BPAS - Sandwell

BPAS Sandwell is operated by British Pregnancy Advisory Service and was inspected as part of the Care Quality Commission (CQC) comprehensive inspection programme. BPAS Sandwell has not been inspected since it was registered in December 2019.

From March 2021 to February 2022, the service completed 695 medical abortions and 187 surgical abortions.

Prior to the inspection, inspectors reviewed monitoring and ongoing information about the service.

We rated it as requires improvement because:

• Women did not have timely access to the service and had to wait longer than national guidance both for consultation and treatment.
• The service did not ensure secure or appropriate storage and collection of pregnancy remains.
• The service did not use a paediatric specific risk scoring tool for girls under the age of 16.
• Completion of venous thromboembolism risk assessments did not always meet the providers policy.

However

• The service had enough staff to care for women and keep them safe. Staff had training in key skills, understood how to protect women from abuse, and managed safety well. The service controlled infection risk well. Staff kept good care records. Most medicines were managed well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment and gave women pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of women, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• Staff treated women with compassion and kindness, respected their privacy and dignity, took account of their individual needs. They provided emotional support to women, families and carers.
• The service made it easy for people to give feedback.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work. Staff felt respected, supported and valued. They were focused on the needs of women receiving care. Staff were clear about their roles and accountabilities. The service engaged well with women to plan and manage services and all staff were committed to improving services continually. Required notifications were made to meet legal requirements.