BMI Fawkham Manor Hospital, Fawkham, Longfield, Dartford.BMI Fawkham Manor Hospital in Fawkham, Longfield, Dartford is a Diagnosis/screening and Hospital specialising in the provision of services relating to caring for adults over 65 yrs, caring for adults under 65 yrs, caring for children (0 - 18yrs), diagnostic and screening procedures, family planning services, physical disabilities, sensory impairments, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 2nd August 2017 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
16th December 2013 - During a routine inspection
![]() At The time of the inspection on 16 December 2013, BMI Fawkham Manor Hospital was closed to elective inpatients because major refurbishment work was underway in the main theatre department. We found that there were no inpatients as they had all been discharged on Sunday 15th December. We therefore spent time talking with people who were attending for outpatient appointments, physiotherapy sessions and ambulatory care treatment. We approached 15 patients to seek their views on the service. 6 people were new to the service and were attending for their first appointment; they were not able to comment about any treatment as they had yet to receive inpatient care. 8 patients were attending outpatient appointments as a follow-up, having received inpatient care previously at the hospital. Patients spoke positively about the care and treatment they received at BMI Fawkham Manor. Comments included "The staff could not have done enough...They were so kind", Couldn't top it, fortunate to come here as an NHS patient" and "I cannot fault anything... they have been brilliant." We found that people's care needs were assessed and care and treatment was planned and delivered in line with their individual treatment plan. Signs with information about infection control were displayed for staff and visitors. There were adequate hand washing facilities and alcohol hand rubs for use by staff and visitors. The areas we visited were clean and well maintained. We found that patients were surveyed about the care they received. This meant the Provider was seeking the views of people to help improve the quality of the service they provided. There was evidence that learning from incidents / investigations took place and appropriate changes were implemented.
28th March 2013 - During a routine inspection
![]() Everyone told us that they had signed the relevant consent form and that their treatment plan had been discussed. This showed us that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes. The care pathways seen were linked to the specific procedure carried out and demonstrated a holistic approach to care. This meant that people experienced care, treatment and support that met their needs and protected their rights. The training records seen showed us that staff had received their safeguarding training and those staff spoken with demonstrated a clear understanding of their role in identifying abuse. This showed us that people who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. Staff reported that they received additional training to assist them in meeting the health care needs of the people who used this service. This showed us that people were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard. We noted that monthly integrated clinical effectiveness meetings were held and that actions had been taken to address any variations in the care provided to people. This demonstrated to us that the provider had an effective system to regularly assess and monitor the quality of service that people received.
1st January 1970 - During an inspection to make sure that the improvements required had been made
![]() Fawkham Manor Hospital is operated by BMI Healthcare Limited. The hospital has 30 beds. Facilities include two operating theatres, one of which has laminar flow, seven consulting rooms, X-ray, outpatient and diagnostic facilities.
Fawkham Manor Hospital provides surgery, medical care and outpatients and diagnostic imaging core services. This inspection was a focused, follow-up visit, and we inspected the surgical core service.
We previously inspected the hospital in August and November 2016 as part of our national programme to inspect and rate all independent hospitals. The 2016 inspection was brought forward because of information received, which raised concerns about the standard of governance at the location. Following our 2016 inspection, we rated the surgery core service as inadequate and outpatients and diagnostic imaging as requiring improvement. This gave the hospital an overall rating of inadequate, and we issued four requirement notices where the provider was not meeting the legal requirements of the Health and Social Care Act (Regulated Activities) Regulations 2014.
A serious incident occurred on 8 February 2017 that demonstrated to us that the safety monitoring systems in place at BMI Fawkham Manor Hospital were not effective. In March 2017 we issued a warning notice because the provider was not compliant with Regulation 12, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. There was a time scale of one week with a date set for the provider to be compliant by 20 March 2017. The provider demonstrated compliance with the warning notice, although not within the required timeframe.
During this inspection, we reviewed surgical services only. We carried out the announced part of the inspection on 10 and 11 April 2017, along with an unannounced visit to the hospital on 5 April 2017. To give the hospital’s overall rating, we have included the rating for outpatients and diagnostic imaging services in the ratings grid, which was taken from our previous inspection in 2016.
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. On this inspection, we did not inspect the caring domain as we found this to be good on our 2016 inspection and we had no information to suggest that this position had changed.
Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.
Services we rate
We rated surgery as requires improvement. This was because:
Following this inspection, we told the provider that it must take some actions to comply with the regulations and that it should make other improvements, even though a regulation had not been breached, to help the service improve. We also issued the provider with five requirement notices that affected the surgical core service. Details are at the end of the report.
Professor Edward Baker
Deputy Chief Inspector of Hospitals (South)
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