• Hospital
  • Independent hospital

Archived: Baby It's You Limited

Overall: Inadequate read more about inspection ratings

Unit 3 Green House Court, Doncaster, South Yorkshire, DN2 5GA (01302) 363000

Provided and run by:
Baby It's You Limited

Latest inspection summary

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Background to this inspection

Updated 29 August 2019

Baby It’s You Limited is operated by Baby It’s You Limited. It is a single speciality independent healthcare provider, which opened in Doncaster in 2013. The service primarily serves South Yorkshire. It also accepts women from outside this area.

The service has had a registered manager in post since 2013.

The service is registered for the regulated activities:

  • Diagnostic and screening procedures.

An inspection of the service was carried out in February 2019 and the service was suspended for a period of two months. The service was rated as inadequate and served with a warning notice in relation to Regulation 17: Good governance.

Overall inspection

Inadequate

Updated 29 August 2019

Baby Its You Limited is operated by Baby Its You Limited. The service is a single speciality independent healthcare provider offering 3D, 4D and early pregnancy scans to self-funding or private people who use the services.

Baby Its You Limited is situated in a small business unit, along a busy central road within Doncaster. The unit is wheelchair accessible and has designated car parking at the front of the building. People who use the services enter directly into a large waiting area with a separate scanning room, customer toilet, small kitchen and second toilet area accessed through separate doors. The central reception has adequate seating and two reception desks.

The studio provides a screening and ultrasound scan service for people who use the services aged 17 to 65 in relation to pregnancy (from seven through to 38 weeks gestation).

We inspected this service using our comprehensive inspection methodology. We carried out the short-announced inspection on 08 February 2019. We had to conduct a short-announced inspection because the service was only open if people who used the services required it.

To get to the heart of people who use the services’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so, we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Services we rate

We had not previously inspected this service.

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

  • Safety systems, processes and standard operating procedures were not fit for purpose.

  • There was insufficient attention to safeguarding children and adults.

  • Care premises were unclean.

  • Staff did not assess, monitor or manage risks to people who used the services.

  • Opportunities to prevent harm to individuals were missed.

  • Individuals care, and treatment was not delivered in accordance with evidenced based practice or national guidance.

  • People received care and treatment from staff that did not have the skills or knowledge to deliver effective care.

  • Staff did not protect the privacy and dignity of people who used the service.

  • Leaders did not have the necessary experience, knowledge capacity and integrity to lead effectively.

  • Governance process were unclear and there was a lack of systematic performance management which included the failure to identify and manage risk.

    Following this inspection, we undertook due process regarding the significant safety concerns and told the provider to suspend regulated activities at the location.

    Services which have been suspended must be re-inspected before they can re-open. If insufficient improvements have been made such that there remains a rating of inadequate overall or for any key question or core service, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.

    I am placing the service into special measures.

    Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate overall or for any key question or core service, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve. The service will be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.’

    In addition, we issued a warning notice in relation to Regulation 10, 12 and 17 and told the provider that it must take some actions to comply with the regulations. We also issued the provider with one requirement notice with 15 actions they must complete that affected Baby Its You Limited.

    Following a further visit to the provider to check compliance, the suspension of the service was lifted.

    Details are at the end of the report.

Ellen Armistead

Deputy Chief Inspector of Hospitals (North)

Diagnostic imaging

Inadequate

Updated 21 June 2019

The service provided at this location was diagnostic and screening procedures. We rated this core service as inadequate overall.

There were insufficient systems to monitor safety, outcomes and experience for people who used the services.

Appropriate, nationally referenced guidelines and policies were not developed by the provider.

Opportunities to prevent harm to individuals was missed and staff did not maintain the privacy and dignity of people who used the services.

Risk, governance and operational performance arrangements were not fit for purpose.

Staff were not sufficiently skilled or qualified to deliver effective care and treatment to individuals using the service.