EndoCare Community Diagnostic Centre Also known as Parkway 4

Updated 27 June 2023

EndoCare Community Diagnostic Centre provides day case endoscopy services for NHS patients over 18 years of age. The service is located in Manchester and has been registered with CQC since 28 September 2021.

The service is an out-patient independent single specialty provider of endoscopy; including diagnostic tests such as: Gastroscopy, Colonoscopy, Flexible Sigmoidoscopy. The service provides a 7-day service, provided by endoscopists, endoscopy nurses,

The diagnostic and treatment area consists of the decontamination areas, three procedure rooms, two patient preparation rooms, a waiting area and two separate recovery areas: one with four beds and the other with five beds.

All patients undergoing endoscopy procedures were referred to the service by two local NHS trusts under contractual arrangements. During January 2022 and March 2023, the service had undertaken 2,008 endoscopy procedures.

The service also provides recruitment agency services and supplies temporary staff to NHS acute and community providers across Yorkshire and the North West. We did not inspect these services as they do not form part of regulated activities.

This is the first time we have inspected and rated the service. The service is registered to provide the regulated activity of diagnostic and screening procedures. The service has had a registered manager in post since its initial registration in September 2021.

The service also provides in-reach endoscopy staffing services to NHS acute trusts across the North West. We did not inspect these services as they do not form part of the regulated activities for this location.

Updated 27 June 2023

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

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.
• Leaders ran services using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually.

However:

• The service did not have an effective process for carrying out checks on company directors, in line with regulatory requirements for fit and proper persons; directors.
• Leaders did not always carry out relevant checks for employed or contracted staff as part of their recruitment processes.
• The number of patients that did not attend endoscopy appointments was worse than the national standard.

Updated 27 June 2023

The main service provided at this location was diagnostic and screening procedures.

We rated this service as good overall. We rated safe, caring, and responsive as good. and well-led as requires improvement. We inspect but do not rate effective for diagnostic and screening services.