Baby Grows Scan Clinic Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

At our last assessment we rated this key question Inadequate. At this assessment the rating has changed to Good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care. The registered manager had worked hard since our last assessment and embedded governance processes into the service

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of women and their families.

Staff knew and understood the provider’s vision and values and how they were applied in the work of their team. They were proud of the service they were delivering which reflected in the feedback from women who had accessed the service.

The service had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.

The registered manager was also the owner of the business and held overall responsibility for regulatory compliance. The registered manager had oversight of the everyday running of the service, as well as the supervision and appraisals of all sonographers and scanning assistants.

The registered manager told us they kept up to date with the British Medical Ultrasound Society (BMUS), the Nursing and Midwifery Council (NMC) and a number of other professional bodies to make sure they followed best practice.

The registered manager was always on site when the clinic was open. She was supportive, visible, and always approachable.

Staff felt confident they could raise concerns with the registered manager and told us there was a supportive culture within the team.

Staff we met were friendly, welcoming, and confident. Staff enjoyed coming to work and were proud to work for the service, they spoke positively about what they did and demonstrated pride in their work.

The service fostered a positive culture where people felt they could speak up and their voice would be heard.

The service had a clear process on speaking up, staff knew who they would feedback to. As a small service they were aware of CQC and how they would contact us if they had concerns regarding the service. They also had contact with the local authority.

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them.

The workforce consisted of the registered managed and 4 clinic assistants. The staff worked flexibly to fit around their personal and professional commitments.

The service had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, and support. They act on the best information about risk, performance and outcomes, and share this securely with others when appropriate.

The service manager had worked hard to improve the governance within the service since our last inspection. We found effective governance processes, throughout.

Staff at all levels were clear about their roles and accountabilities and had regular opportunities to meet, discuss and learn from the performance of the service.

The service manager had overall responsibility for the governance processes and quality monitoring. We saw evidence of this clearly through staff meeting minutes, policies and during discussions with staff. Team meeting minutes showed staff were given updates, training and regularly informed of guidance changes.

The service had developed policies and procedures for the operation of the service, which were available to staff in a folder in the clinic. All policies were up to date, referenced to relevant professional bodies and reviewed annually. The registered manager carried out regular audits and provided feedback to the team.

Patient information was stored safely and securely service use paper records to record consent and bookings were held electronically. Scan photographs were stored on the scanning machine using the woman's initial and the date of their attendance. This ensured information was only accessible by people who worked for the service. Should the machine be stolen they maintained confidentiality of data.

The service had indemnity insurance which covered the service and all staff working there.

The service understood their duty to collaborate and work in partnership, so services work seamlessly for people. They share information and learning with partners and collaborate for improvement.

Staff were open and transparent, and they collaborated and had good relationships with local NHS trusts including early pregnancy units.

Staff supported women through the referral process to local NHS trusts. The registered manager would follow this up the next day with the woman, to ascertain whether they attended or if they need further support.

The registered manager monitored the demands of the clinic and planned opening hours accordingly. The service provided flexible opening times, including evenings and weekends.

The service focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome, and quality of life for people.

The service made effective use of peer reviews, and learning was shared during team meetings to make improvements to the service. The clinic used customer feedback to help improve the service.