Source · CQC inspection
Withington Community Hospital
Provider University Hospital of South Manchester NHS Foundation Trust
Type NHS Healthcare Organisation
Region North West
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good
Earlier inspection findings
Should-do actions (11)
Should-do action 1 of 11
Should do
Effective
Offer staff opportunities to develop surgical nursing competence skills.
Should-do action 2 of 11
Should do
Well-led
Consider having data available to staff on performance at a local level including local audit activity.
Should-do action 3 of 11
Should do
Well-led
Increase senior management visibility at Withington treatment centre.
Should-do action 4 of 11
Should do
Well-led
Cascade to staff the local vision and strategy of the service.
Should-do action 5 of 11
Should do
Well-led
Provide patient feedback at a local level.
Should-do action 6 of 11
Should do
Well-led
The trust should ensure access to IT (information technology) services is consistent and reliable to facilitate access to Local Rules and policies and procedures online and mandatory e-learning.
Should-do action 7 of 11
Should do
Safe
The trust should ensure documentation relating to radiation faults and Medical Physics are accessible electronically.
Should-do action 8 of 11
Should do
Safe
The trust should consider fitting a keypad lock to the clean utility room used to store Urografin in radiology.
Should-do action 9 of 11
Should do
Safe
The trust should maintain a record of the maximum and minimum fridge temperatures for each medication fridge and action should be taken if temperatures fall out of the recommended range.
Should-do action 10 of 11
Should do
Effective
Staff should have their learning needs identified through the trust’s appraisal process.
Should-do action 11 of 11
Should do
Well-led
The trust should consistently obtain NHS Family and Friends data in the radiology department.