- Independent hospital
Signature Clinic - Manchester Also known as Rochdale Clinic
Report from 25 October 2024 assessment
Ratings - Surgery
Our view of the service
The main service provided at the Signature Clinic - Manchester was surgery. We commenced a responsive assessment on 29 October 2024 because of concerns we received from people who used the service. We carried out an unannounced inspection on 19 and 20 November 2024. During the inspection, we spoke with staff, leaders, people who use the service and service partners. We looked at care records, policies and other documents relating to the service.
Our overall rating for surgery stayed the same. We rated surgery as requires improvement.
We identified regulatory breaches relating to infection, prevention and control, listening to and involving others and governance processes, where we have told the service it needs to make improvements.
We found the service did not have effective systems to identify or prevent surgical site infections. The service also used benchtop sterilisers for surgical instruments on site, which was not in line with national guidelines.
The service did not have effective systems for managing people’s complaints or around gathering feedback about people’s experiences. The service did not have an effective process for carrying out checks on company directors, in line with regulatory requirements for fit and proper persons; directors.
However, we also found areas of good practice.
The service had enough suitably trained staff. Staff protected people from abuse and managed incidents and medicines well. Staff assessed people’s risks and health needs, gained their consent and worked well together as a team. Most people experienced positive outcomes following surgery.
Staff treated people with compassion, kindness and respect. People could access the service when they needed it, in a way that promoted equality and protected their rights. Leaders understood the key risks to the service and had plans to make improvements. Leaders promoted a positive work culture based on equality, diversity and inclusion.
People's experience of this service
People who used the service told us staff assessed their needs, risks and preferences prior to undergoing treatment. They knew how to raise safeguarding or safety concerns with staff.
People told us staff monitored them during surgery and provided them with information and after care support following their discharge.
People told us the service had enough suitably trained and competent staff and the equipment and premises were clean, tidy and well-maintained. They told us their medicines were prescribed and administered appropriately.
People told us their care and treatment was coordinated and staff worked well as a team. They told us staff assessed their needs and provided information around healthier living. They told us staff asked them for consent before surgery and staff clearly explained their treatment options to them.
People told us staff treated them with equality and with kindness and respect. They told us staff respected their privacy and dignity and accommodated their personal and emotional needs and preferences during surgery. They told us they received care and treatment in a timely manner without any delays.
However,
We received a mixed response from people about their outcomes following care and treatment at this clinic. Some people told us staff did not always listen to or respond to their complaints and concerns. People were not always clear about the process for providing feedback about their experiences of the service.