11 January 2017
During a routine inspection
Overall rating for this core service
Overall, this core service was rated as good. We found the New Epsom and Ewell Community Hospital was good for safe, effective, caring, responsive and well led.
We inspected the regulated activities of diagnostic and screening procedures and treatment of diseases, disorders and injuries.
The provider, Central Surrey Health has been established as a social enterprise and the staff working for this organisation are co-owners and will be referred to as such throughout the report.
Our findings were as follows
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Systems to report incidents were used effectively and when indicated, practice was changed.
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Generally, patients received their medicines safely and there was good governance of medicines.
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Facilities were well maintained and there were good infection prevention and control practices which staff understood.
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There were systems for assessing and mitigating risks and initiatives were taken to keep patients safe within the hospital.
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Care was provided in line with national best practice guidance. A rolling programme of local audits ensured standards of care were maintained. Patient outcomes were monitored.
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There was a continued focus on professional development and clinical competence of co-owners and their performance was appraised.
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There was good multidisciplinary working with access to specialist services when required. The team worked cohesively.
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Patients were very positive about their experience. They were treated with kindness and respect and were included in decisions relating to their care and treatment.
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Services were planned and delivered to meet individual needs and ensured a focus on rehabilitation in an environment that was appropriate.
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There was a shared vision and philosophy of care in the service which supported a multi-disciplinary approach with strong co-ownership engagement. Senior leaders were visible and co-owners were positive about the leadership structure.
- During our inspection we spoke with six patients who were using the service and one of their relatives. We spoke with 15 co-owners including nurses, doctors, and therapy and administrative staff.