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Inspection carried out on To Be Confirmed

During a routine inspection

Sheffield Orthopaedics Limited is an independent healthcare provider specialising in the provision of orthopaedic surgery. They provide surgical services for both NHS and non-NHS patients with services and facilities provided by Claremont Private Hospital Sheffield. The relationship between Sheffield Orthopaedics and the host hospital is governed by contractual agreements.

The service provides consultant care and surgery for primarily adult patients but a small number of young people between the age of 16 and 18 years are also able to access the service.

We inspected this service using our comprehensive inspection methodology. We carried out the unannounced visit to the hospital on 11 February 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The main service provided by this service was surgery. Where our findings on surgery – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the surgery service.

Services we rate

This was the first time we had inspected this service. We rated the service as Good overall.

  • There were no serious patient safety incidents reported in relation to the service between August 2017 and July 2018. We were assured that there were policies in place to manage incidents

  • Policies and procedures were in place. The host hospital provided policies relating to medicines management, infection control and the maintenance of the environment and equipment. There was effective sharing of information between the two organisations.

  • The service provided mandatory training in key skills to all staff and made sure everyone completed it.

  • Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it.

  • Care was planned and delivered in line with national evidence based guidance. Patient outcomes were measured and were used to facilitate learning and development.

  • Suitably trained and competent staff delivered care and treatment and there was clear evidence of effective multidisciplinary team working.

  • Patients gave positive feedback about the care and treatment they had received.

  • Patients had timely access to treatment and most were seen within 18 weeks.

  • The service had a clearly defined vision and set of values. Key risks to the service were recorded and managed appropriately.

  • The service had a contract with the host hospital and this was regularly reviewed. Staff had built effective relationships with the host trust and there was evidence of effective communication and information sharing.

Ellen Armistead

Deputy Chief Inspector of Hospitals (North)