Ms Julienne Espineli

We carried out an inspection of Julienne Espineli using our comprehensive methodology on 8 August 2022 and 12 August 2022. The service had not been previously inspected.

Our inspection was announced. We gave the provider short notice of the inspection date to ensure their availability on the day.

This was the first time we inspected the service. We rated it as good because:

• Feedback we received from parents was extremely positive. The service was inclusive and took account of parents’ individual needs and preferences.
• The provider was up to date with mandatory training and had the right qualifications, skills, training and experience to keep patients safe and to provide the right care and treatment.
• The provider followed national guidance and evidence-based practice. There was evidence of quality monitoring through regular clinical audits.
• A comprehensive assessment was completed for each patient including a feeding assessment and assessment of risk.
• The provider kept detailed records of patients’ care and treatment.
• The provider supported primary care givers to make informed decisions about their baby’s care and treatment. The process of seeking and recording consent was thorough and included sufficient information to allow for informed decisions to be made.
• There was a high level of aftercare available to primary care givers following the procedure. The provider treated parents and their babies with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
• Primary care givers could access the service when they needed it. Services were offered seven days a week.
• Leaders had the skills and abilities to run the service. The service had a vision for what it wanted to achieve and a strategy to turn it into action.
• Systems to manage performance had been implemented. Risks were identified and actions to reduce their impact were listed on the service’s risk register.
• The provider was committed to continual learning and improving their service. They understood the skills required to make improvements and they shared information for research and to innovate future services.