although the provider had made some progress with ensuring staff had a CRB checks this had not been completed for all staff. For example we found that a staff member was working unsupervised overnight at the hospital without a CRB check having been received back by the hospital. The manager confirmed that it was hospital policy to obtain a CRB check before a person started work at the hospital but in this case the CRB check had not yet been returned.

There was no risk assessment or policy in place to ensure that only suitable people were employed by the service and that people’s continued suitability to be employed was monitored. For example we found that a member of staff had been employed who did not have a clear CRB check and there was no risk assessment to demonstrate that people were not placed at risk.