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Inspection Summary


Overall summary & rating

Updated 22 October 2018

We carried out an announced comprehensive inspection at the above provider on 28 August 2018 to ask the service the following key questions; are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Pioneer Healthcare Limited is an independent sector healthcare provider that delivers a wide range of adult services to NHS, privately insured and self funding patients. The services are provided in partnership with other independent sector private hospitals. Pioneer Healthcare Limited are registered with the Care Quality Commission and was inspected as a doctors consultation service. and a doctors treatment service.  The provider carries out the regulated activities of surgical procedures, diagnostic and screening and the treatment of disease, disorder or injury.

Feedback obtained through comment cards completed and speaking with patients during the inspection was excellent. We received 19 comment cards and spoke with

to four patients.

Our key findings were:

  • There was an overarching governance framework which supported strategic objectives and the delivery of quality care.
  • There was good local leadership and a cohesive clinical and administrative team who were well supported.
  • Clinicians were committed to improving the outcomes of patients and delivering quality care.
  • The organisation encouraged and acted on staff and patient feedback. Patient feedback was consistently positive about the staff and the service they received.
  • There was a strong focus on continuous learning and improvement across all levels of the organisation.
  • Before patients received any care or treatment they were asked for their consent and the doctors acted in accordance with their wishes. Patients said they were informed of the treatments and associated risks and they were given time to consider these.
Inspection areas

Safe

Updated 22 October 2018

We found that this service was providing safe care in accordance with the relevant regulations.

  • There were comprehensive policies and systems in place to monitor risk and keep patients and staff safe.
  • All staff had received mandatory training in areas such as safeguarding and understood their responsibilities in relation to this.
  • There was an effective system for reporting, recording and reviewing incidents, complaints and safety alerts.
  • Medicines were stored and prescribed safely on the premises at Claremont Hospital.

Effective

Updated 22 October 2018

We found that this service was providing effective care in accordance with the relevant regulations.

  • Patient pathways were in place to ensure that a patient focussed service was offered from initial consultation through to patient discharge.

  • There were systems and key performance indicators in place to monitor and assess the quality of the service.
  • Patients’ consent was sought in line with legislation and guidance.
  • There was a clear staffing structure in place which included management, clinical and administrative staff to develop and support the service.

Caring

Updated 22 October 2018

We found that this service was providing caring services in accordance with the relevant regulations.

  • Staff treated patients with kindness, respect and compassion.
  • Patient feedback was positive about staff being caring and professional.
  • Patients had access to information from the provider’s website. Clinical and administrative staff were able to support them in making decisions about their care and treatment options.
  • Staff we spoke with demonstrated a patient focussed approach.

Responsive

Updated 22 October 2018

We found that this service was providing responsive care in accordance with the relevant regulations.

  • We saw that information was available to patients in order to demonstrate what the service offered and which treatment options were available.
  • The premises occupied by Pioneer Health Care Limited

     at Claremont Hospital were fully accessible and well equipped to meet patients’ needs. A number of satellite clinics were available across Sheffield as an option to increase patient choice and flexibility.

  • Information about how to complain was available and evidence showed the service responded appropriately to any concerns raised.
  • Learning from complaints was shared within the local team. at

    Pioneer Healthcare Limited and with

    staff

    .

    at Claremont Hospital

    .

Well-led

Updated 22 October 2018

We found that this service was providing well-led care in accordance with the relevant regulations.

  • The provider had a vision and strategy to deliver high quality care and staff were clear about their responsibilities in relation to this.
  • There were effective governance and risk management systems in place and a proactive approach to identifying and managing issues relating to risk.
  • There was a clear leadership structure and staff told us that they felt supported by management.
  • The provider actively encouraged staff and patient feedback and used this to improve service delivery.
  • Systems were in place to make sure that all patient information was stored securely in order to ensure confidentiality.
  • There was a focus on continuous learning, development and improvement linked to the quality of service delivery.