Optimise Healthcare Group

Updated 21 September 2022

Optimise Healthcare Group (formerly Expert TMS Limited) operate a service in Cheshire, one of three services run by the provider. The location is Oakwood House, Taylor Business Park, Risley, Croft, Warrington, WA3 6WP. The service is registered to work within the regulated activity of treatment of disease, disorder or injury. The service offers treatments such as transcranial magnetic stimulation for migraine, transcranial magnetic stimulation for other mental health problems, esketamine nasal spray, psychological therapy, maintenance treatment (to maintain any benefit from transcranial magnetic stimulation treatment), psychiatric pharmacogenetic tests, and specialist psychiatric assessments and medication reviews.

The service offers treatments for children aged from four years to 12 years:

• Psychiatric Assessment and Diagnosis
• Psychological Therapies
• Psychotropic Medications

Services Provided for Patients Aged 13-18;

• Psychiatric Assessment and Diagnosis
• Psychological Therapies
• Psychotropic Medications
• Transcranial Magnetic Stimulation (TMS) for Treatment Resistant Depression (TRD)

Services Provided for Patients Aged 18+

• Psychiatric Assessment and Diagnosis
• Psychological Therapies
• Psychotropic Medications
• Transcranial Magnetic Stimulation (TMS)
• Esketamine Nasal Spray

Referrals would be accepted from;

• GPs
• Psychiatrists (NHS and Private)
• CMHTs
• Other professional persons
• Self-referral
• Insurance companies

The provider website can be found here:

https://www.optimisehealthcaregroup.co.uk/

The Cheshire clinic was the only site inspected at this time.

How we inspected this service

The service was inspected by two inspectors. Prior to the inspection, a provider information request was sent to the service, the information requested was received within five days of the inspection. The information related to key lines of enquiry that are followed during a comprehensive inspection.

During the inspection we:

• Toured the service.
• Spoke with all staff present.
• We reviewed three care records.
• We reviewed one completed staff induction template.
• We reviewed the controlled drugs register.
• We reviewed two staff records.
• We attended one business/risk meeting.
• We spoke with one patient attending the service during the inspection.
• We received two comment cards.
• Reviewed patient feedback about 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.

Updated 21 September 2022

This service is rated as Good overall. This was the first inspection of this service

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Optimise Healthcare Group Cheshire Clinic (formerly Expert TMS Limited). This was the first inspection of this service.

The service offers a range of treatments including transcranial magnetic stimulation to treat a number of mental health problems.

The managing director is the registered manager. 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.

One person provided feedback about the service; they were present during the inspection. The patient spoke highly of the service, stating that they felt the service was effective, friendly, and that the treatment they were receiving worked.

Our key findings were:

• The service had clear systems to keep people safe and safeguarded from abuse.
• The service would work with other agencies to support patients and protect them from neglect and abuse.
• All staff received up-to-date safeguarding and safety training appropriate to their role. They knew how to identify and report concerns.
• There was an effective system to manage infection prevention and control.
• The systems and arrangements for managing medicines, controlled drugs, and equipment minimised risks.
• The provider had systems to keep clinicians up to date with current evidence-based practice.
• Patients received coordinated and person-centred care.
• The provider had risk assessed the treatments they offered.
• Feedback from patients was positive about the way staff treat people.
• Staff recognised the importance of people’s dignity and respect.
• The provider understood the needs of their patients and improved services in response to those needs.
• Patients had timely access to initial assessment, test results, diagnosis and treatment.
• The service had a complaint policy and procedures in place.
• Leaders were knowledgeable about issues and priorities relating to the quality and future of services.
• The provider was aware of and had systems to ensure compliance with the requirements of the duty of candour.
• There was evidence of systems and processes for learning, continuous improvement and innovation.

The areas where the provider should make improvements are:

• The electronic record system should allow staff to easily identify relevant documents for viewing