Archived: InHealth Imaging Department - Schoen Clinic London

Updated 9 September 2019

InHealth Imaging Department - Schoen Clinic London is operated by InHealth Limited. The service opened on 15 August 2018. It is a private service in London, co-located in the same building as a separately registered private hospital, to provide diagnostic imaging to their patients. The service primarily serves patients requiring imaging services for orthopaedic procedures, on a private basis. No NHS patients are treated at the service. Referrals are taken from a wide geographic area, both nationally and abroad.

The service has had a registered manager in post since it opened in August 2018.

Updated 9 September 2019

InHealth Imaging Department - Schoen Clinic London is operated by InHealth Limited. The service provides diagnostic imaging services to a separately registered private orthopaedic hospital co-located in the same building. Facilities include MRI, X-ray, CT and Ultrasound. The service also performs interventional procedures for CT and Ultrasound. No interventional radiography or nuclear medicine is performed at this service.

We inspected this service using our comprehensive inspection methodology. We carried out an unannounced inspection on 18 July 2019.

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.

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

This was the first time we rated this service. We rated it as Good overall because:

• The service had enough staff to care for patients and keep them safe. Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service-controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learned lessons from them. Staff collected safety information and used it to improve the service.

• Staff provided good care and treatment and gave patients enough to drink. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, supported them to make decisions about their care, and had access to good information.

• Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.

• The service planned care to meet the needs of the patient population, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it and did not have to wait too long for treatment.

• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff understood the service’s vision and values, and how to apply them in their work.Staff felt respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountabilities. The service engaged well with patients and the community to plan and manage services and all staff were committed to improving services continually. The service provided mandatory training in key skills to all staff and made sure everyone completed it.

However:

• Not all staff were aware of the content of all policies or guidance.

• Not all staff understood the requirements of the Mental Capacity Act (MCA) 2005. Following inspection, all staff were provided with e-learning on this topic.

• There was no patient information on how to make a complaint available in the department on the day of inspection. Senior staff told us leaflets had been added to the reception area following our inspection.

• There was variable knowledge of the organisation’s values, vision and strategy amongst staff at the service.

Following this inspection, we told the provider that it should make some improvements, even though a regulation had not been breached, to help the service improve. Details are at the end of the report.

Nigel Acheson

Deputy Chief Inspector of Hospitals (London and South)

Updated 9 September 2019

Diagnostic imaging was the sole activity of the service. We rated this service as good because it was safe, caring, responsive and well-led. We do not rate effective for this type of service.