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Adelaide Health Centre/Western Community Hospital Good

This service was previously managed by a different provider - see old profile


Other CQC inspections of services

Community & mental health inspection reports for Adelaide Health Centre/Western Community Hospital can be found at Solent NHS Trust.

Inspection carried out on 16 October & 17October 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating June 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Adelaide Health Centre on 16 and 17 October 2018 as part of our inspection programme.

At this inspection we found:

•The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

•The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

•Staff involved and treated patients with compassion, kindness, dignity and respect.

•Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

•There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

•Continue to review all health and safety risk assessments across all sites so that outstanding actions are completed.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

Inspection carried out on 28 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Adelaide Health Centre on 28 June 2016. Overall the practice is rated as good.

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvement are:

  • Continue reviewing the appointment system in order that patient needs were met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 17-21 March 2014

During a routine inspection

Solent NHS Trust provides community and specialist healthcare services to a population of over a million people living in Southampton, Portsmouth, South East and South West Hampshire. Some services extend across the whole of Hampshire, including sexual health services and community dental services.

Solent NHS Trust HQ is based at Adelaide Health Centre and this report relates to community services provided trust wide, and is not limited to those provided at the health centre. Trust wide services are provided from over 120 different locations including community and day hospitals, as well as outpatient and other settings within the community such as health centres, children’s centres and service users homes.

During our visit we held focus groups with a range of staff across community health services. These included ward nurses, health care assistants, community nurses, community matrons, health visitors, school nurses, allied health professionals, doctors, dentists and administrative staff. We observed how people were being cared for, talked with carers and/ or family members and reviewed personal care or treatment records of patients.

Overall we found that community services were safe. Staff understood the importance of reporting untoward incidents and were confident and willing to raise concerns. The Trust had systems for collating and investigating incidents and there was evidence of improvements arising and some sharing of learning across services.

Most people working at the service said that they felt there were enough staff and the Trust was taking a proactive approach to check that there were enough staff to keep people safe and meet people’s needs. However some district nurse teams and the rapid response team in Southampton were finding it hard to meet demand and the recruitment of staff was ongoing. We found the leadership and sharing of productive and effective ways of working across the Southampton and Portsmouth community teams could be improved.

Generally there was good access to services and these were responsive to the differing needs of patients. An excellent service was provided to homeless people in Southampton, and the community dental services provided exceptional care to patients, children and young people with special needs. But we found there was insufficient capacity at some busy sexual health clinics. There was a risk that patients turned away from these clinics would not receive timely treatment, or may not receive treatment at all.

Staff used pathways of care to treat patients, based on nationally agreed best practice. There was good multi-disciplinary and multi-agency team work taking place. We found examples of innovative practice and excellent care which enabled patients, children and young people to receive care at home, or close to home, and avoid admission to an acute hospital.The Children’s Outreach Assessment and Support Team (“COAST”) was particularly notable.

We found a high level of patient satisfaction across community services. The majority of people commented on the caring and compassionate approach of staff across the organisation. Staff were highly motivated and committed and treated people as individuals. We observed that patients were treated with dignity and respect. End of life care and in particular the Portsmouth specialist palliative care team was notable.

We found examples of good leadership and staff felt they were well supported by their managers. Staff were aware of the trust’s objectives and values and felt well-led by all levels of the organisation. Many said they had good supervision, training and development opportunities.