OneWelbeck Orthopaedics

We have not previously inspected this service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment and managed pain effectively. Managers made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of people and gaps in care in the region. Staff took account of patients’ individual needs and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the wider healthcare community to plan and manage services and all staff were committed to improving services continually.

However:

• There was no risk assessment in place to ensure cleaning and decontamination of non-clinical areas, such as the soft furnishings in the waiting area.
• Although individual consultants measured patient outcomes for their patients, the service did not audit care outcomes such as treatment success rates.
• There was no formal audit process in place to assess consistent standards of practice, including use of the WHO checklist for outpatient minor surgery procedures.