Bromley Healthcare Central court

Updated 19 January 2021

Bromley Healthcare Community Interest Company is a social enterprise providing NHS community health services, in the London boroughs of Bromley, Bexley, Greenwich and Lewisham. It provides nursing, medical and therapy services for adults and children. These include district nursing, health visiting, speech and language therapy, physiotherapy and occupational therapy. It has a 0 to 19 children’s public health service for Bromley and Bexley. The provider took over responsibility for the Bromley 0-19 service from the 1st October 2020. During the COVID 19 pandemic the provider had redeployed some staff.

This inspection was a focused announced inspection of the community health services for children, young people and families core service, particularly the health visiting teams in Bexley and Bromley. The inspection was in response to the unexpected death of a baby from an alleged non-accidental injury and concerns related to safeguarding follow-up. We did not inspect all areas of all key questions and the core service was not given an overall rating. This core service has not been inspected before.

The service has a registered manager in post. The service is registered by the CQC to provide the regulated activities: Diagnostic and screening procedures, Family planning services, Surgical procedures, Transport services, triage and medical advice provided remotely and Treatment of disease, disorder or injury.

Updated 19 January 2021

Overall, we rated the services at Global house as good because:

• The service had effective systems for identifying and reporting incidents, and staff recorded and investigated incidents appropriately. The service took action to mitigate risks to patients in services covered by community teams. The service monitored its safety thermometer information to improve patient safety. Staff had received safeguarding training and were aware of the action to take if they suspected abuse.

• Patient records were comprehensive, with appropriate risk assessments completed. The new electronic patient record system ensured that patient details were stored securely and promoted confidentiality.

• Patients were cared for by appropriately qualified staff, who had received an induction to the unit and achieved specific competencies before being able to care for patients independently. Contraceptive and reproductive health staff were trained in the speciality and many had undertaken the diploma from the Faculty of Sexual and Reproductive Health.

• There was effective internal and external multidisciplinary team working and practitioners worked with other staff across services.

• Patients gave positive feedback about the services they used. They told us their confidentiality, dignity and privacy was respected by staff.

• Services were developed to meet the needs of people. Patients on the home pathway had their rehabilitation needs met in their homes. The Medical Response Team provided telephone consultations and face-to-face consultations in patients’ homes. The contraceptive and reproductive health clinic times were flexible to meet people’s needs.

• We saw good local leadership within the service and staff reflected this in their conversations with us. There was a positive culture in the service and staff said they could raise concerns with the leadership team.

• The service had implemented a live performance scorecard for daily monitoring of key performance indicators.

However:

• A surgical safety checklist was not in use for vasectomy procedures.
• Local risk assessments for satellite clinics were completed, but action plans for change did not have set times for completion.
• There was no formal service level agreement in place for the use of satellite locations for contraception and reproductive health services. However, the provider conducted annual risk assessments and had escalation procedures in place for use of the facilities.

Updated 7 June 2017

Updated 19 January 2021

Updated 7 June 2017