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Inspection carried out on 15 and 16 November 2016

During a routine inspection

We rated this hospital as “Good overall.”

This was because

  • There were adequate systems in place to protect people from avoidable harm and learn from incidents.

  • The hospital was visibly clean and well maintained. There were systems in place to prevent the spread of infection.

  • There were effective systems in place to ensure the safe storage, use and administration of medicines.

  • Mandatory training levels for staff were good.

  • There were adequate numbers of suitably qualified, skilled and experienced staff to meet patients’ needs.There were effective arrangements in place to ensure staff had, and maintained the skills required to do their jobs.

  • People received nutrition and hydration that met their preferences and needs.

  • Care was delivered in line with national guidance and outcomes for patients were good.

  • The individual needs of patients were met including those in vulnerable circumstances such as those living with a learning disability or dementia.

  • Patients could access care when they needed it and were treated with compassion. Their privacy and dignity was maintained at all times.

  • Staff were aware of the vision and strategy of the hospital.

We found areas of practice that required improvement across the hospital.

  • Duty of candour processes were not always being followed as outlined in the hospital policy.

  • Root cause analysis methodology was not always applied in the investigation of incidents.

  • There was no process in place to risk assess or check areas of non-compliance with National Institute of Health and Care Excellence (NICE) guidance.

  • The hospital risk register was not a live document and risks did not appear to be actively managed.

  • Complaints were not always managed in a timely manner.

In out-patients and diagnostic imaging:

  • Not all patient records included discharge summaries.

  • Records did not always show if there was a safe-guarding concern for the patient.

  • Records did not always show if a patient had additional needs for example, communication issues or a learning disability.

Following this inspection, we told the provider that it should make other improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Ellen Armistead

Deputy Chief Inspector of Hospitals (North)

Inspection carried out on 28 October 2013

During a routine inspection

During our inspection, we were able to speak with three patients, who all provided us with positive comments about the service they had received. They told us their needs were met by a kind and caring staff team. They said they were able to make decisions and choices about the course of treatments and procedures available to them.

Comments from patients included:

�There is nothing worse when you are poorly than having to worry about bothering people, that just isn�t an issue here."

�It�s been the first time I have come into this hospital. I can�t believe how friendly the staff are. You come in feeling vulnerable but the staff are so lovely you soon feel calmer."

�I did have an issue yesterday at home and rang for advice. The member of staff I spoke to was very helpful�.

�I have no issues with this hospital at all. I knew I didn�t want to go to my local hospital. This hospital is brilliant�.

At the time of this visit, we assessed standards relating to care and welfare and how people were supported to be involved in the planning of their own care and consenting to their treatment. We also looked at the cleanliness of the environment and how the control of infection was managed. Standards relating to staff recruitment and monitoring the quality of service provision were also inspected. We did not identify any concerns in any of the outcome areas we assessed.

Inspection carried out on 26 June 2012

During a routine inspection

People we spoke with at the time of our visit were extremely complimentary about the care and treatment they received at Euxton Hall Hospital. They told us their privacy and dignity was always respected and they were supported in the way they wanted to be.

Comments received included:

"The staff here are really friendly."

"I have no complaints at all. Everything is just perfect."

"I think this place is wonderful. I am being very well looked after."

Reports under our old system of regulation (including those from before CQC was created)