Archived: Nuffield Health Wellbeing Centre Manchester

Updated 15 December 2017

Background

Nuffield Health Wellbeing Centre Manchester is registered with the Care Quality Commission to provide the regulated activities; Diagnostic and screening; and treatment of disease, disorder and injury.

The service provides health assessments that include a range of screening processes. The aim of the health assessments is to provide a picture of an individual’s health, covering key health concerns such as diabetes, heart health, cancer risk and emotional wellbeing. Following the assessment and screening process patients undergo a consultation with a doctor to discuss the findings of the results and discuss any required treatment planning. Patients are provided with a comprehensive report detailing the findings of the assessment. The reports include advice and guidance on how the patient can improve their health and they include information to support patients to live healthier lifestyles. Patients who require further investigations or any additional support are referred on to other services such as their GP or an alternative health provider. This process is managed by a dedicated central referrals team. The centre also provides GP services for private paying patients.

A registered manager is in place. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

How we inspected this service

Our inspection team was led by a CQC Lead Inspector, a second CQC inspector and a GP Specialist Advisor.

Before visiting, we reviewed a range of information we hold about the service.

During our visit we:

• Looked at the systems in place for the running of the service.

• Explored how clinical decisions were made.

• Viewed a sample of key policies and procedures.

• Spoke with staff.

• Viewed an anonymised patient report.

• Made observations of the environment and infection control measures.

• Reviewed CQC comment cards which included feedback from patients about their experiences of the service.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Why we inspected this service

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Updated 15 December 2017

We carried out an announced comprehensive inspection at Nuffield Health Wellbeing Centre Manchester on 23 November 2017 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?.

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

Background Information

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Nuffield Health Wellbeing Centre Manchester provides health assessments that include a range of screening processes. Following the assessment and screening process patients undergo a consultation with a doctor to discuss the findings and any recommended lifestyle changes or treatment planning. The centre also provides private GP services.

The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. For example, physiotherapy and lifestyle coaching do not fall within the regulated activities for which the location is registered with CQC.

Our key findings were:

• The service had clear systems to keep people safe and safeguarded from abuse. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• A system was in place for reporting, investigating and learning from significant events and incidents.
• Systems were in place to deal with medical emergencies and staff were trained in basic life support.
• There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and equipment used.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Feedback from patients about the care and treatment they received was very positive.
• Patients were treated with dignity and respect and they were involved in decisions about their care and treatment.
• Patients were treated in line with best practice guidance and appropriate medical records were maintained.
• Patients were provided with information about their health and with advice and guidance to support them to live healthier lives.
• Systems were in place to protect personal information about patients.
• An induction programme was in place for all staff and staff received specific induction training prior to treating patients.
• Staff were well supported with training and professional development opportunities. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Staff had access to all standard operating procedures and policies.
• The service encouraged and acted on feedback from both patients and staff.

• Patient survey information we reviewed showed that people who used the service had given positive feedback about their experience.
• Information about services and how to complain was available and improvements were made as a result of patient feedback.
• The service had good facilities, including disabled access. It was well equipped to treat patients and meet their needs.
• There was a clear leadership and staff structure and staff understood their roles and responsibilities.
• There was a clear vision to provide a safe and high quality service.

• There were clinical governance systems and processes in place to ensure the quality of service provision.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice