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Berkshire West Community Endoscopy Service Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 10 February 2020

Inspection areas

Safe

Good

Updated 10 February 2020

Our rating of safe improved. We rated it as Good because:

  • The service provided mandatory training in key skills to all staff.
  • The service had enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment.
  • The service managed patient safety incidents well. Staff recognised incidents and near misses and knew how to report them.
  • The serviced introduced the World Health Organisation checklist as part of the patient pathway document and this was completed in all records we reviewed.

Effective

Not sufficient evidence to rate

Updated 10 February 2020

We do not rate effective for endoscopy as there is not sufficient available data to benchmark or compare these services.

  • The service made sure staff were competent for their roles. Managers appraised staff’s work performance and offered support and development.

  • Managers monitored the effectiveness of care and treatment and used the findings to improve them.
  • An audit schedule tracked all completed audits which were then collated centrally to ensure oversight of each service. All audits were completed.

Caring

Not sufficient evidence to rate

Updated 10 February 2020

There was not sufficient evidence to rate caring as the service did not have a clinic operating on the day of our inspection:

  • Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
  • Feedback from patients was positive.

Responsive

Good

Updated 10 February 2020

Our rating of responsive stayed the same. We rated it as Good because:

  • The service planned and provided care in a way that met the needs of local people and the communities served.
  • The service was inclusive and took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services.
  • People could access the service when they needed it and received the right care promptly.
  • It was easy for people to give feedback and raise concerns about care received. The service treated concerns and complaints seriously and investigated them.

Well-led

Good

Updated 10 February 2020

Our rating of well-led improved. We rated it as Good because:

  • There were clear roles and responsibilities to support governance and risk management.
  • Staff felt respected, supported and valued.
  • The service collected, analysed, managed and used information well to support all its activities, using secure electronic systems with security safeguards.
  • The service had good systems to identify risks, plan to eliminate or reduce them, and cope with both the expected and unexpected.
Checks on specific services

Endoscopy

Good

Updated 10 February 2020

Endoscopy was the main activity of the clinic. We rated this service as good because it was safe, 

responsive and well led.