Peterborough Community Endoscopy Clinic is operated by InHealth Endoscopy Limited. The service is located within a medical practice and comprised of a purpose built facility with a reception area, admission room, procedure room, discharge bays and a seated recovery area.
The service provides endoscopy (colonoscopy, flexible sigmoidoscopy and oesophagogastroduodenoscopy (OGD) for patients aged 18 years of age and over. These are procedures which look at different parts of the gastric tract.
We inspected this service using our comprehensive inspection methodology. We carried out the short notice announced part of the inspection on 8 April 2019, along with an unannounced visit to the clinic on 15 April 2019.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
The main service provided by this hospital was diagnostic and screening procedures through the use of endoscopy.
Services we rate
This is the first time we have rated this service. We rated it as Good overall.
We found good practice in relation to this service:
- The service managed staffing effectively and always had enough staff with the appropriate skills, experience and training to keep patients safe and to meet their care needs.
- The service controlled infection risk well and had suitable premises and equipment. Staff kept equipment and the premises visibly clean, and followed best practice in relation to infection prevention and control.
- Staff completed and updated risk assessments for each patient. They kept clear records and asked for support when necessary. The service had arrangements to recognise and manage risks to patients, in line with national guidance.
- The service managed patient safety incidents well. During the reporting period there were no never events or serious incidents.
- The service provided care and treatment based on national guidance and evidence of its effectiveness. The service had received Joint Advisory Group (JAG) accreditation in 2014.
- Managers monitored the effectiveness of care and treatment and used findings to improve the service. The intended outcomes overall were being achieved.
- Staff cared for patients with compassion. Feedback from patients confirmed that staff treated them well and with kindness. Observations showed how staff interacted compassionately with patients who were treated with dignity and respect.
- The senior team were available, approachable and supportive throughout recent senior staffing changes.
However, we found areas of practice that require improvement:
- Oxygen cylinders were not stored safely in line with guidelines.
- The service had a clinical General Practitioner (GP) lead but no dedicated clinical nurse leadership.
Following this inspection, we told the provider that it should make improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.
Amanda Stanford
Deputy Chief Inspector of Hospitals