Nuffield Health Bromley Fitness and Wellbeing Centre

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support.

This is the first rated inspection for this service. At our last inspection in July 2018, we found the provider was providing effective care in accordance with the relevant regulations. This key question has been rated as good.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff made sure people understood their care and treatment to enable them to give informed consent.

This service scored 79 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Feedback from people using the service was positive. People felt involved in any assessment of their needs and felt confident that staff understood their individual and cultural needs. Specific individual needs were taken into account, such as the requirement for longer appointments or for a translator to be present. Staff checked people’s health, care, and wellbeing needs during health reviews. The provider had effective systems to identify people with previously undiagnosed conditions.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Clinical records we saw demonstrated care was provided in line with current guidance.

The service worked well across teams and services to support people.

Staff had access to the information they needed to appropriately assess, plan, and deliver care, treatment, and support. The practice worked with other services, for example, information was shared with the person’s own GP with the person’s consent.

The service always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

The health assessments looked at a person’s current health and their risk of developing lifestyle diseases such as cardiovascular disease and diabetes. People were offered the opportunity to discuss nutrition, exercise, and changes that could be made to reduce the risk of lifestyle diseases and risk of future pain and injury.

The service routinely monitored people’s care and treatment to continuously improve it. We saw examples of quality improvement work through the use of audits.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood and applied legislation relating to consent. Appropriate methods of obtaining and recording consent were in place.