Nuffield Health Bromley Fitness and Wellbeing Centre

Updated 29 August 2018

We carried out an announced visit to this service on 10 July 2018. Our inspection team was led by a CQC Lead Inspector and was supported by a GP Specialist Advisor. Prior to the inspection, we had asked for information from the provider regarding the service they provide.

During our visit we:

• Spoke with the general manager, clinic manager, an information security & quality systems manager, a GP and administrative staff.

• Reviewed the personal care or treatment records of patients.

• Reviewed six CQC comment cards where patients and members of the public share their views and experiences of the service’.

• Reviewed patient feedback from patients’ surveys and online comments received.

• Reviewed documents and systems.

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 29 August 2018

We carried out an announced comprehensive inspection on 10 July 2018 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

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 Bromley Fitness and Wellbeing Centre provides health assessments that include a range of screening processes. Following the assessment and screening process, patients undergo a consultation with a GP to discuss the findings of the results and any recommended lifestyle changes or treatment planning. The service only saw patients aged 18 and above. In addition to the two GPs, there is a general manager, a clinic manager who is a physiologist, another physiologist, two physiotherapist and administrative staff supporting the health assessment service.

Health assessment services are provided three days a week and provide three levels of service (Lifestyle, 360 or 360+). They involve taking blood, urine analysis, full lifestyle, medical history, health assessments last from one to three hours. Most services are paid for by organisations for their staff, with occasional private patients.

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. There are some exemptions from regulation by CQC, which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. For example, physiotherapy and lifestyle coaching do not fall within the regulated activities for which the location is registered with CQC. Therefore, at Nuffield Health Bromley Fitness and Wellbeing Centre, we were only able to inspect the services which were subject to regulation.

The general manager had submitted an application prior to the inspection to become 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.

The provider, which is Nuffield Health, is registered with the Care Quality Commission to provide services at Hayes Lane Bromley Kent BR2 9EF. Nuffield Health and Wellbeing Clinic is located within a health club in the London borough of Bromley, it is registered to conduct the following regulated activities under the Health and Social Care Act 2008: Treatment of disease, disorder and injury and Diagnostic and screening procedures.

As part of our inspection we also asked for CQC comment cards to be completed by patients prior to our inspection. We received six comment cards all of which were positive about the standard of care received. Patients feedback on their care and treatment described the care they received as being very good, helpful, engaging as well as praising clear explanations given.

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.
• There were systems and processes in place for reporting and recording significant events and sharing lessons to make sure action could be taken to improve safety in the practice.
• 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 patients’ 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 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.
• There were clear responsibilities, roles and systems of accountability to support good governance and management.
• There was an overarching provider vision and strategy and there was evidence of good local leadership within the service.
• The clinic was aware of and complied with the requirements of the Duty of Candour.

There were areas where the provider could make improvements and should:

• Review registration details so they are fully updated.