Source · CQC inspection

Bolton One

Provider Bolton NHS Foundation Trust Type NHS Healthcare Organisation Region North West Last inspected 10 Aug 2016

Overall rating: Good View full CQC report

Domain ratings

Five CQC key questions

Safe

Good

Effective

Not Yet Rated

Caring

Good

Responsive

Good

Well-led

Good

Earlier inspection findings

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

Must-do actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 2

Must do

Well-led

The trust must ensure that paper records are stored securely.

Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance

⚠ Outpatient services did not maintain secure, accurate and complete records in respect of each service user. Regulation 17(2c) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Must-do action 2 of 2

Must do

Safe

The trust must ensure that appropriately skilled staff are in place to provide a biological therapy treatment service.

Regulation: Regulation 18 HSCA (RA) Regulations 2014 Staffing

⚠ The trust did not deploy sufficient numbers of suitably qualified, competent, skilled and experienced staff to deliver the biologic therapy service in rheumatology There was not procedures in place to follow in an emergency that makes suresufficient and suitable people are deployed to cover both the emergency and the routine …

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4

Should do

Effective

The trust should ensure that letters are provided to GPs in a timely way.

Should-do action 2 of 4

Should do

Responsive

The trust should ensure that patients are kept informed about any delays in outpatient and diagnostic imaging services and should monitor how long patients wait to be seen.

Should-do action 3 of 4

Should do

Responsive

The trust should ensure that the recovery plan for breast screening is completed within agreed timeframes.

Should-do action 4 of 4

Should do

Effective

The trust should consider participating in the Imaging Services Accreditation Scheme (ISAS) and the Improving Quality in Physiological Services (IQIPS) accreditation scheme.