Banbury’s private hospital, The Foscote, has been given a long list of improvements it must make following an inspection that rated it ‘inadequate’.
The Hightown Road hospital recently came out of a ten year management contract with BMI healthcare and has returned to independent management.
It was rated good for the caring and responsive elements of the inspection but inadequate for being safe, effective and well-led and inadequate overall.
“The operating theatre was not staffed and run in line with national guidance and hospital policy, putting patients at risk of harm,” said the 11-strong inspection team’s report.
“Some staff did not have the appropriate skills and qualifications. The five steps to safer surgery were not being fully implemented. Medicines were not being managed safely. Staff in surgery and diagnostics had not completed their mandatory training.
“Staff did not understand their responsibilities under the Duty of Candour. In the endoscopy unit there was no audit of patient comfort scores and no audit at the hospital of individual consultant completion rates and polyp detection rates. The governance process was not fully effective so the quality of the service provided against current guidance and policies was not evaluated and risks not always adequately identified, assessed or managed.
“We rated leadership as inadequate in surgery and requires improvement in outpatients and diagnostic imaging.
“Theatre nurses were acting inappropriately in the role of surgical first assistant and nursing staff in endoscopy had not received formal or competency-based training for their role,” the report said.
“In the operating department instrument counts were not being carried out.”
The report said staff were caring and compassionate and treated patients with dignity and respect. Patients had prompt access to appointments after referral. However, there was not always timely access to test results at follow-up appointments in the outpatients and diagnostic imaging department due to delays in reporting by the provider for this service.
In a statement, David Budd, chair of Foscote trustees and Ruth Thompson, manager, said: “We are concerned and disappointed at the rating applied to our hospital as a result of the Care Quality Commission’s latest report. This report was based on our inspection in July and we do not believe reflects our current position after three months of quality improvements, staff training and additional recruitment.
“Whilst rated good in two of the five categories, the remaining ratings do not in our view recognise the policies of continued improvement we have pursued, since our last successful inspection some 24 months ago.
“Everyone at the Foscote has worked tirelessly to ensure patients receive responsive, safe, quality care at all stages of treatment. We will continue to strive to improve our service.”