Nuffield Health Paddington Fitness and Wellbeing Centre

Updated 7 August 2018

Nuffield Health Fitness & Wellbeing is part of Nuffield Health a not-for-profit healthcare provider. The clinic located in Paddington provides a variety of health assessments for both corporate and private clients (adults only). The clinic aims to provide a comprehensive picture of an individual’s health, covering key health concerns such as diabetes, heart health, cancer risk and emotional wellbeing. Following the assessment and screening process patients undergo a consultation with a doctor to discuss the findings of the results and discuss any required treatment planning. Patients are provided with a comprehensive report detailing the findings of the assessment. The reports include advice and guidance on how the patient can improve their health and they include information to support patients to live healthier lifestyles. Health assessment clients are also provided with a free 30-day pass for the fitness centre. The clinic can also refer to on-site nutritionists and physiotherapists.

The clinic address is:

2 Sheldon Square, Paddington Central, London, W2 6EZ

The core opening hours for health assessments at the clinic are Monday to Friday 8.30am-5.30pm.

The clinic has a Clinic Manager who reports into the General Manager. The clinic is run by a team of Health Assessment Doctors and Health and Wellbeing Physiologists. Physiologists are graduates in exercise, nutrition and health sciences, and are full professional members of the Royal Society for Public Health (RSPH). They are trained to carry out health assessments, give advice and motivate lifestyle changes affecting areas such as exercise, nutrition, sleep and stress management.

We carried out an announced comprehensive inspection at Nuffield Health Fitness & Wellbeing on 3 May 2018.

Our inspection team was led by a CQC Lead Inspector who was accompanied by a GP Specialist Advisor.

Before visiting, we reviewed a range of information we hold about the service and asked other organisations to share what they knew. Prior to the inspection we reviewed the last inspection report from June 2014, any notifications received, and the information provided from a pre-inspection information request.

During our visit we:

• Spoke with the centre manager, two health assessment doctors (Including the lead doctor), the lead physiologist and the clinic manager who is also trained as a physiologist.
• Looked at equipment and rooms used when providing health assessments.
• Reviewed records and documents.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 7 August 2018

We carried out an announced comprehensive inspection on 3 May 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 Fitness & Wellbeing is part of Nuffield Health a not-for-profit healthcare provider. The clinic located in Paddington provides a variety of health assessments for both corporate and private clients offered on a fee paying basis to adults only.

The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. For example, physiotherapy and lifestyle coaching do not fall within the regulated activities for which the location is registered with CQC.

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.

We obtained 19 completed Care Quality Commission comment cards. Feedback was very positive about the service provided and the professionalism and friendliness of the staff. We did not speak with any patients during the inspection.

Our key findings were:

• There was an open and transparent approach to safety with effective systems in place for reporting and recording incidents.
• There were systems in place to check all equipment had been serviced regularly, including blood screening equipment.
• There were clearly defined and embedded systems to minimise risks to patient safety and risks to patients were well managed. For example, there were effective systems in place to reduce the risk and spread of infection.
• Systems were in place to deal with medical emergencies and staff were trained in basic life support.
• Clinicians regularly assessed patients according to appropriate guidance and standards such as those issued by the National Institute for Health and Care Excellence.
• Staff maintained the necessary skills and competence to support the needs of patients.
• Staff were up to date with current guidelines and were led by a proactive management team.
• Patients were provided with information about their health and with advice and guidance to support them to live healthier lives.
• Staff were kind, caring, competent and put patients at their ease.

• Information about services and how to complain was available and easy to understand and improvements were made to the quality of care and treatment as a result of complaints and concerns.

• The service had good facilities and equipment to treat patients and meet their needs. All health assessment rooms were well organised and equipped.
• There was a clear leadership structure and staff felt supported by management. The service proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of, and complied with, the requirements of the Duty of Candour.