24 July 2022
During a routine inspection
This service is rated as Good overall. This is the first inspection for this service.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Outstanding
We carried out an announced comprehensive inspection at Weekend Service (Rayleigh) on 24 July 2022 as part of our comprehensive inspection programme.
At this inspection we found:
- The service had effective systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
- The service reviewed the effectiveness and appropriateness of the care they provided. They ensured that care and treatment was delivered according to evidence-based guidelines.
- Staff involved and treated people with compassion, kindness, dignity and respect.
- Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
We saw areas of outstanding practice:
- The provider’s approach to service delivery had integration at the heart of service development. They worked in coordination with others to make sure they were meeting the needs of the local population. The service was a key component of wider system integration and formed a part of Integrated Care Board’s overall provision. They were agile in working across the sector to set up new services, in response to patient needs and the wider health economy. They made sure they listened to the patient voice when developing or improving services.
- There was a systematic and integrated approach to monitoring, reviewing and providing evidence of progress. Plans were consistently implemented and had a positive impact on quality.
- Quality improvement was an essential component of the provider’s strategy. We found they had comprehensive quality and improvement systems, supported by a thorough approach to audit. There was a strong focus on improvement within the service by seeking out and embedding new ways of providing care and treatment.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services