Kingsbridge Private Hospital, Belfast - 20 January 2012

eport and recommendations will be forwarded to the relevant inspector
for performance management under the following regulations and
standards:
• The HPSS (Quality, Improvement and Regulation) (Northern
Ireland) Order 2003
• The Independent Health Care Regulations (Northern Ireland)
2005
• The Department of Health, Social Services and Public Safety's
(DHSSPS) draft Independent Health Care Minimum Standards
for Hospitals and Clinics March 2005
• The Department of Health, Social Services and Public Safety's
(DHSSPS) Health Estates Investment Group, Flexible
Endoscope Decontamination Audit Tool, January 2010
A report from HEIG inspectors on their findings has been provided in
the format of “key audit findings” and “points of concern”. A copy has
been forwarded to the clinic requesting an action plan to address the
deficiencies identified. The clinic was also asked to provide RQIA with
a position statement regarding their proposal for future service delivery
i.e. upgrading of the existing on-site reprocessing facilities or
outsourcing of endoscope reprocessing.
Notable Practice
The inspection identified the following areas of notable practice:
• Staff displayed a positive attitude to inspection and a
willingness to learn and improve practices.
The RQIA inspection team would like to thank the staff at the
Kingsbridge Hospital for their assistance during the inspection.
The following tables give an overview of compliance scores noted in
areas inspected by RQIA:
Table 1 summarises the overall compliance levels achieved.
Tables 2-7 summarise the individual tables for sections two to seven of
the audit tool as this assists organisation to target areas that require
more specific attention.
2