Spire Gatwick Park Hospital

Updated 17 January 2022

Spire Gatwick Park Hospital is operated by Spire Healthcare Limited. The hospital opened in 1984 and is a private hospital located in Horley, Surrey. The hospital primarily serves the communities of Surrey, Sussex and South London. It also accepts patient referrals from outside this area.

Spire Gatwick Park Hospital provides surgery, endoscopy, outpatients and diagnostic imaging services to adults and children and young people. Outpatient services for children and young people from birth to 18 years of age include; consultations, plaster cast applications, micro-suction, dressings, suture removal, minor surgery, electrocardiography, physiotherapy and X-rays. The hospital provides day case only services that are interventional for children from three to 18 years of age. Care and treatment are provided to people who are self-funded, through private medical insurance and NHS funded.

The hospital has two wards and one day care unit, with a total of 56 bedrooms. The majority of rooms have ensuite facilities with TV and WIFI. The hospital has three theatres (two with laminar flow) and one endoscopy unit. The outpatient department consists of two areas with consulting rooms, treatment rooms for minor procedures and specialist rooms. Outpatient specialist rooms included one for ophthalmology with specialist equipment for examining eyes and a room for gynaecology with specialist equipment for examinations. The diagnostic imaging service includes computerised tomography (CT), magnetic resonance imaging (MRI), digital mammography, ultrasound and plain film X-ray. There are no emergency facilities at this hospital.

The hospital also offers other services such as physiotherapy, an on-site pharmacy, on-site sterile services and a pathology laboratory accredited by the UK Accreditation Service (UKAS).

There are 192 surgeons, anaesthetists and physicians working at the hospital under practising privileges.

The hospital is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury
• Surgical procedures
• Diagnostics and screening procedures.
• Family planning
• Services in slimming clinics
• Management of supply of blood and blood derived products

The hospital has a registered manager who has been in post since December 2019. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage a service. Registered persons have a legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated regulations about how a service is managed.

The hospital was previously inspected in 2015 and rated as requires improvement, when we found regulation breaches. We subsequently carried out a focused inspection in 2017 to follow up on compliance actions from those identified regulation breaches, and found they have now been met. We did not re-rate the hospital in 2017 as it was a focused inspection.

We inspected Spire Gatwick Park Hospital using our comprehensive inspection methodology. We carried out a short notice announced inspection on 26 October 2021.

The main service provided by this hospital was surgery. Where our findings on surgery for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the surgery service level.

Updated 17 January 2022

Our rating of this location improved. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

We rated this service as good because it was safe, effective, caring, responsive and well-led. In medical care (endoscopy only) service, we did not rate caring as we do not have sufficient evidence to rate. We currently do not rate effective in outpatients and diagnostic imaging services.

However:

• There was limited storage space for equipment in the recovery area of theatres.

Updated 17 January 2022

We have not previously inspected the medical care (endoscopy only) service. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available six days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

Endoscopy is a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the Surgery section.

We rated this service as good because it was safe, effective, responsive and well-led. We did not rate caring as we did not observe any patients receiving endoscopy procedures. Please see the caring section of the surgery report for further details.

Updated 17 January 2022

Our rating of this service improved. We rated it as good because:

• The service had enough staff to care for children and young people and keep them safe. Staff had training in key skills, understood how to protect children and young people from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to children and young people, acted on them and kept good care records. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment. The children’s lead monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of children and young people, supported them to make decisions about their care, and had access to good information.
• Staff treated children and young people with compassion and kindness, took account of their individual needs, and helped them understand their conditions. They provided emotional support to children and young people, families and carers.
• The service planned care to meet the needs of local people, took account of children and young people’s individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of children and young people receiving care. Staff were clear about their roles and accountabilities. The service engaged well with children, young people and the community to plan and manage services and all staff were committed to improving services continually.

Children and young people service is a small proportion of the hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, effective, caring and responsive, and well-led.

Updated 17 January 2022

We previously inspected diagnostic imaging jointly with outpatients therefore we cannot compare our new ratings directly with previous ratings.

We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care to patients, and monitored their pain. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for a diagnostic procedure.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

Diagnostic imaging is a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, caring, responsive and well led. We do not rate effective in Diagnostic Imaging as we do not have sufficient evidence to rate it.

Updated 17 January 2022

We previously inspected outpatients with diagnostic imaging jointly therefore we cannot compare our new ratings directly with previous ratings.

We previously inspected outpatients with diagnostic imaging jointly therefore we cannot compare our new ratings directly with previous ratings.

We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available six days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

Outpatients is a small proportion of the hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as good because it was safe, caring, responsive, and well led. We do not rate effective in the outpatient service as we do not have sufficient evidence to rate it.

Updated 17 January 2022

Our rating of this service improved. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• The environment risk assessment identified limited storage for equipment in the recovery area of theatres

We rated this service as good because it was safe, effective, caring and responsive and well led.