Nuffield Health Moorgate Fitness and Wellbeing Centre

Updated 5 November 2019

The Nuffield Health Moorgate Fitness and wellbeing Centre (the location) is operated by Nuffield Health (the provider) at Citypoint, 1 Ropemaker Street, London, EC2Y 9AW. The provider is registered with the Care Quality Commission to carry out various regulated activities at numerous locations across the country. The regulated activities relating to this location are Diagnostic and screening procedures and Treatment of disease, disorder and injury.

The location provides private GP services, health assessments and travel health consultations to patients over 18 years of age. The health assessments include 360 health assessments (comprehensive health reviews) and lifestyle health assessments. The purpose of the health assessment is to provide patients with a comprehensive review of their health. They cover health concerns such as weight, diabetes, heart health, cancer risk and emotional wellbeing, and may involve a number of screening and testing procedures. There is a small laboratory onsite to process test results. Following the assessment and screening process, patients have a consultation with a doctor to discuss the findings and to consider and plan for any required treatment. Patients receive a comprehensive report detailing the findings of the assessment. The report includes advice and guidance on how the patient can improve their health together with information to support healthier lifestyles. Any patients requiring further investigations or any additional support are referred to other services.

GP services are provided to private individuals as well as corporate clients through company occupational health schemes. This inspection focussed on individual paying patients as the occupational health work falls outside our scope of registration.

Appointments with GPs, which can be booked online or by phone, are available between 9.15am and 5.15pm Monday to Friday. Consultations are 15 minutes long. Same day appointments are sometimes available.

The clinical team consists of five female salaried doctors who work at the location part time. The provider also has a clinical lead doctor, male, who covers five locations in London and frequently does duty at Moorgate seeing patients. In the event that patients prefer their consultation to be with a male doctor, and the clinical lead is not available, a male doctor can be allocated from the provider’s other locations or from its bank staff. Health assessments are carried out by a team of trained physiologists. Physiologists are full professional members of the Royal Society for Public Health (RSPH) and are trained to carry out health assessments, give advice and motivate patients to make lifestyle changes affecting areas such as exercise, nutrition, sleep and stress management. The location has a general manager, a clinical manager and a small team of administrators. Further corporate managerial and administrative support is operated from the provider’s other offices.

Before visiting, we reviewed a range of information we hold about the service, any notifications received, and the information given by the provider at our request prior to the inspection.

During our visit we:

• Spoke with a range of staff including the clinical lead doctor, the general manager and clinic manager.
• Looked at the system in place for running the service.
• Looked at rooms and equipment used in the delivery of the service.
• Viewed a sample of key policies and procedures.
• Explored how decisions are made.
• Reviewed CQC comment cards which included feedback from patients about their experience of the service.

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 5 November 2019

This service is rated as Good. (Previous inspection July 2018 – This was an unrated inspection).

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Nuffield Health Moorgate Fitness and Wellbeing Centre as part of our ongoing ratings inspection programme for independent health services.

Nuffield Health Moorgate Fitness and Wellbeing Centre offers private GP appointments, travel health consultations and a range of health assessments and screening processes to patients aged over 18 years.

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 general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Nuffield Health Moorgate Fitness and Wellbeing Centre services are provided to patients under arrangements made by their employer. These types of arrangements are exempt by law from CQC regulation. Therefore, at Nuffield Health Moorgate Fitness and Wellbeing Centre, we were only able to inspect the services which are not arranged for patients by their employers.

The Centre 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.

Seven number of people provided feedback about the service. All feedback was positive about the service.

Our key findings were:

• The provider had clear systems to keep people safe and safeguarded from abuse. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• Staff assessed patients’ needs and delivered care in line with relevant and current evidence based guidance and standards.
• Patients were treated with dignity and respect and they were involved in decisions about their care and treatment. Treatment was delivered in line with best practice guidance and appropriate medical records were maintained.
• Patients were provided with information about their health and with advice and guidance to support them to live healthier lives.
• Systems were in place to protect patients’ personal information.
• Information about services and how to complain was available and easy to understand.
• An induction programme was in place for all staff and staff received induction training prior to treating patients.
• Staff were well supported with training and professional development opportunities. They were trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• The provider had a clear vision to provide safe and high quality service and there was a clear leadership and staff structure. Staff understood their roles and responsibilities.
• There were clinical governance systems and processes in place to ensure the quality of service provision. Staff had access to all standard operating procedures and policies.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care