Background to this inspection
Updated
24 May 2023
National Unplanned Pregnancy Advice Service (NUPAS) Leeds is operated by National Unplanned Pregnancy Advice Service. NUPAS Leeds opened in March 2022.
The NUPAS Leeds clinic is registered to undertake; early medical abortion (EMA) up to 9 weeks and 6 days and surgical termination of pregnancy (SToP) up to 13 weeks and 6 days, with local anaesthetic and conscious sedation. NUPAS Leeds does not provide later surgical abortions under general anaesthetic (GA). The clinic undertakes ultrasound scanning (USS) and offers contraception.
The location is registered to provide the following regulated activities:
• Termination of pregnancies
• Surgical procedures
• Treatment of disease, disorder, or injury
• Family planning
• Diagnostic and screening procedures
The location has a manager registered with CQC.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Updated
24 May 2023
We rated this service as good because:
- The service had enough staff to care for women and keep them safe. Staff had training in key skills, understood how to protect women from abuse, and managed safety well. The service controlled infection risk well. Staff assessed risks to women, 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 and gave women 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 women, 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 women 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 women, families and carers.
- The service planned care to meet the needs of local people, took account of women’s 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 well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported and valued. They were focused on the needs of women receiving care. Staff were clear about their roles and accountabilities. The service engaged well with women and the community to plan and manage services and all staff were committed to improving services continually.
However,
- Managers did not have oversight that staff had completed their training in the Mental Capacity Act.
- The vision and values of the service were not made in collaboration with local stakeholders to ensure service provision met the needs of the local population.
Updated
24 May 2023
We rated this service Good.
See overall summary for more information.
In the reporting period March 2022 to February 2023, the centre carried out 0 surgical terminations of pregnancy (SToP) under local anaesthetic/conscious sedation, 329 early medical abortions. The centre held a current Department of Health licence to practice under the Abortion Act.
- No patients were transferred out to another hospital from March 2022 to February 2023.
- No incidences of hospital acquired Methicillin-resistant Staphylococcus aureus (MRSA), Methicillin- susceptible Staphylococcus aureus (MSSA), Escherichia coli (E.coli) or Clostridium botulinum (C.diff).
- No complaints were received within the reporting period from March 2022 to February 2023.