19 July 2018
During a routine inspection
We carried out an announced comprehensive inspection on 19 July 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 and Wellbeing Centre Farnham is part of Nuffield Health, a not-for-profit healthcare provider. They provide health assessment that include a range of screening processes. Following an assessment and screening process, clients undergo a consultation with a doctor to discuss the findings of the results and any recommended lifestyle changes or treatment planning. The health assessment clinic is based within the fitness centre. Clients seen in the centre are either private clients or employees of organisations who are provided with health and wellbeing services as part of their employee benefit package. The services are provided to adults privately and are not commissioned by the NHS.
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, nutrition and lifestyle coaching do not fall within the regulated activities for which the location is registered with the CQC. Nuffield Health Fitness and Wellbeing Centre Farnham is registered with CQC to provide the regulated activities of diagnostic and screening procedures and treatment of disease, disorder or injury.
The general manager of the fitness centre 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 last inspected Nuffield Health Fitness and Wellbeing Centre Farnham in November 2014. We found the clinic had met all the standards expected of them.
We received 11 completed CQC comment cards from service users. Feedback was very positive about the service delivered at the clinic.
Our key findings were:
- Health assessments were offered on a private, fee-paying basis to adults only.
- All health assessment rooms were well-organised and well-equipped.
- Clinicians regularly assessed clients according to appropriate guidance and standards, such as those issued by the National Institute for Health and Care Excellence.
- Staff were up to date with current guidelines and were led by a proactive management team.
- Staff maintained the necessary skills and competence to support the needs of clients.
- There were effective systems in place to check all equipment had been serviced regularly, including blood screening equipment.
- The provider was aware of, and complied with, the requirements of the Duty of Candour.
- The provider had an effective system for ensuring the identity of clients who attended the service.
- Risks to clients were well-managed. For example, there were effective systems in place to reduce the risk and spread of infection.
- Clients were provided with information about their health and received advice and guidance to support them to live healthier lives.
- Information about how to complain was available and easy to understand.
- Systems and risk assessments were in place to deal with medical emergencies and staff were trained in basic life support.
There were areas where the provider could make improvements and should:
- Review the content of emergency medicines held on site.