12 January 2017
During a routine inspection
Overall, this core service was rated as good. We found the Molesey Community Hospital was good for safe. effective, caring, responsive and well led.
Our findings were as follows:
-
Systems to report incidents were used effectively and when indicated, practice was changed.
-
Patients received their medicines safely and there was good governance of medicines.
-
There were systems for assessing and mitigating risks and initiatives were taken to keep patients safe within the hospital.
-
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.
-
There was a continual focus on professional development and clinical competence of co-owners and their performance was appraised.
-
There was good multidisciplinary working with access to specialist services when required. The team worked cohesively together.
-
Patients were very positive about their experience. They were treated with kindness, respect and dignity and were included in decisions relating to their care and treatment.
-
Services were planned and delivered to meet individual need which ensured a focus on rehabilitation in an environment that was appropriate.
-
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.
However there were also areas where improvements needed to be made:
-
Damaged Walls and floors need to be fully repaired. It is understood that Central Surrey Health has already discussed this with NHS property services who are responsible for this.
-
The action plan following the fire risk assessment needed to be fully implemented with regular fire drills and evacuations carried out.
During our inspection we spoke with five patients who were using the service and two of their relatives. We spoke with 13 co-owners including nurses, doctors, and therapy and administrative staff.
We inspected the regulated activities of diagnostic and screening procedures and treatment of diseases, disorders and injuries.