Worcestershire Imaging Centre

Updated 28 February 2019

Worcestershire Imaging Centre is operated by The Worcestershire Imaging Centre Limited. The service opened in 1999. It is a private clinic in Droitwich, Worcestershire. The clinic primarily serves the communities of Worcestershire. It also accepts private patient referrals from outside this area.

The clinic has not had a registered manager in post since March 2017. At the time of the inspection, a new manager had recently been appointed and was due to commence in April 2019.

Worcestershire Imaging Centre is a magnetic resonance diagnostic service which undertakes scans on patients to diagnose disease, disorder and injury. The service has a fixed scanner and is in Droitwich. The unit is operational Monday to Friday, 08:30 to 18:00. No clinical emergency patients are scanned within the service. The service cares for adults and children from four years old.

Updated 28 February 2019

Worcestershire Imaging Centre is operated by The Worcestershire Imaging Centre Limited. The service is commissioned by a local NHS trust and provides MRI (Magnetic Resonance Imaging) diagnostic facilities for adults and children. We inspected diagnostic imaging services at this location.

To get to the heart of patients’ 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.

We inspected this service using our comprehensive inspection methodology. We carried out a short notice announced inspection on 15 January 2019. This was the second inspection since registration. Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The service provided diagnostic and screening procedures.

Services we rate

We previously did not have the authority to rate this service as legislation had not previously applied to all types of independent services, which meant that some providers had been inspected, but not rated. The department of Health had amended the performance assessment regulations to enable CQC rate almost all independent healthcare providers. We rated this service as requires improvement overall.

We found areas of practice that the service needed to improve:

• The service had no lead for safeguarding who was trained to level three and had no access to a named professional who was trained to level four. This did not meet national guidance.

• Radiographers did not have up-to-date competencies to enable them effectively to carry out their role.

• Staff told us bank staff had local induction. However, we saw no evidence that local induction had been completed as no induction checklists had been completed.

• There was lack of robust governance process in place to provide oversight around staff competencies and overall management of risks.

• Hand hygiene audits were not undertaken to measure staff compliance with the World Health Organisation’s (WHO) ‘Five Moments for Hand Hygiene.’

However, we also found the following areas of good practice:

• Staff kept detailed records of patients’ care and treatment. Records were clear, up-to-date and easily available to all staff providing care.

• Staff were caring, kind and engaged well with patients.

• Services were planned in a way that met the needs of patients and the local community. Patients were offered a choice of appointments.

• Incidents were reported, investigated and learning was implemented.

Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements. We also issued the provider with four requirement notices that affected diagnostic and screening procedures. Details are at the end of the report.

Amanda Stanford

Deputy Chief Inspector of Hospitals (Central)

Updated 28 February 2019

The provision of magnetic resonance imaging scans which is classified under the diagnostic imaging core service, was the core service provided at this service. We rated this service as requires improvement overall because staff did not have sufficient competencies to enable them carry out their role. Out of date medicines were found on site. The service did not have a safeguarding lead and no member of staff had been trained to safeguarding children level three. There was no robust governance system in place to ensure risks identified during our inspection had been recognised by the service. However, feedback from patients was positive. Appointments were scheduled to meet the needs and demands of the patients who required their services.