Archived: Central Surgery

We saw that health and safety, fire, basic Cardio Pulmonary Resuscitation (CPR), defibrillator and anaphylaxis training had all been completed by clinical staff. A health care assistant we spoke with said, 'I have done a lot of training recently, it has been really enlightening, I've learnt so much."

The service manager told us, 'We have an incident reporting system, all of our incidents are taken to the clinical governance meetings' and went on to say, 'Near misses are reported as well, we include them as incidents and use them to prevent anything in the future.'

There were effective systems in place to reduce the risk and spread of infection. We saw that personal protective equipment was used appropriately. Hand washing facilities with elbow taps as well as dispensable soap and sanitizers were available in the clinical room.

A patient we spoke with said, 'I have no complaints what so ever, it's a good service.'

We found the provider had a system for gaining consent from patients, including particular procedures for gaining consent from children and adults who did not have capacity. Patient records included assessments, treatment plans and reference to appropriate guidance to ensure the care offered was appropriate.

The provider had contracts with the owners of the buildings where clinics took place, ensuring buildings, equipment and infection control related issues reflected their obligations under Care Quality Commission registration. Staff were recruited appropriately and they provided training, supervision and support. The provider had a complaints procedure that was fit for purpose and allowed the provider to learn and improve from consideration of unfortunate incidents.