Where is stanmore hospital

Medicine went down to good from outstanding. We rated outpatients as good. We previously inspected outpatients jointly with diagnostic imaging so we cannot compare our new ratings directly with previous ratings. Services for children and young people went up to good from requires improvement. Surgery remained at the same rating of good.

It is the largest specialist orthopaedic hospital in the UK, with beds, and is regarded as a leader in the field of orthopaedics, both in the UK and worldwide. As a national centre of excellence, the trust treats patients from across the country, many of whom have been referred by other hospital consultants for second opinions, or for treatment of complex or rare conditions.

The inspection took place on 7, 8 and 9 May The fabric of the building was not fit for purpose — it does not provide an adequate environment to care and treat patients.

There was a significant focus on culture, values and behaviours of all staff. Patients praised staff and the good care they received. The response rate was extremely high. Staff were caring and compassionate and treated patients with dignity and respect. Overall staff followed good infection control practices. The hospital was clean and well maintained and infection control rates in the hospital were within a statistically acceptable range. The medical care for spinal injury patients and patients receiving rehabilitation was outstanding.

Some patients had unnecessary waits at their outpatients appointments. We saw several areas of outstanding practice including:. Outstanding clinical outcomes for patients.

For example, limb lengthening for patients with skeletal malformation. The executive board demonstrated leadership and vision for the hospital. Effective multidisciplinary working putting the patient first. A hotel-based rehabilitation programme supporting patients to recover from surgery and have a normal daily life. A ward dedicated to providing wound care to patients with appropriately skilled staff.

Some wards had started to use a drink container that attached to equipment and could be kept with patients at all times to ensure patients were kept hydrated, especially during rehabilitation sessions. However, there were also areas of poor practice where the trust needs to make improvements. The design and layout of the premises is suitable for all service users. To continue focus significantly on culture, values and behaviours of all staff. The paediatric resuscitation equipment is checked regularly to assure it is ready for use if required.

The World Health Organisation WHO surgical safety checklist is used and completed at each stage of surgery and radiology. Staff that treat children and young people are up-to-date with the appropriate level of safeguarding training. The needs of children and young people are considered in scheduling operations. The learning from incidents is widely shared.

In addition the trust should:. Develop the services across seven days. Review its use of opioids prescribed for pain relief for older people as it is recognised as can be a contributory factor in falls and increased confusion. Consider the mechanisms in place for identifying if equipment including mechanical ventilators, cardiac monitors and mattresses used to prevent pressure ulcers are clear to all when testing is needed.

Ensure all staff are aware of support mechanisms such as the employee assistance programme. The RCN recommends there should be formal support mechanism available due to the challenging and highly specialised nature of the service provided, particularly with children and young people. The inspection team included a pharmacist inspector. We inspected two children's wards, the pharmacy, a post operation ward and three inpatient wards.

We spoke with 19 people who use the service, four visitors and 56 members of staff. Most patients were satisfied with their care and treatment. They told us that these had been explained and that they were involved in their treatment.

They said that their privacy and dignity was maintained. This was confirmed by the staff we spoke with and the records we viewed. Most patients told us that they had access to their own medication and staff supported them with this when required. The hospital ensured medication was administered appropriately, however we found it was not always stored correctly. Patients told us they were generally happy with the environment of the hospital but some commented that the premises were "restrictive" and "in need of repair".

The environment was not suitably designed to meet the needs of patients. Patients were happy with the staff who cared for and treated them.

We found that staff appropriate recruitment checks were carried out on staff before they worked with patients. There were opportunities for patients to give feedback regarding their care and treatment. The Trust undertook regular checks and audits to ensure it was providing safe care and treatment. Patients told us that they were treated with respect and their dignity was maintained. They said that they were involved in decisions about their care and that staff answered their questions and supported their decisions.

Patients told us they felt safe in the hospital and were able to raise any concerns with staff. Patients were very complimentary about all staff working in the trust.

This section was not completed for this inspection. More information about what we found during the inspection is available in the report below. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels:.

We don't rate every type of service. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. Your information helps us decide when, where and what to inspect. Let's make care better together. Poor care? Good care? Tell us now We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage them to improve.

Find out about events where we will be speaking or exhibiting , and see presentations we've given at recent events. Our teaching and clinical effectiveness are enhanced by our work in research and development and our academic links with University College, London.

The RNOH works closely with other hospitals and trusts, with whom we have joint appointments to ensure maximum availability of specialist skills for patients. Our patients benefit from access to Aspire Leisure Centre which is located on site and hosts first-class facilities for able-bodied and disabled people. RNOH is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

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