Elite Community Ultrasound

We looked for evidence that there was an inclusive and positive culture of continuous learning and improvement that was based on meeting the needs of people who used services and wider communities. We checked that leaders proactively supported staff and collaborated with partners to deliver care that was safe, integrated, person-centred and sustainable, and to reduce inequalities.

This was our first assessment of this service. This key question was rated requires improvement. This meant the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

The service was in breach of the regulation for good governance.

Governance systems were not always effective. Policies and procedures were not consistently reviewed and adapted to reflect the service, clinical audit processes were not sufficiently developed, and ultrasound examinations and reports were not subject to regular quality assurance review.

The provider had not identified all relevant risks, including those associated with reliance on limited sonographer capacity at the time of our assessment, and some reporting and oversight arrangements were not in line with current guidance. Although governance meetings took place and the registered manager was focused on developing and improving the service, systems for monitoring quality, safety and performance required strengthening.

However, the registered manager was experienced and compassionate. Staff described positive working relationships and told us they felt respected, listened to and able to contribute to improvements within the service. There were policies in place to support staff wellbeing and speaking up, although some policies had not been fully tailored to the service.