We carried out an announced comprehensive inspection at Nuffield Health Manchester Printworks Fitness and Wellbeing Centre on 23 November 2017 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 that this service was providing safe care in accordance with the relevant regulations.

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 Information

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.

Nuffield Health Manchester Printworks Fitness and Wellbeing Centre provides, health assessments that include a range of screening processes. Following the assessment and screening process, patients undergo a consultation with a doctor to discuss the findings of the results and any recommended lifestyle changes or treatment planning.

The service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. For example, the sports gym and swimming pool, physiotherapy and lifestyle coaching do not fall within the regulated activities for which the location is registered with CQC.

Our key findings were:

• The service had clear systems to keep people safe and safeguarded from abuse. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses, and systems were in place for reporting, investigating and learning from these.
• Systems were in place to deal with medical emergencies and staff were trained in basic life support.
• There were systems in place to reduce risks to patient safety. For example, infection control practices were carried out appropriately and there were regular checks on the environment and equipment used.
• Staff assessed patient’s needs and delivered care in line with current evidence based guidance. Patients were treated in line with best practice guidance and appropriate medical records were maintained.
• Feedback from patients about care and treatment was positive and patients were treated with dignity and respect and involved in decisions about their care and treatment.
• Patients were provided with information about their health, and advice to support them to live healthier lives.
• Staff received general and role specific induction training prior to treating patients. They were well supported with training and professional development opportunities and had the skills to deliver effective care and treatment.
• Staff had access to all standard operating procedures and policies.

• The service encouraged and acted on feedback from both patients and staff. Information about services and how to complain was available and improvements were made as a result of patient feedback.
• The service had good facilities, including disabled access. It was well equipped to treat patients and meet their needs.
• There was clear leadership and staff understood their roles and responsibilities and there was a clear vision to provide a safe and high quality service.

• There were clinical governance systems and processes in place to monitor and ensure the service met the required standards.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice