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Trust Headquarters Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 1 July 2019

We carried out an announced comprehensive inspection at The Health Exchange in July 2018 as part of our inspection programme where the service was rated as inadequate overall. As a result, we issued requirement notices as legal requirements were not being met and asked the provider to send us a report that says what actions they were going to take to meet legal requirements. The full comprehensive report of our previous inspection can be found by selecting the ‘all reports’ link for Trust Headquarters on our website at

This inspection was an announced comprehensive inspection carried out on 1 April 2019 to check whether the provider had taken action to meet the legal requirements as set out in the requirement notices. The report covers our findings in relation to all five key questions and related population groups.

We based our judgement of the quality of care at this service on a combination of:

We have rated this practice as requires improvement overall due to concerns in providing safe, effective and well-led services.

We rated the practice as requires improvement for providing safe services because:

We rated the practice as requires improvement for providing effective services because:

We rated the practice as requires improvement for providing well-led services because:

These areas affected all population groups relevant to this service, so we rated the population groups as requires improvement.

We rated the practice as good for providing caring and responsive services because:

Staff demonstrated a wealth of knowledge, passion and commitment to working with people whose circumstances make them vulnerable. We saw several areas of outstanding features including:

The areas where the provider must make improvements are:

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas


Requires improvement


Requires improvement






Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement
Other CQC inspections of services

Community & mental health inspection reports for Trust Headquarters can be found at Birmingham and Solihull Mental Health NHS Foundation Trust.