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Mediscan Diagnostic Services Limited Inadequate

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

Inspection Summary


Overall summary & rating

Inadequate

Updated 27 October 2021

Our rating of this location stayed the same. We rated it as inadequate because:

  • Staff did not always understand how to protect patients from abuse. There was a lack of clarity about the training staff had received about how to recognise and report abuse and they did not always know how to apply it.
  • The service did not always control infection risk well. The infection prevention and control policies were not fully reflective of the service or provide clarity to staff about how to use control measures to protect themselves and patients.
  • The policy for waste management was not fully reflective of the service and there was missing information.
  • There was limited assurance that there were robust systems and processes in place for the appropriate and timely referral, triage and escalation of patient care.
  • Records were not always stored securely and easily available to all staff providing care.
  • The service did not have robust systems in place to safely prescribe, administer, record and store medicines.
  • The service did not always manage patient safety incidents well. Staff did not always recognise and report incidents and near misses. Managers did not always investigate incidents or shared lessons learned with the whole team and the wider service.
  • Although some improvements had been made to quality assurance processes, we found some out of date documentation, there remained limited evidence that managers had processes in place to make sure staff followed guidance and there was limited evidence of audits undertaken.
  • Managers did not always appraise staff’s work performance or hold supervision meetings with them to provide support and development. Whilst some improvements had been made to staff training, records were not always accurate or up to date and so we could not be assured that they provided appropriate oversight of staff training.
  • There was limited evidence of lessons learnt and shared with all staff in relation to complaints.
  • Whilst steps had been taken to strengthen the leadership structure, leaders did not all have the skills and abilities to run the service. They did not always understand and manage the priorities and issues the service faced. They did not always support staff to develop their skills and take on more senior roles.
  • Staff did not always feel respected, supported, and valued. The service did not always have an open culture where patients, their families and staff could raise concerns without fear.
  • Leaders did not operate effective and governance processes, throughout the service. Policies and procedures were not reflective of the services provided and so staff at all levels could not be clear about their roles and accountabilities.
  • Leaders did not always use systems to manage performance effectively. They did not have effective risk management processes in place to identify and escalate relevant risks and issues or identified actions to reduce their impact.

However:

  • There had been improvements made to cleaning checklists and ultrasound equipment cleaning processes.
  • The design and maintenance of premises and equipment kept people safe.
  • The service provided care and treatment based on national guidance and evidence-based practice.
  • Consent documentation for intimate ultrasound examinations had been updated to meet with national guidance and staff were aware of the process.

Following our inspection, we took enforcement action which included the use of our urgent enforcement powers under Section 31 of the Health and Social Care Act 2008. We extended the suspension up until the 25 November 2021 due to risks identified with safeguarding, assessing and responding to risk, medicines, incidents, recruitment processes leadership and governance and risk management systems.

Inspection areas

Safe

Inadequate

Updated 27 October 2021

Effective

Updated 27 October 2021

Caring

Good

Updated 27 October 2021

Responsive

Insufficient evidence to rate

Updated 27 October 2021

Well-led

Inadequate

Updated 27 October 2021

Checks on specific services

Diagnostic imaging

Inadequate

Updated 10 September 2021

Diagnostic and screening services

Inadequate

Updated 27 October 2021

See the main summary above for our overall summary of the service.