28 June 2022
During a routine inspection
We have not previously inspected or rated this location. During this first inspection we rated it as good because:
- The service had suitably skilled staff to care for patients and keep them safe. The registered manager had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. The manager assessed risks to patients and mitigated them.
- The manager provided suitable care and treatment and monitored the effectiveness of the service. The manager worked well together with patients and supported them to make decisions about their care. They provided information which was easily accessible. Patient records were comprehensive and stored securely.
- The manager treated service users with compassion and kindness, respected their privacy and dignity, and helped them understand their baby’s condition. They provided emotional support to primary caregivers and their babies.
- The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
- The registered manager was focused on the needs of patients receiving care. They were clear about their roles and accountabilities. The service engaged well with service users to gather feedback about their experience and the manager was committed to continually improving services.
However:
- The service did not have access to an interpreting service for people whose first language was not English.
- The registered manager did not have a strategy to support the achievement of the service’s vision and aims. A regular system of audit was not fully embedded within the service.