• Community
  • Community healthcare service

Archived: The Movement Centre

Robert Jones & Agnes Hunt Hospital, Gobowen, Oswestry, Shropshire, SY10 7AG (01691) 404248

Provided and run by:
The Movement Centre for Targeted Training

Latest inspection summary

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Background to this inspection

Updated 1 March 2017

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.

Prior to the inspection, we reviewed information the provider had sent us as part of the Provider Information Request (PIR).We also reviewed notifications received from the provider since they were registered with CQC.

The inspection was carried out by two CQC inspectors.

The Movement Centre (TMC) has been in existence since 1996 and is an independent health centre specialising in assessment and treatment of children with cerebral palsy and other conditions affecting movement. They treat children aged one to seventeen years who have problems controlling their head, sitting, crawling, standing or walking and children who have poor trunk control. Drawing on specialist physiotherapists and bioengineers and using clinical trials, audit and research, TMC developed a unique and specific therapy called ‘Targeted Training’. Children attend the centre from all over the UK to participate in a nine month course of ‘Targeted Training’ therapy.

There were eight members of staff employed at TMC. This included two specialist physiotherapists one of whom was the registered manager, two physiotherapy assistants, one fundraising and marketing manager, one office manager and one research consultant. A PhD student also worked at TMC in the position of research physiotherapist; they were due to complete the PhD in February 2017. There were two treatment rooms, one at each end of the building providing spacious private assessment areas.

The service sees between 40 to 60 children per year and accommodates a maximum of four children per day; two in the morning and two in the afternoon. For each child’s appointment, a physiotherapist and assistant physiotherapist are allocated.

TMC are a charitable organisation, they are not directly funded by the NHS. Treatment may be funded privately by families or partly or totally funded by TMC. Funding can also be obtained from the NHS through local Clinical Commissioning Groups (CCG’s) after an individual funding request had been submitted and approved. However, there was very little NHS funding available. The average cost of a course of treatment per child is £6,250.

TMC stands within the grounds of the Robert Jones and Agnes Hunt (RJAH) hospital and contracts some services from the trust such as domestic and maintenance support.

Opening times are Monday to Thursday 8am to 4:30pm and Friday 8am to 3pm.

There is a Board of Trustees in place and a Director of Clinical Services in post who is also the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. 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 registered manager has been in post since 15 January 2015.

We interviewed the clinical director (manager), two trustees and all five staff members on duty. We looked at the case notes of four children who received treatment at The Movement Centre (TMC) and we looked at five records of staff recruitment and training for staff.

In order to gain feedback about the care and treatment patients received we spoke with three parents of patients over the telephone prior to the inspection. On the day of the inspection, we spoke with two parents and we reviewed 15 comment cards left by parents in our comments box.

Parents were very pleased with the support and treatment their children received at the centre and reported they were ‘amazed’ at the progress their children were making. Parents said staff always took time to assess their child; they were always listened to and given clear information about their child’s progress. They thought the manager and staff at the centre were excellent and the overall experience their children received was outstanding.

Overall inspection

Updated 1 March 2017

We carried out an announced comprehensive inspection on 15 November 2016 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.