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Archived: Global House Good

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Inspection Summary


Overall summary & rating

Good

Updated 7 June 2017

Overall, we rated the services at Global house as good because:

  • The service had effective systems for identifying and reporting incidents, and staff recorded and investigated incidents appropriately. The service took action to mitigate risks to patients in services covered by community teams. The service monitored its safety thermometer information to improve patient safety. Staff had received safeguarding training and were aware of the action to take if they suspected abuse.

  • Patient records were comprehensive, with appropriate risk assessments completed.

    The new electronic patient record system ensured that patient details were stored securely and promoted confidentiality.

  • Patients were cared for by appropriately qualified staff, who had received an induction to the unit and achieved specific competencies before being able to care for patients independently. Contraceptive and reproductive health staff were trained in the speciality and many had undertaken the diploma from the Faculty of Sexual and Reproductive Health.

  • There was effective internal and external multidisciplinary team working and practitioners worked with other staff across services.

  • Patients gave positive feedback about the services they used. They told us their confidentiality, dignity and privacy was respected by staff.

  • Services were developed to meet the needs of people. Patients on the home pathway had their rehabilitation needs met in their homes. The Medical Response Team provided telephone consultations and face-to-face consultations in patients’ homes. The contraceptive and reproductive health clinic times were flexible to meet people’s needs.

  • We saw good local leadership within the service and staff reflected this in their conversations with us. There was a positive culture in the service and staff said they could raise concerns with the leadership team.

  • The service had implemented a live performance scorecard for daily monitoring of key performance indicators.

However:

  • A surgical safety checklist was not in use for vasectomy procedures.
  • Local risk assessments for satellite clinics were completed, but action plans for change did not have set times for completion.
  • There was no formal service level agreement in place for the use of satellite locations for contraception and reproductive health services. However, the provider conducted annual risk assessments and had escalation procedures in place for use of the facilities.
Inspection areas

Safe

Good

Updated 7 June 2017

  • The service monitored its safety thermometer information to improve patient safety and there were effective arrangements for safeguarding vulnerable adults.

  • Staff had access to a wide range of equipment and most equipment was adequately maintained.

  • Patient records were comprehensive, with appropriate risk assessments completed. Staff routinely assessed and monitored risks to patients. They used the national early warning score to identify patients whose condition might deteriorate.

  • Medicines were generally stored safely and securely.

  • The equipment was clean and most staff complied with infection prevention and control guidelines.

Effective

Good

Updated 7 June 2017

  • Policies and procedures were developed in line with national guidance.

  • There was effective internal and external multidisciplinary team working and practitioners worked with other staff across services.

  • Staff had received an induction to the unit and achieved specific competencies before being able to care for patients independently. All staff had an appraisal in the last year.

Caring

Good

Updated 7 June 2017

  • Staff provided a caring, kind, and compassionate service and we received positive comments from patients. We saw staff communicating with patients in a polite and caring way.

  • Patients’ feedback was sought and most patients indicated they would recommend the service.

  • We observed staff working in partnership with patients when delivering care. Staff delivered information to patients in an accessible way and ensured patients were involved in their own care.

Responsive

Good

Updated 7 June 2017

  • Services were developed to meet the needs of people. Patients on the home pathway had their rehabilitation needs met in their homes. The Medical Response Team provided telephone consultations and face-to-face consultations in patients’ homes. The contraceptive and reproductive health clinic times were flexible to meet people’s needs.

  • The contraception and reproductive health service had a provision for people living with learning disabilities to help them make a fully informed choice of their contraception method and ensure they understood the implications of undertaking a sexual relationship.

  • Staff had access to translators when needed, giving patients the opportunity to make decisions about their care, and day to day tasks.

  • The service had a robust system in place for collecting and responding to complaints. Information from complaints was fed back to staff in team meetings.

Well-led

Good

Updated 7 June 2017

  • We saw good local leadership within the service and staff reflected this in their conversations with us. Staff were supported in their role and had opportunities for training and development.

  • There was a positive culture in the service and most members of staff said they could raise concerns with the leadership team.

  • The management had oversight of risks within the services and mitigating plans were in place.

  • There was evidence of staff engagement and changes being made as a result. Patients were engaged through surveys, feedback forms and online forums.

  • The service had implemented a live performance scorecard for daily monitoring of key performance indicators.

Checks on specific services

Community health services for adults

Good

Updated 7 June 2017

Community health sexual health services

Good

Updated 7 June 2017