10th and 24th September 2019
During a routine inspection
Physiological Measurements Ltd is operated by Physiological Measurements Ltd . The service has up to 110 satellite clinics operated from premises such as GP surgeries across the UK.
The service provides diagnostic imaging and cardiology services in the community for adults and children.
We inspected this service using our comprehensive inspection methodology. We carried out an unannounced visit to the head office location on 10 September 2019 with a further unannounced visit to a clinic on 24 September 2019.
To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
This was the first inspection of this service. We rated it as Good overall 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. 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. 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.
- 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, we also found the following issues that the service provider needs to improve:
- The provider should ensure all incidents of harm or potential harm are notified to relevant external bodies in a timely way.
- The provider should ensure that all staff receive regular appraisals.
- The provider should include information that advises what action can be taken in the event that patients are dissatisfied with the outcome of their complaint in the policy and responses to patients.
Heidi Smoult
Deputy Chief Inspector of Hospitals, on behalf of the Chief Inspector of Hospitals.