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BMI The Princess Margaret Hospital Good

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Inspection report

Date of Inspection: 2 October 2013
Date of Publication: 30 October 2013
Inspection Report published 30 October 2013 PDF

Overview

Inspection carried out on 2 October 2013

During a routine inspection

The focus of this inspection was the experience of patients who use the location for surgical outcomes. This included pre-admission procedures, the medical imaging department, operating theatres and the surgical nursing wards.

Patients we spoke with during the inspection confirmed they had individual treatment and care plans. One person we spoke with commented, �I had detailed discussions about my care with my consultant and I have found this very reassuring�. The second patient we spoke with said, �My doctor explained the operation I was going to have before surgery, came to see me after and we discussed the care I would need after the operation�. Care documentation we reviewed confirmed patients had risk assessments and treatment plans tailored to their individual needs.

Staff we spoke with in the operating theatre and ward were knowledgeable about the fasting procedure and we saw this was adequately explained to patients who underwent surgery on the day of the inspection. Nursing staff on the wards followed the surgeons� and anaesthetists� instructions about when patients could recommence oral intake. Sufficient assessment was completed by nursing staff to determine that patients could take food and fluid once again.

The provider responded appropriately to any allegation of abuse. In the surgical wards, we observed there was signage available in staff stations about how to raise safeguarding matters. This included signs and symptoms to be aware of regarding abuse in adults and children, and who to contact both internally and externally in the event that abuse was suspected. The provider had named nurses, midwives and doctors available on site or via bleeper in the event that a safeguarding case needed to be raised.

We spoke to patients about medications in the surgical wards and patients had positive comments. One person told us they had their medications explained to them by the doctor. They said, �My consultant told me about the risk and benefits of taking the medicines�. Another person we spoke with said they understand potential effects that the medication may have had. They told us, �I am aware of the side effects of my medication�.

In the wards, we spoke to the nurses about how the staffing was organised. We spoke to five nurses in the wards, all of whom felt there were sufficient levels of staff at all times. All of the nurses we spoke with told us they were never short staffed and only on rare occasions were agency nurses required. The nurses told us staffing was based on dependency and acuity of patient�s needs.