Source · CQC inspection
Birmingham
Type Independent Healthcare Org
Region West Midlands
Last inspected 13 Nov 2023
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Should-do actions (9)
Should-do action 1 of 9
Should do
Safe
The service should ensure infection prevention and control systems provide assurance of safety and meet national best practice standards. Regulation 12.
Should-do action 2 of 9
Should do
Safe
The service should ensure staff manage the risks of domestic electrical equipment. Regulation 15.
Should-do action 3 of 9
Should do
Safe
The service should consider how to better manage clinical waste disposal when both theatres are in use. Regulation 15.
Should-do action 4 of 9
Should do
Safe
The service should ensure air purifiers in surgical theatres are fit for purpose in the areas installed. Regulation 15.
Should-do action 5 of 9
Should do
Responsive
The service should ensure the new complaints manager improves the breadth and depth of learning from complaints. Regulation 16.
Should-do action 6 of 9
Should do
Responsive
The service should ensure the independent adjudication process is clearer and more readily accessible. Regulation 16.
Should-do action 7 of 9
Should do
Responsive
The service should ensure delays and disruption to clinics are consistently managed and communicated to patients. Regulation 17.
Should-do action 8 of 9
Should do
Well-led
The service should ensure improvements to clinical governance, quality assurance, and risk management continue to be developed and are fully embedded in the service. Regulation 17.
Should-do action 9 of 9
Should do
Well-led
The service should ensure that use of CCTV in the clinic meets national information management standards. Regulation 17.