Genesis Care, Nottingham

Updated 20 April 2021

Genesis Care Nottingham is one of fourteen locations across the country.

We inspected this service on the 10 February 2021. This was Genesis Care Nottingham’s first rated inspection.

During the inspection we visited the radiotherapy department. We spoke with seven staff including, radiotherapists (a radiotherapist is a person who treats diseases such as cancer by using radiation), senior managers, physicists, dosimetrist (a dosimetrist is health professional responsible for planning radiation treatment for oncology patients in collaboration with other members of the oncology team that oversee treatment implementation while also providing support with radiation equipment) and reception staff.

The main service provided by this hospital was cancer care. We have inspected and reported all cancer care services under the CQC Cancer Assessment Framework.

Updated 20 April 2021

This was the first rated inspection for Genesis Care Nottingham. At the time of our inspection the main service provided was radiotherapy.

Nottingham Genesis Care site is a purpose built, single storey facility shared between Genesis Care and the host independent hospital and opened in July 2012.

Radiotherapy is delivered by Genesis Care UK, working to the standards developed for the existing Genesis Care UK (GCUK) services. The host hospital provides chemotherapy services within their own management and control. The waiting areas, consulting rooms and staff facilities was shared between the two organisations.

Services and equipment provided at Nottingham site was:

The Radiotherapy service delivers external beam treatments including intensity modulated (IMRT) assisted by image guided (IGRT), surface guided (SGRT) and deep breath hold (DIBH) radiotherapy to accurately treat various types of cancers including prostate, breast and some benign conditions of the hands and feet. All patients were seen for out-patient treatments. Patients are referred from oncologists working in the surrounding hospitals and on site at the host hospital. The referring consultants use the consultation room to see new and follow up patients, and for treatment review clinics, both for chemotherapy and radiotherapy patients.

Genesis Care Nottingham has had a registered manager in post since 2012.

The centre was registered to provide the following regulated activities:

• Treatment of disease, disorder or injury.

Updated 20 April 2021

We rated the service for the first time at Genesis Care Nottingham as good overall because:

• The service provided mandatory training in key skills to all staff and made sure everyone completed them. Staff had training on how to recognise and report abuse. The service-controlled infection risk well. Staff completed and updated risk assessments for each patient and removed or minimised risks. The service had enough staff. Records were stored securely and were easily available to all staff providing care. The service used systems and processes to safely record and store medicines. Managers investigated incidents and shared lessons learned with the whole team and the wider service.
• The service provided care and treatment based on national guidance and evidence-based practice. Patients had access to drinks. Staff monitored the effectiveness of care and treatment. The service made sure staff were competent for their roles. Staff worked together as a team to benefit patients. Key services were available to support patient care. Staff gave patients practical support and advice around their radiotherapy treatment. Staff followed national guidance to gain patients' consent.
• Staff treated patients with compassion and kindness, Staff provided emotional support to patients, families and carers to minimise their distress. They understood patients' personal, cultural and religious needs. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.
• The service planned and provided care in a way that met the needs of local people. Staff made reasonable adjustments to help patients access services. They coordinated care with other services and providers. People could access the service when they needed it and received the right care promptly. It was easy for people to give feedback and raise concerns. The service treated concerns and complaints seriously, investigated them and shared lessons learned with all staff.
• Leaders had the skills and abilities to run the service. The service had a vision for what it wanted to achieve and a strategy to turn it into action. Staff felt respected, supported and valued. The service was focused on the needs of patients receiving care. Staff at all levels were clear about their roles and accountabilities. Leaders and teams used systems to manage performance effectively. The service identified and escalated relevant risks and issues and took actions to reduce their impact. Staff were committed to continually learning and improving services.