Nuffield Health Manchester Printworks Fitness and Wellbeing Centre

We carried out an announced comprehensive inspection at Nuffield Health Manchester Printworks Fitness and Wellbeing Centre on 12 June 2019 as part of our inspection programme.

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 regulated activities and services and these are set out in and of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Nuffield Health and Wellbeing centre Manchester Printworks provides a range of therapeutic interventions, for example physiotherapy and lifestyle coaching which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The clinic 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.

All feedback was positive about the care, treatment and facilities provided by the service. We received feedback from 17 patients through CQC comment cards and discussion during the inspection visit. Patients indicated that the consulting rooms and other facilities were clean and tidy; access to the service was easy; the clinicians they met were knowledgeable and able to answer all questions and patients felt involved and well informed about their health choices. Patients indicated the service provided sufficient information about what was available and the potential costs. Patients stated all interactions with staff had been positive and without problems, this included when making telephone enquiries. Patients indicated they had been treated with kindness and respect during their visit to the service and their privacy was respected. Patients felt the service was professionally run and efficient.

Our key findings were:

• Processes and systems were in place and understood by staff which would keep people safe from abuse and avoidable harm.

• Processes in place for reporting and learning from incidents were robust, ensuring that lessons were learnt, shared with staff and appropriate changes made to reduce the risk of reoccurrence.
• There were reliable systems in place to protect people from unsafe premises and equipment. There was evidence that findings from safety checks were usually followed up promptly and appropriately however we noted the action planned in response to emergency lighting checks were not documented on the checklist to provide assurance that action had been taken.

• All health care assessments, treatment and advice were based on best practice guidance and the findings of the most appropriate up to date, evidence-based recommendations.

• Staff had the skills, knowledge and experience to carry out their roles effectively. Doctors and physiologists were covered by appropriate medical indemnity insurance.

• Patients were treated with respect and dignity and their privacy was respected and information was provided to ensure patients made informed choices about their care and treatment.

• The provider ensured that the costs of services provided was readily available and explained as appropriate.

• The service had links with the local community, working in partnership with the local schools in the Greater Manchester area to promote healthy lifestyles and wellbeing.

• There were clear and accessible complaints policies and procedures, and complaints were openly investigated and dealt with impartially.

• Leadership and management were well defined and staff knew who to go to for advice and support. A comprehensive major incident plan was in place.

• Governance arrangements included reviewing and acting on the experiences of people who used the service and reviewing the satisfaction of staff and other stakeholders.

• The registered manager used processes in place to promote effective communication between the local service and the Nuffield Health head office.

• The leadership at Nuffield Printworks was conversant with the providers vision and strategy and ensured this was understood and subscribed to by all staff.

• The registered manager, medical, clinical and estate staff demonstrated integrity, a learning culture and openness at the local level.

The areas where the provider should make improvements are:

• Review the systems to prompt the appropriate response to findings from routine premises safety checks.
• Review the risk assessment of the fire door leading out of the clinic into the Gym area.

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