The Care Quality Commission
  • Doctor
  • Independent doctor

Nuffield Health Romford Fitness and Wellbeing Centre

4 The Brewery, Romford, Essex, RM1 1AU (01708) 759600

Provided and run by:
Nuffield Health

Latest inspection summary

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Background to this inspection

Updated 19 March 2018

Nuffield Health Romford Fitness and Well-being Centre is part of a large organisation known as Nuffield Health UK. It is located on the ground floor of a popular shopping centre which houses a supermarket, restaurants and entertainment centres. It is well served by local buses and National Railway services. The service is registered with the Care Quality Commission to provide the following regulated activities from: 4 The Brewery, Romford, Essex, RM1 1AU.

  • Diagnostic and screening

  • Treatment of disease, disorder and injury.

Nuffield Health Romford has been providing clinical services from their present location for six months having relocated from their previous site in Brentwood, Essex. All health assessments, diagnostics and referrals provided by Nuffield Romford were undertaken in treatment rooms located on the ground floor.

Health assessments are provided by two female doctors and three physiologists (one male, two female). The service is overseen by a general manager who is also the registered person and is supported by the clinic manager. Administrative support is provided by various male and female reception staff. The types of health assessments available and advertised to patients are:

  • 360+ in depth health assessment for cardiovascular health.

  • 360 health assessment for those who had concerns about long term conditions such as diabetes and heart disease.

  • Lifestyle assessment focusing on health issues and lifestyle change.

  • Female assessment for those who has concerns relating to the female health; this includes breast examination and cervical cytology screening.

The service sees between100-200 patients on average each month and maintained comprehensive medical records for all patients. Patients who require further investigations or any additional support are referred on to other services such as their NHS GP or an alternative health provider.

The service’s opening hours are Monday to Friday 8am to 4.30pm however earlier and later appointments are available at different locations.

A registered manager is in place. 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.

How we inspected this service

Our inspection team was led by a CQC lead inspector. The team included a GP specialist adviser.

Before visiting, we reviewed a range of information we hold about the service.

During our visit we:

  • Looked at the systems in place for the running of the service.

  • Explored how clinical decisions were made.

  • Viewed a sample of key policies and procedures.

  • Spoke with one doctor, physiologist and general manager.

  • Viewed anonymised patient records.

  • Made observations of the environment and infection control measures.

  • Reviewed two CQC comment cards.

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.

Overall inspection

Updated 19 March 2018

We carried out an announced comprehensive inspection at Nuffield Health Romford Fitness & Wellbeing Gym on 31 January 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 areas where improvements should be made relating to the safe provision of treatment. This was because a risk assessment was not in place to identify a list of emergency medicines that were not suitable for the service.

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.

Background

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. This service was not inspected under our previous inspection regime.

A registered manager is in place. 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.

The service is registered with the Care Quality Commission to provide the regulated activities of:

Diagnostic and screening and Treatment of disease, disorder and injury.

We received two completed comment cards, both of which were very positive about the service and indicated that patients were treated with kindness and respect. Staff were described as helpful, knowledgable, welcoming and transparent.

Our key findings were:

  • There was evidence in place to support that the service carried out assessments and diagnostics in line with relevant and current evidence based guidance and standards.

  • The information needed to plan and deliver care and treatment was available to staff in a timely and accessible way.

  • There was evidence to demonstrate that the service operated a safe and timely referral process.

  • The provider operated safe and effective recruitment procedures to ensure staff were and remained suitable for their role.

  • The continuing development of staff skills, competence and knowledge was recognised as being integral to ensuring that high quality care was delivered by the service.

  • Staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.

  • Systems were in place to protect personal information about patients

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • Results from the internal November 2017 survey showed patients felt they were treated with dignity, respect and in a timely manner.

  • The service had a complaints policy in place and information about how to make a complaint was available for patients.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

There were areas where the provider should make improvements are:

  • Undertake a risk assessment to identify a list of emergency medicinesthat are not suitable for the service to stock.

  • Review and update the business continuity plan.