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Birmingham

Type Independent Healthcare Org Region West Midlands Last inspected 13 Nov 2023

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 13 November 2023. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 13 November 2023
Rating extracted from this report: Requires Improvement
Actions indexed: 9 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 9 should-do

Should-do actions (9)

Recommended improvements to enhance service quality.

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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: 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.
Regulation: Regulation 17