Overall, this core service was rated as good. We found the Molesey Community Hospital was good for safe. effective, caring, responsive and well led.

Our findings were as follows:

• Systems to report incidents were used effectively and when indicated, practice was changed.

• Patients received their medicines safely and there was good governance of medicines.

• There were systems for assessing and mitigating risks and initiatives were taken to keep patients safe within the hospital.

• Care was provided in line with national best practice guidance. A rolling programme of local audits ensured standards of care were maintained. Patient outcomes were monitored.

• There was a continual focus on professional development and clinical competence of co-owners and their performance was appraised.

• There was good multidisciplinary working with access to specialist services when required. The team worked cohesively together.

• Patients were very positive about their experience. They were treated with kindness, respect and dignity and were included in decisions relating to their care and treatment.

• Services were planned and delivered to meet individual need which ensured a focus on rehabilitation in an environment that was appropriate.

• There was a shared vision and philosophy of care in the service which supported a multi-disciplinary approach with strong co-ownership engagement. Senior leaders were visible and co-owners were positive about the leadership structure.

However there were also areas where improvements needed to be made:

• Damaged Walls and floors need to be fully repaired. It is understood that Central Surrey Health has already discussed this with NHS property services who are responsible for this.

• The action plan following the fire risk assessment needed to be fully implemented with regular fire drills and evacuations carried out.

During our inspection we spoke with five patients who were using the service and two of their relatives. We spoke with 13 co-owners including nurses, doctors, and therapy and administrative staff.

We inspected the regulated activities of diagnostic and screening procedures and treatment of diseases, disorders and injuries.

We carried out an inspection at Molesey Community Hospital to look at the care and treatment provided to people who used the hospital service and the outpatient physiotherapy service. During our inspection we spoke with seven patients, three relatives, one health care professional and eight members of staff. In addition, we collected feedback, by way of a patient survey, from six patients who attended the physiotherapy department.

Everyone we spoke with who used the service told us that they felt they were treated with dignity and respect. One person said “They couldn’t do enough.”

Comments we received from patients about the care they received were generally positive. Comments included “Absolutely wonderful; don’t mind what they do” and “Understand your needs.”

People told us that they felt involved in the treatment and we saw that records were updated. One person who had been to the physiotherapy department told us “Very good explanation and totally involved.”

We found that staff were aware of procedures around safeguarding vulnerable adults and

children.

Staff felt supported and were happy working at the service. We saw that there was opportunity for regular appraisal.

There were systems in place that monitored the quality of the service. Patients were positive about the quality of the service. One patient who spoke with us about the staff told us that “Couldn’t speak more highly of them.”