Background to this inspection
Updated
25 July 2019
Nuffield Health is registered with the Care Quality Commission and provides services across 31 hospitals and 112 fitness and wellbeing centres including Nuffield Health Cannock Fitness and Wellbeing Centre, East Cannock Road, Hednesford, Cannock, Staffordshire WS12 1LU. Only this location was visited as part of this inspection.
Nuffield Health Cannock Fitness and Wellbeing Centre is part of the Nuffield Health UK health organisation, a not for profit organisation founded in 1957. The Centre is in located in Cannock, Staffordshire. The health clinic opened within the centre in 2011 and provides a range of health assessments and physiotherapy services to people aged 18 and over. Services are provided privately and are not commissioned by the NHS. Most people attending the clinic for health assessments are corporate clients from local businesses with less than 10% self-paying clientele. Services are delivered in a purpose-built clinic located on the first floor. A passenger lift is available. The centre provides gym facilities, a range of fitness classes, a swimming pool, spa facilities and a café.
The service is registered to provide the regulated activities of Diagnostic and screening procedures and the Treatment of disease, disorder or injury from this location.
The primary service provided at the Cannock Centre is health assessments; however, physiotherapy is also provided on site, which is not a regulated activity. Following a detailed assessment and screening process patients receive a consultation with a health assessment doctor to discuss the findings of the results and any recommended lifestyle changes or treatment planning. People can choose to be seen at one of the other nearby or wider health and wellbeing centres managed by the provider across the UK.
The clinic is open to both members and non-members of the centre. The provider has a designated booking team and client service administrators are available between 8am and 6pm Monday to Friday. The clinics core opening times for health assessments are between 8am and 4pm on a Monday, Thursday and Friday. Between 12 noon and 8pm on a Tuesday and between 8am and 8pm on a Wednesday.
The team at Cannock consists of one health assessment doctor, three physiologists, including a clinic manager, and one physiotherapist. The team are supported by a general manager, who is the registered manager, administrative and reception staff. Patients can choose to receive services at the Cannock clinic or at an alternative health clinic managed by the organisation. The clinic has an onsite pathology lab and designated medical laboratory assistant.
Additional information about services provided are available via the provider website at
How we inspected this service:
Before visiting we reviewed a range of information we held about the service and asked the service to send us a range of information. During the visit we spoke with various staff members including the registered Manager, the clinic manager the clinic GP and Medical Locum Lead GP. We gained feedback from the 16 completed CQC comment cards and discussions held with patients. We carried out observations, reviewed the systems in place for the running of the service, including how clinical decisions were made, sampled key policies and procedures and looked at a selection of anonymised patient records.
Further details about the service can be found on the provider website:
www.nuffieldhealth.com
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
25 July 2019
We carried out an announced comprehensive inspection at Nuffield Health Cannock Fitness and Wellbeing Centre 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 Cannock Fitness and Wellbeing Centre provide health assessments to adults
that include a range of testing and screening processes carried out by a physiologist and a health assessment doctor. Following the assessment and screening process patients undergo a consultation to discuss the findings of the results and any recommended lifestyle changes or treatment planning. Patients can also access physiotherapy at the clinic.
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. 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 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Feedback from people using the service was very positive. People spoke highly of the service they received from the clinic and told us they would recommend the service to others. They considered their health assessments were thorough and provided by staff who were caring, considerate, professional and friendly. This was also reflected in customer satisfaction survey results which highlighted positive satisfaction rates with regards to the services provided by the clinic. Staff we spoke with told us they were very well supported in their work, felt valued and were proud to be part of the team and the organisation.
Our key findings were:
- The service had clearly defined processes and systems in place to keep people safe and safeguarded from abuse. The service had systems to keep people safe and safeguarded from abuse. A national duty doctor was available each day by telephone and they were responsible for managing safeguarding concerns.
- There were effective procedures in place for monitoring and managing risk to people and staff safety.
- There were safe and effective recruitment procedures in place to ensure staff were suitable for their role.
- People were offered appointments at their preferred location, at a date and time convenient to them.
- People had access to and received detailed and clear information about health assessments to enable them to make an informed decision.
- Staff had access to information they needed to carry out assessments in a timely and accessible way and in line with relevant and current evidence-based guidance and standards.
- There was evidence to support that the service operated a safe, effective and timely referral process.
- The provider invested in their staff. Staff were supported with their personal development and their ongoing education was recognised as being integral to ensuring the delivery of a high-quality service. Staff received opportunities for supervision, training, mentoring and self-reflection appropriate to their work.
- The service had developed links with the local community and were working in partnership with a local school to promote healthy lifestyles and wellbeing.
- There were clear responsibilities, roles and systems for accountability to support good governance and management.
- There was evidence of continuous quality improvement across various areas which were regularly reviewed through a range of audit, monitoring of key performance indictors and adherence to regulatory and best practice standards.
- There was an overarching provider vision and strategy and evidence of good local leadership within the service.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care