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Royal South Hants Hospital Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 April 2019

We rated them as requires improvement because:

On this inspection we rated the outpatients service as requires improvement because:

  • The service did not effectively control all infection risks.
  • The service had capacity issues in certain departments and could not cope with the volume of patients attending clinics.
  • Systems and procedures to monitor and manage risks to patients had failed which had led to patient harm.
  • It was unclear if there was a robust system for providing feedback and lessons learnt from complaints or incidents to staff working in outpatient services.
  • It was unclear if the outpatient services had robust, well-established and effective leadership and governance processes.

However:

  • Staff were supported through service related policies and procedures in addition to evidence based professional guidance.
  • Feedback from people using outpatient services, and those close to them, was continually positive about the way staff treated them.
  • Services provided by the outpatient departments mostly reflected the needs of the local population.
  • Most patients were able to access the service in a timely way, with many specialties in line with or close to the national averages in waiting times.
Inspection areas

Safe

Requires improvement

Updated 17 April 2019

Effective

Updated 17 April 2019

Caring

Good

Updated 17 April 2019

Responsive

Requires improvement

Updated 17 April 2019

Well-led

Requires improvement

Updated 17 April 2019

Checks on specific services

Outpatients

Requires improvement

Updated 17 April 2019

We previously inspected outpatients jointly with diagnostic imaging so we cannot compare our new ratings directly with previous ratings.

On this inspection we rated the outpatients service as requires improvement because:

  • The service did not effectively control all infection risks.
  • The service had capacity issues in certain departments and could not cope with the volume of patients attending clinics.
  • Systems and procedures to monitor and manage risks to patients had failed which had led to patient harm.
  • It was unclear if there was a robust system for providing feedback and lessons learnt from complaints or incidents to staff working in outpatient services.
  • It was unclear if the outpatient services had robust, well-established and effective leadership and governance processes.

However:

  • Staff were supported through service related policies and procedures in addition to evidence based professional guidance.
  • Feedback from people using outpatient services, and those close to them, was continually positive about the way staff treated them.
  • Services provided by the outpatient departments mostly reflected the needs of the local population.
  • Most patients were able to access the service in a timely way, with many specialties in line with or close to the national averages in waiting times.