21 September 2022
During a routine inspection
This service is rated as requires improvement overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires improvement
Why we carried out this inspection
We carried out an announced comprehensive inspection at Oxford Centre on 21 September 2022 as part of our comprehensive inspection programme.
Our findings
- We saw that some of the systems and policies in place were still being developed. These currently had a poor structure and were not organised.
- The processes for managing risks, issues and performance could be improved.
- Staff understood and fulfilled their responsibilities to raise concerns, and report incidents and near misses.
- Patients received care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
The areas where the provider must make improvements as they are in breach of regulations are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care (See Requirement Notice Section at the end of this report for further detail).
The areas where the provider should make improvements are:
- Continue to audit the existing training of staff to ensure mandatory training has been completed.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services