Kinvara Private Hospital

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

The service ensured that people and communities were always at the centre of how care was planned and delivered. We checked that the health and care needs of people and communities were understood, and they were actively involved in planning care that met these needs.

We have not awarded this service a score for Responsive.

Find out about when we will not publish a key question score and what we look at when we assess Responsive.

Patients told us their needs and preferences were taken into account. The service used patient surveys and held regular engagement with patients and the community to listen to their views and used the feedback to make improvements. Patients gave positive feedback about how they were treated by all staff groups including receptionists, porters, nursing and medical staff.

Staff told us they completed risk assessments and person-centred care plans were put in place where risks were identified. They were regularly reviewed and discussed with patients to enable improvements or changes to their plan of care. Care records we looked at showed person-centred care plans were in place that took into account people’s individual needs and preferences.

We observed positive interactions between staff and patients. We saw staff understood their needs and provided appropriate care and treatment.

Staff received mandatory training in equality and diversity, dementia awareness and learning disability and autism. Records showed that compliance was above the target for all staff groups.

Staff told us how they made reasonable adjustments for patients based on their specific needs. This included the allocation of extra time in the anaesthetic room if a patient was autistic or was very anxious about the procedure. This was identified at the preoperative assessment stage and further questions were asked about what the patient needed.

Staff told us that they had meetings to plan and prepare for any reasonable adjustments that patients required.

The service planned and provided care in a way that met the needs of people and the local communities. Care was joined-up, flexible and supported choice and continuity.

The hospital treated both patients that were NHS funded and patients who were privately insured and self-paying. Referrals into the service came from GP’s or inter-provider transfers from the partnering NHS hospital. Senior leaders told us how they worked proactively with system partners to sustain NHS partnerships and contribute to the overall NHS elective recovery plan. Managers planned and organised services, so they met the needs of the local population. The hospital’s elective surgical activity helped support the capacity and waiting lists of the local NHS hospital.

Patients spoke positively about care being well co-ordinated and said they felt listened to and valued. They told us that staff had involved them throughout the care pathway from the referral and initial pre-operative assessment to post surgery follow up appointments.

They told us they had been given options regarding their treatment and had chosen this provider. Staff told us they received all the information from pre-operative assessments to plan patients care and treatment. They told us they prepared equipment, consumable items and medicines for each person in advance of their scheduled procedures.

The service had daily safety meetings with staff across the service to discuss patients ongoing care and treatment. Pre-operative assessment multidisciplinary team meetings took place to discuss complex cases before decisions were made regarding suitability for surgery.

The service reported and monitored themes for surgical procedure cancellations and took actions to reduce cancellation rates.

Patients told us staff provided them with the necessary information about their care and treatment. They told us that they shared information clearly and answered any questions they had.

Information leaflets about the services were readily available in all the areas we visited. Staff told us they could provide information in different languages or other accessible formats and could access language interpreters if needed.

The service had ‘easy read’ and large print versions of discharge information and hospital passports that used large font and pictures. This recorded important information about the patient so that staff could support them in the best way possible. It included information such as anxieties, likes and dislikes, interests and preferred ways to communicate.

We saw welcome posters in a variety of languages displayed. The service also had audio services for Braille users, they had access to BSL interpreting services and an induction loop was installed.

Staff told us they received training in information governance and confidentiality and that they could easily access information such as care records, policies and guidance relevant to their role.

The service had an electronic performance dashboard which included information around clinical indicators such as patient safety, incidents and complaints. We observed that information on service performance and key risks were shared with staff through team meetings and emails.

The service routinely engaged with patients through a variety of methods, including surveys. Staff told us they encouraged people to provide feedback about the care and treatment they received. We observed posters and leaflets with QR codes throughout the service asking for people to give feedback. Patient feedback was very positive about their overall treatment journey.

We observed leaflets on how to make a complaint in the reception area. Staff told us information about complaints were discussed during daily huddles and routine staff meetings. We observed a range of meeting minutes that had complaints on the agenda including ward and theatre meetings, clinical governance and MAC meetings. The provider’s complaints policy provided guidance on how staff should handle complaints. This included the process to follow for unresolved complaints and signposted to external organisations such as the Parliamentary and Health Service Ombudsman (for NHS patients) and the Independent Sector Complaints Adjudication Service (ISCAS) for private funded patients.

Managers reviewed complaints, compliments and feedback to aid learning and improvement. There were 11 complaints in total for the hospital recorded between September 2024 and September 2025. The main theme for complaints were communication.

There were 36 positive reviews received and 187 compliments through surveys between September 2024 and August 2025. We saw cards and compliments displayed throughout the hospital.

Services were designed to make them accessible and timely for people who were most likely to have difficulty accessing care.

The hospital provided services for NHS and private patients, over the age of 18 for outpatient, diagnostic imaging, inpatient and day case surgical care. The service provided elective surgery across several elective surgical specialties for NHS patients on the referral to treatment waiting lists, under commissioning arrangements with local NHS acute trusts.

Patients told us they received treatment in a prompt and timely manner and did not experience long waits when they arrived for their treatment.Patients had an initial consultation to determine whether they needed surgery, followed by a pre-operative assessment. Staff told us they planned patients care and treatment in advance so they did not experience delays in their treatment.

Staff told us they monitored and followed up any people who did not attend their appointments and rescheduled their appointments promptly to ensure their treatment schedules were not disrupted.

The service had an inclusion and exclusion criteria and patients admitted for treatment were generally healthy or suffered from mild systemic disease and were considered to have a low risk of developing complications during treatment.

Managers told us the service had sufficient capacity to meet peoples’ needs and performance around access and flow was monitored daily to minimise any delays to patients care and treatment.

The service monitored waiting times from referral and made sure people could access services promptly when needed. They monitored people who did not attend their appointments and cancellations and made sure their treatments were rearranged within 28 days.

The hospital was wheelchair accessible and there was a dedicated prayer room available for both patients, visitors and staff.

The service had processes to identify any barriers that could disadvantage different groups of people using their service. Actions had been taken to address barriers and improve patient experience. This included improved accessibility to interpretation and translation services for patients whose primary language was not English and a ramp for wheelchair access.

Staff were able to give examples of how they respected the individual wishes of people with protected characteristics, such as disability and people with communication or language difficulties. Patients told us their needs and preferences were assessed and understood by staff.The provider’s equality and diversity policy outlined the processes for equal opportunities including how staff ensured they did not discriminate, including on the grounds of protected characteristics under the Equality Act, when making care and treatment decisions.

We looked at data around incidents, complaints and treatment outcomes and this did not identify any disparity in care or adverse outcomes or inequalities for people with protected characteristics.

Patients told us the staff had discussed their long-term care and treatment plans with them and their preferences were taken into account. Staff compiled discharge information collaboratively with patients to record information about the care and treatment received and future information such as medication and follow up appointments.

Patients we spoke with told us that they had been given advice and information on how to manage at home after surgery. Physiotherapists were involved from the earliest stage in order to proactively work with patients for the best outcomes.

The service did not provide additional support post-treatment or for individuals approaching end of life.