Hey Baby 4D - The Revive Healthy Living 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 patients and communities had the best possible outcomes because their needs were assessed. We checked that patients’ care, support and treatment reflected these needs ensuring patients were at the centre of their care. We also looked for evidence that leaders instilled a culture of improvement, where understanding current outcomes and exploring best practice was part of their everyday work.

 This key question was not rated at the previous inspection. At this assessment, it was rated good. This meant the service made sure patients’ care and treatment was effective by assessing and reviewing their care. The service planned and delivered patients’ care and treatment in line with legislation and current evidence-based best practice and standards. The service worked well across teams and services to support people. The service supported people to live healthier lives and where possible. The service routinely monitored people’s care and treatment to continuously improve it. The service told patients about their rights around consent and respected it.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

We scored the service as 3. The evidence showed a good standard. The service made sure patients’ care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff assessed patients’ needs. Scans were planned and delivered in line with evidence-based, guidance, standards and best practice. 

The service had a scan refusal policy, which included 9 criteria under which sonographers would not proceed with a scan. Each criteria formed part of the initial person risk assessment, such as proof of age, stage of pregnancy, and mental capacity. Each type of scan had a defined protocol that sonographers used to ensure scans were safe and based on good practice guidance.

Staff used holistic needs assessments to identify additional areas to support people beyond their request for a reassurance scan or blood test. For example, they used mental health and social care assessments to explore potential need or risk disclosed by the person through discussions about areas such as their living circumstances or past experiences. Sonographers used this approach to identify where people have sought baby scans inappropriately, where an NHS review may have better served their needs.

Staff assisted patients into comfortable positions for imaging wherever possible. Staff made adjustments for patients when needed. Patients had access to drinking water as needed.

We scored the service as 3. The evidence showed a good standard. The service planned and delivered patients’ 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. 

Staff followed up-to-date policies to plan and deliver care in line with best practice and national guidance. All policies were up to date with a review date, and clearly followed current national guidelines such as British Medical Ultrasound Society (BMUS), and the Society and College of Radiographers (SCoR). 

Staff were experienced and qualified and had the right skills and knowledge to meet the needs of the patient group. 

The service had monthly team meetings where any changes to guidance or the scanning process were discussed, unless there was nothing to discuss at the time. When there was nothing to discuss this was noted.

We scored the service as 3. The evidence showed a good standard. The service worked well across teams and services to support patients.

The sonographer, registered manager and reception staff worked together as a team to benefit patients. They supported each other to provide care for patients attending for scans or blood tests.

Staff reported healthy working relationships, and we observed teamwork between staff. Staff told us they always worked well as a team and supported each other.

Staff worked across with other agencies when required to care for service users. For example, staff spoke of supportive relationships with the local NHS hospitals maternity unit. If sonographers identified concerns from scans, they escalated them to the local hospital. We reviewed patient records which included scanning summaries and reports. The reports were detailed and contained necessary information and conclusions. Staff provided this information when patients were referred to other services.

We scored the service as 3. The evidence showed a good standard. The service supported patients to live healthier lives and where possible.

The service understood the importance of and promoted a healthy pregnancy. Health promotion information was readily available throughout the patient's journey.  People who used the service were also offered free pregnancy support packs with items as well as information in.

Sonographers carried out a wellbeing check as part of each scan, which checked person’s wider health and holistic needs. Staff provided a range of health promotion advice, guidance, and signposting. This included signposting to a service that provided eating well during pregnancy guidance and an exercise guide for each stage of pregnancy.

Staff promoted good standards of hydration and encouraged people to ask for water if more than an hour had passed since their last drink. The service facilitated access to services that provided extended support and advice. 

Staff provided signposting to a range of specialist support services to help people with decision-making and managing difficult decisions, including to the British Pregnancy Advisory Service.

We scored the service as 3. The evidence showed a good standard. The service routinely monitored patients’ care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met the expectations of patients themselves.

The registered manager carried out a regular programme of audit in which the service performed well. These included observation and peer reviews, staff training reviews, staffing reviews, policy and procedure reviews, clinical governance reviews, cleaning and infection control audits, fire safety audits, rescans and referral audits, perishable items audits, customer record audits and referral pathway audits. The service performed well across audits. The service used patient feedback to make improvements to the service, including providing additional training for staff.

Staff provided proactive information to ensure they understood the service booked was correct for their needs. They checked they were following the correct intervals for scans, as well as any recommendations pre arrival. Staff provided opportunity for patients to ask questions and if needed to reschedule their appointment. 

The service would follow up with patients after making any emergency or non-emergency referrals so they could track the outcome. The main NHS service that referrals are made to who told us they have had several referrals which have always been appropriately made.

We scored the service as 3. The evidence showed a good standard. The service told patients about their rights around consent and respected these when delivering person-centred care and treatment.

Staff supported patients to make informed decisions about their care and treatment.  Patients received information about the service's terms and conditions. They were also told what information the scan and report would provide.

Staff gained consent from patients for their care and treatment in line with legislation and guidance. All patients completed a consent form prior to their scans. The service did not scan or test under 18’s or people who could not consent.

Information on the scanning process was available to patients online. This includes what patients should do before the appointment. For example having a full bladder for certain scans.