Havant NHS Diagnostic Centre is operated by Care UK Clinical Services Limited. The service has one ultrasound room, one plain x-ray room and one echocardiogram room. The echocardiogram service is subcontracted to a third-party provider, who provide all the equipment and staff to deliver that service on behalf of Havant NHS Diagnostic Centre.

We inspected this service using our comprehensive inspection methodology. We carried out the announced inspection on 14 January 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

We rated it as Good overall.

We found good practice in relation to diagnostic imaging care:

• The service provided mandatory training in key skills to all staff and made sure everyone completed it.

• Staff understood how to protect patients from abuse and the service worked well with other agencies to do so.

• The service controlled infection risk well. Staff kept themselves, equipment and the premises clean. They used control measures to prevent the spread of infection.

• The service had suitable premises and equipment and looked after them well.

• Staff completed risk assessments for each patient.

• The service had enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment.

• Staff kept detailed records of patients’ care and treatment. Records were clear, up-to-date and easily available and accessible to others involved in patient care.

• The service managed patient safety incidents well. Staff recognised incidents and reported them appropriately.

• The service provided care and treatment based on national guidance evidence of its effectiveness.

• The service monitored the effectiveness of care and treatment and used the findings to improve them.

• The service made sure staff were competent for their roles.

• Staff worked together as a team to benefit patients.

• Staff understood how and when to assess whether a patient had the capacity to make decisions about their care.

• Staff cared for patients with compassion and dignity.

• Staff provided emotional support to patients to minimise any distress.

• Staff involved patients and those close to them in decisions about their care

• The provider planned and provided services at this location in a way that met the needs of local people.

• The service took account of patients’ individual needs and put them at the heart of services.

• People could access the service when they needed it.

• The service investigated concerns and complaints and shared lessons learnt with all staff.

• Managers leading the service had the right skills and abilities to run this service providing high-quality sustainable care.

• The service had clear aims for what it wanted to achieve and workable plans to deliver them. Managers and staff promoted a positive culture, creating a sense of common purpose based on shared values.

Following this inspection, we told the provider that it should make some improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals