Devonshire Diagnostic Centre Limited

Updated 23 August 2022

Devonshire Diagnostic Centre is an independent hospital located in London. The service is provided by Devonshire Diagnostic Centre Limited which operates as a partnership between HCA International Limited and a group of medical consultants. The provider and location were a part of the wider HCA network of hospitals and services. Devonshire Diagnostic Centre was located within and shared facilities with the Harley Street Clinic, which was an independent hospital, provided by HCA International Limited, at the time of the inspection there was no differentiation in signage or branding to tell patients they were being seen at Devonshire Diagnostic Centre. The Devonshire Diagnostic Centre had its own website. The outpatient department at Devonshire Diagnostic Centre Limited provided outpatient services in treatment rooms across two sites: 13-19 Devonshire Street which had 19 treatment rooms and 30 Devonshire Street which had 1 treatment room. The outpatient services were limited to procedures undertaken in treatment rooms as all consultations took place in rooms under the registration of a different service. The outpatient department provided services in gynaecology, dermatology, ENT, urology, blood tests and minor surgical procedures, including treatment for kidney stones and varicose veins. The location worked collaboratively with The Portland Hospital for Women and Children for their paediatric services. The diagnostic imaging department and cardiac physiology service consisted of treatment rooms, ultrasound machines, CT scanners, mammography, lithotripsy, DEXA scanner, screening services, one-stop breast clinics and general x-ray located at 13-18 Devonshire Street, 30 Devonshire Street and 86-88 Harley Street. This location was overseen by the governance and leadership team based at The Harley Street Clinic provided by HCA International Limited.

The regulated activities registered for this location are:

Treatment of disease, disorder or injury

Diagnostic and screening procedures

Surgical procedures

Family Planning

There was a registered manager in place at this location since it registered with the CQC. This was the first inspection carried out at this location.

The main service provided by this hospital was diagnostic imaging. Where our findings on diagnostic imaging – for example, management arrangements – also apply to other services, we do not repeat the information but cross-refer to the diagnostic imaging service.

Updated 23 August 2022

This is the first time we rated this service. We rated it as good because:

The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.

Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.

Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.

The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.

Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

Staff conducted Imaging referral checks, but these checks were not always recorded in a way which was clear or accurately represented when they were conducted or by which member of staff.

The imaging department located at 30 Devonshire Street reported to a separate leadership structure at another registered location provided by HCA International Limited. Some diagnostic imaging staff told us they did not understand why the department was structured the way it was, and they felt the department at 30 Devonshire Street was not part of the wider department

At the time of inspection, only the computerised tomography (CT) department was adapted to meet the needs of children. The recovery areas in the imaging department and outpatient were not child friendly, along with the treatment rooms and other diagnostic rooms. Senior staff told us this was due to the planned refurbishment of the location and these areas would be redesigned with children in mind, but this was not the case at the time of our inspection.

We found that there was no tamper evident seal on the anaphylaxis box kept in the resuscitation trolley used by the physiology team in the basement.

At the time of inspection, the paediatric service was not undertaking pain audits.

The service did not actively engage with children and young people and their parents.

Updated 23 August 2022

This is the first time we have inspected this service. We rated it as good because:

Staff understood how to protect children and young people from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to children and young people, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well.

Staff provided good care and treatment and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of children and young people, advised them and their families on how to lead healthier lives and supported them to make decisions about their care.

Staff treated children and young people with compassion and kindness, took account of their individual needs, and helped them understand their conditions. They provided emotional support to children and young people, families and carers.

The service took account of children and young people’s individual needs. People could access the service when they needed it and did not have to wait too long for treatment.

Staff felt respected, supported and valued. Staff were clear about their roles and accountabilities. All staff were committed to improving services continually.

However:

At the time of inspection, only the computerised tomography (CT) department was adapted to meet the needs of children. The recovery areas in the imaging department and outpatient were not child friendly, along with the treatment rooms and other diagnostic rooms. Senior staff told us this was due to the planned refurbishment of the location and these areas would be redesigned with children in mind, but this was not the case at the time of our inspection.

We found that there was no tamper evident seal on the anaphylaxis box kept in the resuscitation trolley used by the physiology team in the basement.

At the time of inspection the paediatric service was not undertaking pain audits.

The service did not actively engage with children and young people and their parents.

Updated 23 August 2022

We rated this service for the first time. We rated it as good because:

The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.

Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.

Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.

The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.

Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

Staff conducted Imaging referral checks, but these checks were not always recorded in a way which was clear or accurately represented when they were conducted or by which member of staff.

The imaging department located at 30 Devonshire Street reported to a separate leadership structure at another registered location provided by HCA International Limited. Some diagnostic imaging staff told us they did not understand why the department was structured the way it was, and they felt the department at 30 Devonshire Street was not part of the wider department

We rated this service as good because it was safe, effective, caring, responsive and well-led.

Updated 23 August 2022

This was our first time inspecting this service. We rated it as good because:

The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.

Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.

Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.

The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.

Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

During our inspection we found one set of resuscitation equipment that was not properly secured with a tamper evident seal in the basement.