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Archived: St Mary's Hospital

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Inspection report

Date of Inspection: 16 July 2013
Date of Publication: 15 August 2013
Inspection Report published 15 August 2013 PDF | 79.64 KB

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Meeting this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

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 16 July 2013, observed how people were being cared for and talked with people who use the service. We talked with staff.

Our judgement

People who used the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.

Reasons for our judgement

During our inspection we saw clear signage throughout the hospital. Staff were friendly and helpful in providing directions. We walked around the hospital and did not have any concerns regarding the environment. The hospital ward and out-patients department was clean, uncluttered and provided sufficient space.

The ward had single and shared rooms available. There were two single rooms, a four-bed bay for male patients and a four-bed bay (with two side rooms) for female patients. The bays were for single sex occupancy only, to ensure the dignity of patients using the hospital. We saw there was disabled access to and from the ward.

There was a policy for the management of medical gases such as oxygen. There was a policy for the Control of Substances Hazardous to Health (COSHH) and information and training for staff was given. There was a waste disposal policy to protect the health and safety of patients, staff and visitors.

The hospital had an Infection Prevention and Control Policy. This policy outlined the responsibility of staff and provided guidance to staff on the measures required to prevent the spread of infection in hospitals. The hospital was seen to be clean and free from obstructions, with equipment stored properly. We saw an infection control noticeboard, which included relevant information and the 100% pass result of a recent hand hygiene audit. Audits were regularly undertaken in the hospital regarding infection control and the results were monitored by the infection control team on the mainland on a weekly basis. Hand washing facilities were available throughout the wards and departments, with liquid soap, antibacterial gels and paper hand towels.

The laundry was washed on site. We saw the laundry area was equipped with industrial washing machines that washed at sufficiently high temperatures to control infection. The floors and walls were impermeable and hand washing facilities were in place.

The hospital had an estates strategy which provided a framework by which the existing estate could be re-designed, modernised and improved. The Patient Environment Action Team (PEAT) focuses on improving the patient experience whilst monitoring to ensure the trust maintains and improves a high quality environment sensitive to the needs of patients.

We saw there were up to date health and safety records that showed suitable systems were in place to ensure fire equipment, heating and the environment were tested and properly maintained. We spoke with the hospital maintenance person and he confirmed the completion of a number of daily, weekly and monthly checks to ensure patient safety. For example, the checking of thermostatic valves fitted to hot water outlets. We saw fire doors were clearly marked and were linked to an alarm system and fire extinguishers were seen and checked as having been serviced in the last year.

The provider may like to note we saw ‘emergency’ and ‘attack’ buttons located around the hospital, intended to notify staff if there was a crisis situation. Staff were not confident about the warning sounds, whether they were the same or different, or if there was a procedure to follow when responding to these. The ward sister confirmed the use of this alarm system was not practised.