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Inspection carried out on 26 June 2019

During a routine inspection

Bumpkins York is operated by Bumpkins York. The service is a single speciality independent healthcare provider offering 2D, 3D and 4D imaging to self-funding women who use the services.

Bumpkins York is staffed by one person (ultrasound technician) who is also the registered manager and owner of the service.

Bumpkins York is situated in a small ground floor business unit in a rural area. The service provides wheelchair access and has designated car parking at the front of the building. Women who use the service entering the unit are escorted directly into a waiting area which opens into a scanning room, and small staff kitchen area. The central reception has adequate seating and a reception desk. Toilets were provided for women who use the service, along a small corridor near to the front entrance.

The service provided a screening and ultrasound scan service for people aged 18 plus in relation to pregnancy (from seven weeks through to full term), including gender scans, and early bonding experiences. In addition the provider offers heartbeat teddy bears and gender reveal balloons.

We inspected this service using our comprehensive inspection methodology. We carried out the announced part of the inspection on 26 June 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.

Services we rate

We had not previously inspected this service. We rated it as Good overall because:

  • The service provided mandatory training in key skills

  • The service controlled infection risk well.

  • The service had suitable premises and equipment and looked after them well.

  • The service provided care and treatment based on national guidance and evidence of its effectiveness. The service made sure staff were competent for their roles.

  • Staff cared for women who use the service with compassion. During the inspection we spoke to two women who were using the service. They said, “staff went above and beyond”. One said, “staff were very friendly”.

  • Staff involved people who use the service and those close to them in decisions about their scan.

  • People could access the service when they needed it.

  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results.

  • The manager had the right skills and abilities to run a service providing high-quality sustainable service.

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

    We found areas of outstanding practice:

  • We saw an example of the service going above and beyond to assist those people who use the service.

We found areas of practice that require improvement:

  • Some policies did not have a creation date or review date.

  • The ultrasound practitioner does not receive an appraisal or peer support due to being the only employee.

We found that the /service was meeting all standards of quality and safety it was inspected against.

Ann Ford

Deputy Chief Inspector of Hospitals (North Region)