The Care Quality Commission
  • Hospital
  • Independent hospital

Archived: Precious Glimpse

Overall: Requires improvement read more about inspection ratings

11 Hammerton Street, Burnley, BB11 1NA 07468 696586

Provided and run by:
Precious Glimpse Limited

Important: The provider of this service changed. See old profile

All Inspections

17 June 2021

During an inspection looking at part of the service

Our rating of this location improved. We rated it as requires improvement because:

Staff received training in key skills, however not all staff had completed mandatory training. We were not assured staff understood how to protect women from abuse, and managed safety well. There was lack of information relating to how the registered manager acted and recorded on risks to women. The service did not always manage safety incidents well and we found no evidence of learned lessons from them. Staff did not collect safety information to improve the service.

The registered manager did not monitor the effectiveness of the service and did not regularly review if staff were competent.

People could not always access the service when they needed it, the registered manager confirmed the service was open three days a week between 8.30-4.30pm. There were no evening appointments to accommodate women who worked. The service did not make it easy for people to give feedback, there was no evidence of how to make a complaint.

The service did not have a vision or values. There was a lack of governance processes to review performance and activity. Risks were not always identified, reviewed or mitigated. We found there was limited information to demonstrate how the service made improvements.

However:

The service-controlled infection risk well.

Staff treated women with compassion and kindness, respected their privacy and dignity, took account of their individual needs.

The registered manager used reliable information systems. Staff felt respected, supported and valued. We found staff were clear about their roles and accountabilities and worked within their scope of practice.

Due to the concerns we found during our inspection we used our powers to take enforcement action. We served the provider with a Section 29 Warning Notice. This told the provider that they were failing to comply with Regulation 17 Good Governance.

The provider now has a specified time to make improvements to ensure compliance with the Regulations. We will revisit the service to check that appropriate action has been taken and that the quality of healthcare has improved.

15 August 2019

During a routine inspection

​ Precious Glimpse is operated by Precious Glimpse Limited .

Precious Glimpse provides pregnancy reassurance and keepsake scans to self-paying members of the public. The service carries out trans abdominal ultrasound scans, including 2D, 3D and 4D baby keepsake scans and gender scans. The clinic does not provide diagnostic scans.

The service is based in Burnley and in addition to the manager employs two ultrasound assistants; and one part time receptionist.

The clinic is situated in Burnley Town Centre , close to public transport and nearby parking . The prem i s es ha ve a waiting room reception area; a scanning room; a storage room, office and toilet facilities.

We inspected this service using our comprehensive inspection methodology. We carried out an unannounced inspection on 15 August 2019.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Where we have a legal duty to do so we rate services’ performance against each key question as outstanding, good, requires improvement or inadequate.

Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

The main service provided by Precious Glimpse was baby keepsake scanning.

Services we rate

We rated this service as Inadequate overall because.

  • The service did not provide mandatory training in key skills for all staff and did not ensure everyone completed it
  • Staff did not always understand how to protect patients from abuse and had not completed safeguarding training in line with national safeguarding guidance.
  • Staff did not identify risks for service users or follow systems to minimise risk.
  • The service did not have any policies or procedures for escalating abnormal findings and did not provide evidence for how staff had been trained to identify these.
  • The service did not use appropriate control measures to manage the risk of infection.
  • The service did not provide care and treatment based on national guidance and evidence-based practice. Managers did not check to make sure staff followed guidance.
  • The service did not ensure staff were competent for their roles.
  • The service did not have a formal induction process for staff and records for disclosure and barring service enhanced checks were not completed for staff.
  • Leaders did not operate effective governance processes throughout the service and there was a lack of systematic performance management which included the failure to identify and manage risk.

Following this inspection, we undertook due process regarding the significant safety concerns and told the provider to suspend the regulated activities at the location. The provider gave us assurances of immediate improvement actions taken and the suspension was removed at the end of the four week period.

We will continue to monitor the location and carry out a future inspection to ensure the provider has continued to make sustained improvements and that these are embedded.

We also issued the provider with two requirement notices with actions they must complete that affected Precious Glimpse Limited.

Ann Ford

Deputy Chief Inspector of Hospitals (North Region)