We carried out an announced comprehensive inspection at Nuffield Health Romford Fitness & Wellbeing Gym on 31 January 2018 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 areas where improvements should be made relating to the safe provision of treatment. This was because a risk assessment was not in place to identify a list of emergency medicines that were not suitable for the service.

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

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. This service was not inspected under our previous inspection regime.

A registered manager is in place. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service is registered with the Care Quality Commission to provide the regulated activities of:

Diagnostic and screening and Treatment of disease, disorder and injury.

We received two completed comment cards, both of which were very positive about the service and indicated that patients were treated with kindness and respect. Staff were described as helpful, knowledgable, welcoming and transparent.

Our key findings were:

• There was evidence in place to support that the service carried out assessments and diagnostics in line with relevant and current evidence based guidance and standards.

• The information needed to plan and deliver care and treatment was available to staff in a timely and accessible way.

• There was evidence to demonstrate that the service operated a safe and timely referral process.

• The provider operated safe and effective recruitment procedures to ensure staff were and remained suitable for their role.

• The continuing development of staff skills, competence and knowledge was recognised as being integral to ensuring that high quality care was delivered by the service.

• Staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.

• Systems were in place to protect personal information about patients

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• Results from the internal November 2017 survey showed patients felt they were treated with dignity, respect and in a timely manner.

• The service had a complaints policy in place and information about how to make a complaint was available for patients.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

There were areas where the provider should make improvements are:

• Undertake a risk assessment to identify a list of emergency medicinesthat are not suitable for the service to stock.

• Review and update the business continuity plan.