During an assessment of Diagnostic imaging
This was the first assessment of the service since registration in January 2022.
We found a breach of Regulation 17: Good governance relating to safeguarding, consent processes and infection prevention and control.
We identified significant shortfalls in governance arrangements. The provider could not demonstrate effective oversight of quality, safety and performance. Governance systems had not ensured policies were current. Staff training requirements were not clearly defined. Incidents were not reviewed effectively, and audits were not undertaken to provide assurance about the quality of care being delivered. Staff did not always have the right safeguarding training; consent processes were inconsistently applied and documented; and infection prevention and control risks were not adequately assessed or managed.
However, we found women were treated with kindness and compassion and spoke positively about their experiences of care. Staff worked effectively with external healthcare providers to ensure continuity of care when concerns were identified or referrals were required.