Source · CQC inspection

Withington Community Hospital

Provider Manchester University NHS Foundation Trust Type NHS Healthcare Organisation Region North West Last inspected 19 Mar 2019

Overall rating: Good View full CQC report

Domain ratings

Five CQC key questions

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good

Earlier inspection findings

pre-2024 framework · 4 must-do 2 should-do

Must-do actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 4

Must do

Safe

The service must ensure that all appropriate staff have children’s safeguarding level three training.

Regulation: Regulation 18

⚠ Not all appropriate staff had safeguarding training to level three, despite children attending some clinics.

Must-do action 2 of 4

Must do

Responsive

The service must continue to implement actions to improve the capacity and responsiveness of the sexual health clinic.

Regulation: Regulation 10(2)a

⚠ We had concerns about the sexual health clinic held at the hospital. The department had limited space for patients which led to overcrowding. The walk-in clinic for the sexual health clinic often had people being turned away as the clinic reached capacity.

Must-do action 3 of 4

Must do

Well-led

The service must ensure that there is oversight for the location to improve the patient experience and to ensure that risk is properly managed at all times.

Regulation: Regulation 17

⚠ In outpatients, there was a lack of overall leadership with no one person with oversight of the entire building and all risks. Management did not seem to have oversight of the location, for example, the issue of corridor overcrowding.

Must-do action 4 of 4

Must do

Caring

The service must ensure that risk to patient confidentiality is appropriately assessed for the sexual health clinic and that all patients are cared for compassionately at all times.

Regulation: Regulation 10

⚠ Although most staff cared for patients with compassion, we witnessed a lack of care shown to a vulnerable patient in the sexual health clinic. There was overcrowding observed in the sexual health clinic and one patient voiced their concerns regarding confidentiality. Some patients did show visible distress in the sexual …

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2

Should do

Safe

The services should ensure that the ophthalmology day case theatres adhere to recommended best practice by using the Royal College of Ophthalmologists (RCOphth) World Health Organisation (WHO), cataract national patient safety checklist.

Should-do action 2 of 2

Should do

Effective

The services should consider improving local audit and outcome measures.