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Taunton Road Medical Centre Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 10 October 2019

Taunton Road Medical Centre in Bridgwater, is operated by Somerset Early Scans Limited. They are based on the first floor in the GP surgery of the same name. This service provides obstetric ultrasound scanning for pregnant women from 18 years of age, scanning from six weeks of pregnancy to full term. They also provide non-invasive pre-natal test and women’s health scans. The service is provided to self-funding women across Somerset.

The service provided the single specialty core service, diagnostic imaging. We inspected this service using our comprehensive inspection methodology. We carried out a short notice announced inspection on 25 July 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

This was our first inspection of the service since the service opened in September 2014 and re-registered in 2016, this was due to change in their legal identity. We rated it as Good overall.

We found the following areas of good practice:

  • A safe service was provided. Staff had the experience, qualifications and skills, and had completed mandatory training. They understood how to protect people from abuse and report incidents.

  • The service had a suitable environment and equipment available. Staff knew how to reduce the risk of cross infection.

  • Records of women’s care and treatment were completed, and a clear referral pathway was available to refer on to other services if a scan identified a concern or anomaly.

  • An effective service was delivered based on national guidance and an audit programme had been developed to monitor the outcomes for women. Staff followed mental capacity and consent legislation to make sure they were meeting the needs of the women who used the service.

  • Staff received induction based on their needs and those of the service. This was to help make sure they were competent in their role and included checks of relevant registration with their professional bodies. All staff had a wealth of knowledge as they worked in similar fields in their other roles in the NHS.

  • Staff worked with other healthcare providers when needed.

  • A high level of care and support was provided within the service. Staff cared for women and their family/friends with compassion, kindness, dignity and respect.

  • Staff explained in detail and in a language women and those close to them could understand about the scan and outcomes. Women and those close to them had time to ask questions and look at their report and were involved in any decision making required.

  • Staff provided emotional support to women and their family/friends to help minimise their distress following upsetting news. They followed up with the women post scan to continue to offer emotional support and signpost them to other organisations that could also offer support and guidance.

  • The service was responsive to the needs of women and their families/friends. Women were able to access an appointment when they needed it and information was provided online about the services offered.

  • Concerns and complaints were investigated, and the outcome fed back to those who had raised them. Lessons were learned and shared with all staff.

  • The service was well-led with strong leadership and a positive culture was promoted and present among staff. The service engaged with women and their families/friends, and staff, to help plan and improve service provision.

  • The provider monitored and reviewed service quality to safeguarded high standards of care. There were systems to identify risks and plans to eliminate or reduce them.

However, some areas needed further improvement:

  • Evidence of Disclosure and Barring Service checks (DBS) were not always in place before staff started work.

  • References for new staff did not always contain information about their conduct from senior staff from their last place of work .

Following our inspection, we told the provider they should make improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Dr Nigel Acheson

Deputy Chief Inspector of Hospitals, London and the South

Inspection areas

Safe

Good

Updated 10 October 2019

We rated it as Good because:

The service made sure all staff had completed mandatory training in key skills. Staff had substantive posts within a similar field in the NHS and had undertook mandatory training for these roles.

Staff understood how to protect patients from abuse. Staff had training on how to recognise and report abuse, and they knew how to apply it.

The service controlled infection risk well. Staff used equipment and control measures to protect patients, themselves and others from infection. They kept equipment and the premises visibly clean.

The design and use of facilities, premises and equipment kept people safe. Staff were trained to use them. Staff managed clinical waste well.

Staff identified and quickly acted upon patients at risk of deterioration.

The service had enough staff with the right qualifications, skills, training and experience to keep people safe from avoidable harm and to provide the right care and treatment.

Staff kept detailed records of patients’ care and treatment. Records were clear, up-to-date, stored securely and easily available to all staff providing care.

The service managed patient safety incidents well. Staff recognised and reported incidents and near misses. Managers investigated incidents and shared lessons learned with the whole team and the wider service.

Effective

Updated 10 October 2019

We do no rate effective for this core service.

The service provided care and treatment based on national guidance and evidence-based practice. Managers checked to make sure staff followed guidance.

Staff monitored the effectiveness of care and treatment. They used the findings to make improvements and achieved good outcomes for patients.

The service made sure staff were competent for their roles. Managers appraised staff’s work performance and provided them with support and development. Staff had a wealth of knowledge from their roles within the NHS to provide the best care to women and their families/friends.

The service was provided at times which were more suited to the service users.

The service gave patients practical support and advice to lead healthier lives. Their website provided women with advice and support about health related topics in pregnancy.

Staff worked together as a team to benefit women and their families/friends. Staff undertook clinics alone but could contact the registered manager for support as required.

Staff understood how and when to assess whether a woman had the capacity to make decisions about their care. They understood their roles and responsibilities under the Mental Health Act 1983 and the Mental Health Act 2005.

Caring

Good

Updated 10 October 2019

We rated it as Good because:

Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.

Staff provided emotional support to patients, families and carers to minimise their distress. They understood patients’ personal, cultural and religious needs.

Staff supported and involved patients, families and carers to understand their condition and make decisions about their care and treatment.

Responsive

Good

Updated 10 October 2019

We rated it as Good because:

The service was planned and provided in a way that met the needs of the women and their families/friends who would use the service.

The service took account of women and their families individual needs.

People could access the service when they needed it.

It was easy for people to give feedback and raise concerns about care received. The service treated concerns and complaints seriously, investigated them and shared lessons learned with all staff.

Well-led

Outstanding

Updated 10 October 2019

We rated it as Outstanding because:

Leaders had the integrity, skills and abilities to run the service. They were compassionate and demonstrated the high levels of experience, capacity and capability needed to deliver excellent and sustainable service.

Leaders had a deep understanding of issues, challenges and priorities in their service. They were visible and approachable in the service for women and staff.

The service had a vision for what it wanted to achieve and workable plans to turn it into action.

Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. The service promoted equality and diversity in their daily work. The service had an open culture where patients, their families and staff could raise concerns without fear.

Leaders operated effective governance processes throughout the service. 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.

Leaders and teams used systems to manage performance effectively. They identified and escalated relevant risks and issues and identified actions to reduce their impact.

The service collected reliable data and analysed it. Staff could find the data they needed, in easily accessible formats, to understand performance, make decisions and improvements. The information systems were integrated and secure.

The service engaged well with women and their families and staff to plan and manage appropriate services.

All staff were committed to continually learning and improving services. They had a good understanding of quality improvement methods and the skills to use them. Leaders encouraged innovation and participation in local audits.

Checks on specific services

Diagnostic imaging

Good

Updated 10 October 2019

  • This is a diagnostic imaging service run by Somerset Early Scans Limited. The service is based in Bridgwater, Somerset.

    We rated the service as good because it was safe, caring and responsive. We rated well-led as outstanding. We do not rate effective for this type of service.