Alexandra Private Hospital

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed three key questions within effective. Effective remains unrated following this assessment due to insufficient evidence to rate.

We found that a new patient pathway had been developed which ensure patients needs were considered and manage consistently. Handover of care between clinicians was consistent and thorough. There was an up-to-date consent policy. Staff sought consent from patients at every interaction and were confident doing so. Consent discussions were well documented and revisited on the day of surgery.

This service scored 38 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at people's experience in this part of the assessment.

Staff told us that they knew how to risk assess patients and were confident in doing so. Leaders told us that following the previous CQC assessment in 2023 a new patient pathway had been developed which ensured that patient’s needs were considered and managed continuously throughout their treatment.

During our assessment we reviewed three sets of patient medical records, in all records the patient pathway had been used and there was evidence of continuous risk assessment and consideration of the patient’s individual needs.

We reviewed the patient suitability for surgery audits. These evidenced that surgery was declined to a number of patients following appropriate risk assessments ensuring surgery was only carried out when safe to proceed.

We did not look at Delivering evidence-based care and treatment during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at people's experience in this part of the assessment.

We did not speak with staff or leaders in this part of this assessment

We did not speak with partners in this part of the assessment.

We observed the theatre team communicate well with each other throughout surgery.

We observed a patient handover between the anaesthetist and recovery practitioner following surgery. All appropriate information was handed over to allow the patient to continue being cared for safely.

The service had a patient pathway in place which was used throughout each patient’s journey and included in their medical records all staff involved in their care had access to all relevant information. This ensured that the handover of care between clinicians was consistent and thorough allowing all staff to be aware of a patient’s specific needs.

We did not look at Supporting people to live healthier lives during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Monitoring and improving outcomes during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not speak to patients in this part of the assessment.

Staff told us that they understood the importance of consent and explained that they sought consent from patients for every interaction. Staff told us that they were confident in the process of seeking consent.

Leaders told us that there was an absolute no admittance to theatre with out appropriate consent in place policy at the hospital and that they understood the importance of consent being completed correctly.

The service had processes in place to ensure that consent was discussed with all patients in a way which was individual to their needs.

The service had an up-to-date consent policy.

The consent form used by the hospital was a standard form however this could be adapted to each patient, the surgery that they are undergoing and the potential risks associated with that procedure. This consent form also allowed for the consent discussion to be revisited and recorded on the day of surgery. When reviewing patient medical records, we saw evidence of the completed consent form.

The service regularly audited the consent process and the audits that we reviewed showed 100% of patients were consented correctly prior to their surgery.