Background to this inspection
Updated
15 January 2020
BMI The Edgbaston Hospital is operated by BMI Healthcare Limited. It is a private hospital in Birmingham, West Midlands. The hospital primarily serves the communities of Birmingham and the surrounding areas. It also accepts patient referrals from outside this area.
The hospital was opened in 1965 however ownership changed to BMI Healthcare in 2008; and was named BMI The Edgbaston Hospital. BMI Edgbaston shares a joint senior management team and cross-site shared management responsibilities for heads of department with BMI The Priory Hospital and has done since 2018. One registered manager oversees both locations. Although these two locations are registered separately with CQC; they work collaboratively together and are known to BMI Healthcare as ‘BMI Birmingham’.
The service provides surgery (including cosmetic surgery), diagnostic imaging and medical care to adults over 18 years. The service also provides endoscopy and outpatient services to both adults and children and young people. During our inspection we looked at the core service of surgery (including cosmetic surgery) only.
The service is registered for:
BMI Edgbaston has been inspected by CQC on three separate occasions. The last inspection report was published in February 2017. During the previous inspection, the hospital was rated as ‘requires improvement’ overall. The surgery core service was also rated as ‘requires improvement’ overall. This core service achieved ‘requires improvement’ within the domains of safe and well led and good in effective, caring and responsive. During this inspection we found activity within the surgery core service breached three Health and Social Care Act regulations. Theses were Regulation 12: Safe Care and Treatment of the Health and Social Care Act (Regulated Activity) Regulations 2014, Regulation 18 HSCA 2008 (Regulated Activities) Regulations 2014, Staffing and Regulation 17 HSCA 2008 (Regulated Activities) Regulations 2014. Good Governance.
Further details are listed at the end of this report.
Updated
15 January 2020
BMI The Edgbaston Hospital is operated by BMI Healthcare Limited. It is a private hospital in Birmingham, West Midlands. The hospital primarily serves the communities of Birmingham and the surrounding areas. It also accepts patient referrals from outside this area.
The hospital was opened in 1965 however ownership changed to BMI Healthcare in 2008; and was named BMI The Edgbaston Hospital. BMI Edgbaston shares a joint senior management team and cross-site shared management responsibilities for heads of department with BMI The Priory Hospital and has done since 2018. One registered manager oversees both locations. Although these two locations are registered separately with CQC; they work collaboratively together and are known to BMI Healthcare as ‘BMI Birmingham’.
The service provides surgery (including cosmetic surgery), diagnostic imaging and medical care to adults over 18 years. The service also provides endoscopy and outpatient services to both adults and children and young people. During our inspection we looked at the core service of surgery (including cosmetic surgery) only.
The service is registered for:
BMI Edgbaston has been inspected by CQC on three separate occasions. The last inspection report was published in February 2017. During the previous inspection, the hospital was rated as ‘requires improvement’ overall. The surgery core service was also rated as ‘requires improvement’ overall. This core service achieved ‘requires improvement’ within the domains of safe and well led and good in effective, caring and responsive. During this inspection we found activity within the surgery core service breached three Health and Social Care Act regulations. Theses were Regulation 12: Safe Care and Treatment of the Health and Social Care Act (Regulated Activity) Regulations 2014, Regulation 18 HSCA 2008 (Regulated Activities) Regulations 2014, Staffing and Regulation 17 HSCA 2008 (Regulated Activities) Regulations 2014. Good Governance.
Further details are listed at the end of this report.
Outpatients and diagnostic imaging
Updated
15 February 2017
We rated safe as ‘good.’
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Staff were aware of their responsibility to report incidents and received feedback from incidents. All areas and clinical rooms were visibly clean and tidy. Cleaning schedules for all areas were seen and had been fully completed. Staff gave good examples of what Duty of Candour meant and what their roles and responsibilities were The environment, equipment and management of Medicine ensured patient safety. Staff in outpatients were clear about how to respond to patients who became unwell and how to obtain additional help from colleagues in caring for a deteriorating patient. Staffing levels were sufficient to keep people safe. However senior management told us that only patients that hadn’t received any kind of treatment in the outpatient department would not have records. Although the number of patient this related to was low this was a breach of a legal requirement.
We inspected but did not rate ‘effective’ as we do not currently collate sufficient evidence to rate this.
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Staff in all outpatient areas followed national or local guidelines and standards to ensure patients received effective and safe care. Options for pain relief were discussed with patients prior to any procedure being performed. We observed effective team working, with particularly strong working relationships between consultants, nursing staff and radiographers. However, there was a lack of up to date and clear guidance for radiographers to authorise medical exposures.
We rated ‘caring’ as good.
We rated ‘responsive’ as good.
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Services were well planned and the facilities appropriate to support the running of clinics.All patients told us they felt the availability of appointments was good and appointments were provided at times that fitted in with their needs. The outpatient and diagnostic imaging teams had not received any written complaints during the year preceding our inspection.However, there weredelays to patients waiting for x-ray due to there being one x-ray room and as radiographers wereundertaking analogue imaging which took slightly longer to process.
We rated ‘well-led’ as good.
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Staff had a clear vision for the service and were aware of the overall vision for the hospital. The outpatient department had its own risk folder, which identified risks, the people who could be affected by the risk, assessment of risk and controls to reduce the level of risk. Front line staff were very positive about the leadership at departmental and senior management level.However concerns raised by staff regarding the continued used of analogy plain film x-rays on the request of one consultant were not addressed.
Updated
15 January 2020
Surgery was the main service and had the highest proportion of hospital activity.
We rated this service as requires improvement as it was inadequate for well led and required improvement in safe and effective. However, we found it was good in caring and responsive.