The Care Quality Commission (CQC) Inspection

Care Quality CommissionFollowing our inspection in August 2016 our full CQC report is now available for review.

We found the inspection process helpful in highlighting areas of our practice that required improvement. These were chiefly around the documentation of consent for minor operative procedures carried out in the outpatient department and the obtaining of consent for surgery from non-English speaking patients. Measures have already been introduced to address these requirements.

We were delighted that the inspectors highlighted some key aspects of the care we deliver at BMI Shirley Oaks Hospital and in particular that they noted that :

  • Caring is good overall because patients were cared for compassionately and with dignity and respect. Patients spoke positively about care and treatment and felt involved in the planning of their care. We observed staff providing patients with emotional support when patients were worried or anxious by holding their hand and spending time talking to them.
  • We found evidence of staff following best practice with regard to patient surgery, pain management, nutritional needs, including pre-operative fasting, and pre-operative assessments. An enhanced recovery programme formed part of the care pathway for knee and hip replacement patients.
  • The hospital is accredited by the Joint Advisory Group on gastrointestinal endoscopy (JAG).
  • Staff understood the duty of candour. The duty of candour is a regulatory duty that relates to openness and transparency and requires providers of health and social care services to notify patients (or other relevant persons) of certain ‘notifiable safety incidents’ and provide reasonable support to that person.
  • The hospital appeared clean and tidy, and staff had guidance in the form of infection prevention and control policies to support them in ensuring a safe environment and practices.

We look forward to welcoming you at BMI Shirley Oaks Hospital.

John Hare
Executive Director