CQC’s Chief Inspector of Hospitals publishes findings on BMI Mount Alvernia Hospital

The Care Quality Commission’s (CQC) Chief Inspector of Hospitals Professor Sir Mike Richards has published his findings on the standards of treatment and care at BMI Mount Alvernia Hospital in Guildford.

The hospital is one of the first independent hospitals to be inspected under CQC’s new methodology which looks at whether services are safe, effective, caring, responsive to people’s needs, and well led.

CQC identified five areas for improvement: (i) the provider must ensure that CQC is notified of any serious incidents which have occurred; (ii) the provider must consider feedback mechanisms following the reporting of incidents, and should review the arrangements for monitoring the implementation changes and other actions; (iii) the provider must amend its Statement of Purpose to ensure it reflects the service provided and the range of patients’ needs the service can meet; (iv) the provider must consider the formal arrangements required to support patients living with dementia or learning difficulties; and . This must include appropriate training and monitoring processes for the assessment of people who lack capacity to consent; and (v) the provider must ensure that the records relating to the safe use of lasers in theatre are updated and provide assurance that the consultants are trained.

“People deserve to receive treatment and care which is safe, effective, caring, responsive to their needs, and well led”, said CQC’s Chief Inspector of Hospitals, Professor Sir Mike Richards.

“Since our last inspection in 2013, there has been significant and consistent improvement, however there is still room for more. Some improvements are still needed such as making their governance processes more robust and systematic in incident reporting and compliance with practicing privileges.

“We will return in due course to check that those improvements have been made.”


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