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Spire Little Aston Hospital Good

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Inspection report

Date of Inspection: 30 October 2013
Date of Publication: 17 December 2013
Inspection Report published 17 December 2013 PDF | 72.5 KB


Inspection carried out on 30 October 2013

During an inspection to make sure that the improvements required had been made

We visited Spire Little Aston Hospital to look at the progress since the last inspection when non-compliance was identified in five outcomes. The inspection was unannounced which meant that the manager and staff did not know we were visiting.

We met and spoke with the hospital director and matron, the acting theatre manager, the deputy theatre manager, seven staff and one anaesthetist.

We looked at records relating to the previous non-compliance, which were overall much improved. We observed the preparation for a theatre list and sat in on the theatre list team brief.

We saw that not all medical staff complied with the �no jewellery� policy. However, we saw that theatre staff appropriately challenged medical staff to follow the protocol for pre list team briefing. Staff told us that they felt supported to do this by the acting theatre manager.

We saw that theatre etiquette and practice had improved; although we are concerned about the continuity of staff support with further planned changes to the theatre structure. The improvements made so far will continue to be monitored by CQC to ensure that they are sustained.