Staff understood how to protect patients from abuse, and managed safety well. There were clear performance trackers for the service providing information of the overall performance of the department, staffing levels and staff performance such as training. The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care. Premises and facilities were visibly clean and suitable. The service was inclusive and took account of patients’ individual needs and preferences. Comprehensive assessments of personal care and treatment needs and preferences were used to inform care planning and delivery. People could access the service when they needed it and did not have to wait too long for treatment. Parents told us that the facilities were outstanding and that staff paid great care and attention to the needs of the children and their families. The service planned and provided care in a way that met the needs of local people and the communities served. The rating for medical care (including older people’s care) has improved from ‘good’ to ‘outstanding’. We provide health care services from Royal Surrey County Hospital in Guildford and adult community healthcare services from Haslemere Hospital and Milford Hospital. Staff adhered to trust policies and best practice with regards to the department’s environment and equipment. Treatment rooms had not been locked when not in use and medicines were not locked away. It was easy for people to give feedback and raise concerns about care received. Risk and performance was reviewed and managed through a series of local and trust wide meetings. Leaders and teams used systems to manage performance effectively. Staff working in outpatients were above trust targets for mandatory training and had achieved 100% completed for safeguarding training level two and three. Openness and transparency about safety was encouraged. The department had carried out a survey of the views of patients’ families. Royal Surrey County Hospital is run by Royal Surrey NHS Foundation Trust, Assessment or medical treatment for persons detained under the 1983 Act, Diagnostic and screening procedures, Family planning services, Maternity and midwifery services, Services for everyone, Surgical procedures, Termination of pregnancies, Treatment of disease, disorder or injury. These showed that the care delivered was meeting national standards. Let's make care better together. There was always a nurse on each bay to attend to patients throughout the day. The trust had enough staff with training in key skills to care for patients and keep them safe. We rated it them as good because: Our rating of this service improved. Key services were available seven days a week. Staff worked well together for the benefit of patients and supported them to make decisions about their care. They said they were well informed about the treatments they were having and staff had time to answer any questions they had. The design, maintenance and use of facilities, premises and equipment kept people safe. We make sure health and social care services provide people with safe, effective, compassionate, high-quality care and we encourage them to improve. Staff understood the service’s vision and values, and how to apply them in their work. Leaders and staff actively and openly engaged with patients, staff, equality groups, the public and local organisations to plan and manage services. Staff were clear about their roles and accountabilities. Staff supported patients to make informed decisions about their care and treatment. All staff were committed to continually learning and improving services. They used agreed personalised measures that limit patients' liberty. The service provided care and treatment based on national guidance and evidence-based practice. As a result, the ratings for the overall trust and five key questions included in this report are from a previous inspection. Staff understood the importance of collaborative working in order to improve patient outcomes. They had a good understanding of quality improvement methods and the skills to use them. We attend a range of events throughout the year. Most of the trust’s general hospital services are commissioned by Guildford and Waverley CCG who also act as the main lead for the trust on behalf of all other CCGs. The Supportive and Palliative Care team were very responsive and very much promoted the idea of a good death. Use of resources has improved from ‘good’ (while in shadow form) to ‘outstanding’. One stop clinics provided swift treatment and diagnosis for patients in several specialities. The hospital is also home to St Luke’s, a specialist tertiary Cancer Centre, which offers state of the art diagnostic and treatment services to a population of up to 2 million people across Surrey, West Sussex, Hampshire and to patients from across the UK and abroad. The hospital provides urgent and emergency care services 24 hours a day, seven days a week. The service managed patient safety incidents well. Staff recognised and responded quickly to changes in the risks to people who use the maternity services, including community care. Staff felt able to raise concerns and report incidents, which were regularly reviewed to aid learning. For information on cookies and how you can disable them, please read our cookies policy. They were focused on the needs of patients receiving care. Site map. Staff understood the trust vision and values, and how to apply them in their departments and work. When things went wrong, staff apologised and gave patients honest information and suitable support. We inspected services based at the acute site, Royal Surrey County Hospital, based in Guildford. Key services were available seven days a week. The gynaecology outpatient clinic, theatres, ward and equipment were visibly clean and staff adhered to infection control policies and protocols. The Royal Surrey County Hospital is a leading general hospital and specialist centre for cancer services and treatment, based in Guildford. We found that staff had completed training in a number of areas including dementia awareness, infection control, and health and safety. 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