28 March 2017
During a routine inspection
We found the following areas of good practice:
- High standards of cleanliness and hygiene were maintained throughout the environment.
- Patient records were comprehensive, had evidence of patient involvement and treatment plans were written from their perspective on how to meet their needs.
- Staff were encouraged to participate in research projects and to have them or articles they had been involved in published in professional peer journals. We were shown several of these.
- The staff had the right qualifications, skills, knowledge and experience to do their job and meet patients’ needs.
- Patients were routinely involved in planning and making decisions about their treatment. Patients told us they were actively involved in their treatment plans and staff listened to how their wound affected their daily lives.
- Patients had timely access to initial assessment, diagnosis, treatment and they could book into a clinic, which best suited their needs.
- There were effective governance systems in place to ensure quality and performance was managed.
- Feedback was actively sought from patients and staff and used to improve the service they offered.
However, we also found the following issues that the service provider needs to improve:
- The provider’s safeguarding policy did not include information about Female Genital Mutilation (FGM).
- The provider’s complaints procedure made incorrect references to CQC’s involvement in complaints handling.