12 Crompton Street

Updated 18 August 2023

12 Crompton Street is operated by Starlight Ultrasound Limited. The service registered with CQC to provide the regulated activities of diagnostic and screening procedures and maternity and midwifery services in 2019. The service provides diagnostic ultrasound scans to fee paying patients. The service encouraged patients to attend NHS scans. However, some patients chose to only have scans with the service. These were overseen by the service’s registered manager who is a qualified midwife The service completed 4100 scans during the last 12 months up to the date of our inspection.

In addition to fertility and pregnancy scans, the service offers men's and women's general medical ultrasound scans as well as paediatric ultrasound scans for babies, children, and teenagers. The service completed 541 female general medical scans and 36 male general medical scans during the last 12 months up to the date of our inspection.

The service completed 18 abdominal scans on children during the last 12 months up to the date of our inspection.

At the time of our inspection the service was managed by the registered manager who was one of the sonographers for the service and was also one of the owners. There was also a joint owner who acted as the administrator and receptionist. The service also employed another sonographer. They were not working at the location during our inspection.

The registered manager had been in post since the service was registered in 2019.

This was the first time we inspected the service since it was registered in 2019.

The main regulated activity provided by this service is diagnostic and screening procedures. The service is also registered for maternity and midwifery services. However, we confirmed during our inspection that maternity and midwifery activity at this service were minimal. During our inspection, the registered manager was observed to give folic acid and samples of vitamins to patients. They also gave patients advice about contraception.

It was established that this was in scope for the service’s current registration of maternity and midwifery services. Maternity and midwifery services has not been reported on separately for this service.

Updated 18 August 2023

We rated this location as good overall because:

• The service had enough staff with the right qualifications, skills, training, and experience to keep patients safe and to provide the right care and treatment.
• Staff kept accurate care records.
• The service managed safety incidents well and had a process to learn lessons from them.
• 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 continually improving services.
• The service made sure staff were competent for their roles. Managers appraised staff’s work performance and provided support for development.

However:

• The privacy and dignity of patients was not always maintained.
• The service did not always control infection risk well and did not always fully comply with infection prevention and control (IPC) measures.
• The service did not provide a clear understanding to patients for registering a complaint.
• The service did not improve assistance measures for patients after an incident which identified concerns regarding patient safety.
• The service did not have a formal quality review process for ultrasound images.

Updated 18 August 2023

Please see overall summary.