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BMI Sarum Road Hospital Good

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Inspection report

Date of Inspection: 7 November 2012
Date of Publication: 4 December 2012
Inspection Report published 4 December 2012 PDF

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

Meeting this standard

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, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The service carried out an assessment of each person’s needs before they started their treatment. Pre admission assessments took place for all people and risk assessments were completed for relevant aspects of people’s care. Risk assessments had been carried out to assess, for example, patient movement and handling, deep vein thrombosis (DVT) and the risk of falling. Staff told us that if pre admission nurses were concerned about any aspect of a person’s pre admission assessment they would discuss those concerns with the anaesthetist or consultant. This meant that any tests or checks that may be needed could be arranged in advance. This avoided any delay or change to treatment times. Catering staff told us that they were alerted by the pre admission team of any special dietary requirements people may have. This meant they could ensure that suitable food was available for them during their stay. We also observed the chef visiting one person to discuss their meal requirements.

People’s care and treatment reflected relevant research and guidance. We were accompanied on our visit by a clinical specialist. This person’s experience was in theatre management and surgical care. They obtained information on the organisation and running of the theatre suite and observed one person’s care throughout their theatre journey. The service had procedures in place to ensure that all patient safety checks took place. This reflected relevant guidance from the Association for Perioperative Practice (AfPP). We saw that all records were completed in a timely manner, both in theatre and pre and post operatively.

During our visit we looked at the medical records for four people. We saw that these were signed and also updated as a person's needs or situation changed. All records contained details of assessments and discussions that had taken place. Three of the people we spoke with said that after their operation staff made regular checks. One person said, “Nothing is too much trouble, I feel safe.”

Staff told us that they were kept informed about inpatients’ progress and needs during shift handovers. Some handovers were done face to face and others were done with the use of a dictaphone. This meant that staff starting their shift were kept informed and updated about each person without the need to take staff away from providing care. One person told us “Staff are always well versed; they are very well briefed and know all about you.”

We spoke to ten staff from various departments and with a variety of job roles. During our conversations with them it was clear that they were all focused on delivering the best care they were able to. All the staff we spoke with appreciated having the time to talk to people about their care and treatment. They were able to answer people’s questions and provide reassurance and support. During our visit we spoke with seven people who were all complimentary regarding the care they had received. One person said “Excellent pain management. They ask if I need anything and if I am comfortable.”

There were arrangements in place to deal with foreseeable emergencies. All staff told us they received training in life support and had regular updates.The service had a high dependency unit (HDU) available for people. This unit was used for pre planned admissions but was also available for specialist care, for example, following an untoward surgical incident. The service also had protocols in place for admission to and discharge from the unit, which included to National Health Service (NHS) intensive care units.