Archived: Transform Hospital Group Fulham

Updated 26 November 2021

Transform Hospital Group Fulham is a clinic which is part of a group of services under the provider Transform Hospital Group Ltd. They treat patients who are over 18 years of age and provide a range of services including pre- and post-operative care to cosmetic and bariatric surgery (a surgery that helps reduce food consumption and help weight loss).

The Fulham clinic address is Nightingale House, 1-7 Fulham High Street, SW6 3JH. The clinic is based on the ground floor of an apartment building. The clinic has good transport links with regular buses and local tube stations.

The clinic recently reopened to patients following national COVID-19 restrictions.

The clinic is registered by the Care Quality Commission to provide the regulated activities Treatment of disease, disorder or injury. Care provided in the clinic, within the scope of CQC registration, includes pre-operative consultations with surgeons and nurses, blood sampling, routine pre and post-operative swabs, post-operative reviews with surgeons and nurses, wound care including removal of sutures, routine gastric band volume adjustments and prescribing of medicines to aid weight loss.

The clinic is managed by the clinic manager and administrative staff with oversight from the head of governance and compliance. The clinical staff includes ten locum surgeons and four employed nurses.

The service is open from Monday to Friday between 9am-7pm and 10am-4pm on Saturdays.

We gathered and reviewed pre-inspection information before inspecting the service. On the day of the inspection we spoke with the head of governance and compliance, the service manager, a surgeon, a nurse and members of the administration team. We also reviewed a wide range of documentary evidence including patient records, policies, written protocols and guidelines, recruitment, induction and training records, significant event analyses and patient feedback.

The Registered Manager of the clinic had left the company at the time of the inspection, but the newly appointed clinic manager was in the process of applying for the role. A Registered Manager is a person who is registered with the Care Quality Commission to manage the service. Like Registered Providers, they are ‘registered persons’. 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.

Updated 26 November 2021

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Transform Hospital Group, Fulham on 28 October 2021. This was as part of our inspection programme; the service had not previously been inspected.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Transform Hospital Group Fulham provides some cosmetic surgery services, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

At this inspection we found:

• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Review its safeguarding policy to ensure all clinicians are trained at level 3 safeguarding for adults and children.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care