MSI Reproductive Choices District Treatment Centre - South London

Updated 19 May 2023

MSI Reproductive Choices District Treatment Centre South London is operated by MSI Reproductive Choices. The treatment centre is a dedicated standalone building retrofitted for clinical care, including surgical procedures. The treatment centre has five consulting rooms, a surgical theatre suite, a ward area with eleven chairs, and outpatient facilities including ultrasound.

The service provides surgical termination of pregnancy up to 23 weeks and six days gestation and early medication abortion up to nine weeks and six days gestation. Surgical procedures are available with a range of sedation options, including general anaesthesia. The service provides consultations, ultrasound scans, contraception, and sexual health screening, and is a host site for vasectomy procedures. Vasectomy procedures were not included in the scope of this inspection as they were provided by a different service. Telemedicine for early medical abortion, a remote service for abortion pills, was not provided at this service.

The district treatment centre provides the full range of care services and is the registered location. The service also offers early medication abortion, consultations, and ultrasound scan services from 2 satellite clinics across the region.

The service is registered to provide the following regulated activities:

• Treatment of disease, disorder or injury

• Surgical procedures

• Diagnostic and screening procedures

• Termination of pregnancies

• Family planning

We last inspected the service in August 2019. At that inspection we rated the service good overall and good in each domain.

Updated 19 May 2023

Our rating of this location stayed the same. We rated it as good because:

• The service had enough staff to care for patients and keep them safe. Staff 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. 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 six 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.
• Leaders ran services well 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 always ensure that medicines were managed in a safe way. Expired medicines were found in all areas medicines were stored. This included medicines used in emergency situations.
• Mandatory training completion rates did not always meet the provider’s benchmark standards.
• Women waited longer than five days between initial appointment and treatment which did not meet national guidelines.
• Leaders did not always have clear oversight of the risks to the service.
• The layout of the service did not always allow for women’s emotional needs to be met.

Updated 19 May 2023

Our rating of this service stayed the same. We rated this service as good because it was effective, caring, responsive, and well led although safe requires improvement.

See the summary above for details.