The Thornbury Radiosurgery Centre Ltd, owner and operator of the Thornbury Gamma Knife Centre and part of the Medical Equipment Solutions Ltd Group has been rated Outstanding overall by the Care Quality Commission (“CQC”) for the quality of its care. It is the first Gamma Knife centre to achieve a CQC Outstanding rating which is awarded to less than 8% of registered healthcare providers nationally.
The Gamma Knife centre was rated outstanding for being effective and caring and good for being safe, responsive and well-led.
Inspectors found staff care for patients with compassion and respect. Feedback from patients confirmed that staff treated them well and with kindness. The staff work well together as a team and with patients and suppliers to benefit patients and provide a good service which meets national specifications in full. There is a strong, visible person-centred culture and staff are highly motivated and inspired to offer care that is kind and promotes peoples dignity.
Good practice was found in relation to:
- The service had enough staff with the right qualifications, skills, training and experience to provide the right care and treatment. All staff were up to date with mandatory training.
- The service had suitable premises and equipment, and this was well maintained.
- Staff had received training regarding safeguarding children and vulnerable adults, which included mental capacity and consent. Staff understood how and when to assess whether a patient had the capacity to make decisions about their care. Patients were consented for treatment appropriately.
- The service managed patient safety incidents well. Staff recognised incidents and reported them appropriately. Managers investigated incidents and shared lessons learned with the whole team and the wider service.
- Staffing was managed using professional judgement alongside daily and monthly planned patient activity.
- The service was planned and provided in a way that took account of patients and service users’ views and feedback. The service monitored the effectiveness of their service and used the findings for improvement.
- Staff were competent, had clear objectives and received regular reviews and appraisals.
- Staff worked well together as a team and with service users, patients and suppliers to benefit patients and provide a good service.
- The centre met Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) safety requirements for staff skills and practice and for equipment.
- The environment was visibly clean, cleaning schedules were followed, and we observed staff following infection prevention and control practices. The service completed monthly infection control audits, results were collated and disseminated to the wider team.
- Inspectors observed that all staff were polite and courteous to patients from arriving at the department to when they left. Patients told inspectors they were happy with the service and that they had been talked through what to expect at every stage of the process.
- Patients told inspectors the service was easy to access. There was no waiting list for patients requiring treatment.
- An interpreter service was available for patients if required; health promotion leaflets were available for service users.
- The service had a vision for what it wanted to achieve and identified actions developed with the views of staff, patients and service users taken into consideration.
- The service had not received any complaints in the last 12 months and was responsive to patient feedback.
- The service had systems and processes in place to minimise risks and manage issues and performance.