Nuffield Health Nottingham Fitness and Wellbeing Centre

Updated 29 May 2019

The provider, which is Nuffield Health, is registered with the Care Quality Commission to provide services at 31 hospitals and 112 fitness and wellbeing clubs including Nuffield Health Wellbeing Centre Nottingham, Plains Road, Mapperley, Nottingham, NG5 5RH. Only this site was visited as part of this inspection.

Nuffield Health Wellbeing Centre Nottingham provides health assessments that include a range of screening processes. Following the assessment and screening process people undergo a consultation with a doctor to discuss the findings of the results and any recommended lifestyle changes or treatment planning. In addition to the GP, there is a general manager, a clinic manager, physiotherapists and physiology staff supporting the health assessment service. The clinic is open four days a week for health assessments, between 8am and 6pm.

The clinic is located the ground floor of a purpose-built health and wellbeing centre. There was also gym, swimming pool and café area on site.

How we inspected this service:

Before visiting we reviewed a range of information we held about the service and asked the service to send us a range of information. During the visit we spoke with various staff members including the general manager (who is the registered Manager, the clinic manager (who is also a physiologist), the clinic GP and Medical Locum Lead GP. We gained feedback from the 15 completed CQC comment cards. We carried out observations, reviewed the systems in place for the running of the service, including how clinical decisions were made, sampled key policies and procedures and looked at a selection of anonymised patient records.

Further details about the service can be found on the provider website: www.nuffieldhealth.com

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 29 May 2019

We carried out an announced comprehensive inspection at Nuffield Health Wellbeing Centre Nottingham under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The general manager is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Nuffield Health Wellbeing Centre Nottingham services are provided to people under arrangements made by their employer with whom the servicer user holds a policy (other than a standard health insurance policy). These types of arrangements are exempt by law from CQC regulation. Therefore, at Nuffield Health Wellbeing Centre Nottingham, we were only able to inspect the services which are not arranged for patients by their employers with whom the patient holds a policy (other than a standard health insurance policy.

We received 15 completed comment cards at the time of the inspection. The responses were entirely positive about their experience at the service. Feedback on the care and treatment provided described the care received as being excellent and professional, staff were helpful, friendly and caring, and all information was fully explained with sufficient time for people to ask questions.

Our key findings were:

• People had access to and received detailed and clear information about health assessments to enable them to make an informed decision. People were offered appointments between 8am and 6pm at a time convenient to them.
• Staff had access to information they needed to carry out assessments in a timely and accessible way. There was evidence to support that the service operated a safe, effective and timely referral process.
• The way in which care was delivered was reviewed to ensure it was delivered according to best practice guidance and staff were well supported to update their knowledge through training.
• There were effective procedures in place for monitoring and managing risk to people and staff safety.
• The service had clearly defined processes and systems in place to keep people safe and safeguarded from abuse.
• Staff were supported with their personal development and received opportunities for supervision, training and mentoring appropriate to their work.
• The service worked closely with local charities to help raise funds and awareness, for example Women’s Aid. The service had strong links with the local community, working in partnership with the local schools and businesses to promote healthy lifestyles and wellbeing.
• There were clear responsibilities, roles and systems for accountability to support good governance and management.
• There was evidence of continuous quality improvement across various areas which were regularly reviewed through a range of audit, monitoring of key performance indictors and adherence to regulatory and best practice standards.
• There was an overarching provider vision and strategy and evidence of good local leadership within the service.

The areas where the provider should make improvements are:

• Seek advice regarding the level of risk linked to taking blood samples in rooms that are carpeted and take any appropriate action.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care