We carried out an announced comprehensive inspection on 6 April 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led.
Our findings were:
Are services safe?
We found that this service was providing safe care in accordance with the relevant regulations
Are services effective?
We found that this service was providing effective care in accordance with the relevant regulations
Are services caring?
We found that this service was providing caring services in accordance with the relevant regulations.
Are services responsive?
We found that this service was providing responsive care in accordance with the relevant regulations.
Are services well-led?
We found that this service was providing well-led care in accordance with the relevant regulations.
We carried out this inspection 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.
Nuffield Health Wellbeing Centre Nottingham provides health assessments that include a range of screening processes. Following the assessment and screening process patients 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, four physiotherapists and two physiology staff supporting the health assessment service.
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 exemptions from regulation by CQC, which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Nuffield Health Wellbeing Centre Nottingham, services are provided to patients under arrangements made by their employer with whom the service 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).
The provider, which is Nuffield Health, is registered with the Care Quality Commission to provide services at Plains Road, Mapperley Nottingham NG3 5RH. The purpose built health and fitness facility has been used to provide services to patients since 2008.
We received 12 comment cards in the lead up to the inspection, the patients responses were entirely positive about their experiences at the service. Feedback on their care and treatment described the care received as being very professional, efficient and caring, as well as praising the time spent giving explanations and how informative the staff were.
Our key findings were:
- The clinic had a policy in place with clearly defined systems and processes in place to keep patients safe and safeguarded from abuse.
- The way in which care was delivered was reviewed to ensure it was delivered according to evidence- based guidelines and staff were well supported to update their knowledge through training.
- The service worked closely with local charities to help raise funds and awareness, for example Muted (Mental Health Charity) and Women’s Aid.
- We saw patients were treated with kindness and professionalism and patient feedback supported this.
- Patient feedback for the services offered was consistently positive and scored highly against the providers’ average.
- The centre enjoyed strong links with the community, working in partnership with local schools and cooperate businesses to promote healthy lifestyles and wellbeing.
- Staff told us there was an open and inclusive culture of management and felt their views were listened to.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
- There was an overarching provider vision and strategy and there was evidence of good local leadership within the service.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice