Background to this inspection
Updated
17 January 2022
Cherished Moments is operated by H17 Limited. It provides 2D, 3D, 4D, HD live and gender keep sake baby scans to self-paying women and their families. The service is a fixed location private clinic providing trans abdominal ultrasound scan services for women aged over 18 years across Birmingham.
The service has had a registered manager in post since it first registered with the CQC in May 2021. This was the first inspection since registering with the CQC.
We inspected this service using our comprehensive inspection methodology. We carried out a short notice announced visit to the service on 3 November 2021.
Cherished Moments is registered with the CQC to carry out the following regulated activities:
- Diagnostic and screening procedures
Updated
17 January 2022
This was our first inspection of this service. We rated it as requires improvement because:
- The service did not always control infection risk well. The risk of cross-contamination was not always mitigated. We did not see evidence of hand hygiene audits during our inspection.
- Staff did not carry out quality assurance checks on the ultrasound equipment. The service did not have any arrangements for peer review of scans and reports. Performance was not monitored, and the service did not check the results provided to women were reliable.
- The service did not have a referral pathway for women potentially identified as experiencing mental health crises or acute anxiety. The service did not have a clear process for reporting, investigating and learning from safety incidents.
- The service did not have any vision or values. The service did not have a robust governance framework to support the delivery of good quality care. Risks were not always identified, reviewed or mitigated. The registered manager did not have full oversight of the performance and safety of the service.
However:
- Staff received training in key skills, understood how to protect women from abuse and kept detailed records of women’s care and treatment.
- Staff worked together as a team to benefit women and those who accompanied them and supported women to make informed decisions about their care and treatment.
- Staff treated women with compassion, kindness and respected their privacy and dignity. They provided emotional support to women and those who accompanied them and took time to explain the procedure before and during the scan.
Diagnostic and screening services
Updated
17 January 2022
We rated this service as requires improvement. See the summary above for details.