10, 11, 12 February 2014
During a routine inspection
Patient's treatment was planned and delivered in line with their individual choice of treatment. There was a clear audit trail from the first consultation with the surgeon to the discharge of the patient. This included the patients' GP being kept informed. This meant that the patients' safety and welfare was protected by the practices of the surgeons.
Patients who used the service were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.
Patients were cared for by doctors who were competent to care and treat them safely.
There was evidence that learning from incidents and investigations took place and appropriate changes were implemented. The provider used review of cases with poor or avoidable outcomes, referred to as Mortality and Morbidity (M&M) meetings and annual general meeting to review and revise the service so that they achieved the best outcome for patients.