Nuffield Health Warwick Fitness and Wellbeing Centre

Updated 21 June 2019

Background to Nuffield Health Warwick Fitness and Wellbeing Centre

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.

Our inspection was led by a CQC inspector with a GP Specialist Advisor.

The service is part of Nuffield Health UK health organisation, a trading charity which was established in 1957 and runs a network of 31 private hospitals, 112 fitness and wellbeing clubs, healthcare clinics and over 200 wellbeing services across the UK.

Nuffield Health Warwick Fitness and Wellbeing Centre is a purpose-built facility offering a range of fitness and wellbeing activities including physiotherapy, health assessments emotional wellbeing services, nutritional therapy, personal training, fitness suite, exercise classes, swimming pool, creche and café. Services are for those over 18 years of age with some activities open to children. Health assessments are not available to children; however, physiotherapy is offered for those under 18 years.

The service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all of the services it provides. There are some exceptions from regulations by CQC which relate to particular types of regulated activities and services and these are set out in schedule 1 and 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Nuffield Health Warwick Fitness and Wellbeing Centre provides a range of activities, for example exercise classes, swimming pool, creche and café which are not within CQC scope of registration. Therefore, we did not inspect or report on these services. The service is registered with CQC to provide the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury in relation to the health assessment services offered.

Patients have access to the following range of health assessments:

• A lifestyle health assessment including physiology for patients wanting to reduce health risks and make lifestyle changes.
• A female assessment carried out by a GP which covers aspects of female health including cervical smear, pelvic examination, mammogram and cholesterol checks. Male specific testing includes testicular examination and prostate testing.
• A ‘360’ health assessment which is an in-depth assessment of a patient’s health and wellbeing and includes a review of diabetes and heart health risks.
• A ‘360+’ health assessment which is the most in-depth assessment with an extra focus on cardiovascular health and analysis of metabolic syndrome risk.
• A Personalised Assessment for Tailored Health (PATH) which is a bespoke health assessment tailored to the needs of the patient.

The centre is open between 6.30am and 10pm Monday to Friday and between 8am and 8pm on weekends and bank holidays. Pre-booked health assessments are available Monday to Friday between 8am and 6pm. The team at Nuffield Health Warwick consists of a general manager, a clinic manager, two health assessment GPs, three physiotherapists, one emotional wellbeing practitioner and one nutritional therapist. Various administrative, reception and fitness staff support the operating of the centre.

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 June 2019

This service is rated as Good overall. (Previous inspection 27 March 2018).

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 Nuffield Health Warwick Fitness and Wellbeing Centre on 16 May 2019 as part of our inspection programme.

Nuffield Health Warwick Fitness and Wellbeing Centre is a purpose-built facility offering a full range of fitness and wellbeing activities including physiotherapy, health assessments emotional wellbeing services, nutritional therapy, personal training, fitness suite, exercise classes, swimming pool, creche and café.

The general manager 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.

We received 14 completed CQC comment cards. Completed cards indicated that patients were treated with kindness, dignity and respect. Patients were consistently positive about the service and experience received. Staff were described as professional, knowledgeable, friendly and respectful. In addition, comment cards described the environment as relaxing, clean and tidy.

Our key findings were:

• The service had clear systems in place to manage and mitigate risks so that safety incidents were less likely to happen. The service had clearly defined processes and well embedded systems in place to keep patients safe and safeguarded them against abuse.
• There was evidence to support that staff assessed patients’ needs and delivered care in line with relevant and current evidence-based guidelines and standards.
• The information needed to plan and deliver care and treatment was available to staff in a timely way. There was evidence to demonstrate that the service operated a safe, effective and timely referral process.
• The continuing development of staff skills, competence and knowledge was recognised as being integral to ensuring that high quality care was delivered by the service.
• There was evidence of continuous quality improvement in line with key performance indicators. The service completed a number of clinical and non-clinical audits to assess performance and to ensure safe care was provided.
• Patients were treated with dignity and respect and were involved in decisions about their care and treatment.
• The service worked with local charities to support people with disabilities. The centre had established links with local schools to deliver health lessons.
• Members of staff we spoke with were positive about working at the service and the support from leaders. An induction programme was in place for staff specific to their role. There was a comprehensive training programme and professional development opportunities. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• The provider had a clear vision to provide a safe and high-quality service and there was a clear leadership and staff structure. This vision was adopted locally within the service through an effective leadership team. Staff understood their roles and responsibilities.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care