The Nottingham Road Clinic

Updated 16 December 2022

The Nottingham Road Clinic is operated by Aligie Ltd. It is in the town of Mansfield in Nottinghamshire. The premises consist of a large Victorian building which has been converted to provide waiting areas, consultation rooms, treatment rooms and a minor operating theatre.

The clinic does not have inpatient beds. The clinic provides a range of services including minor surgical procedures, cosmetic surgery and ultrasound scanning. We inspected surgery and diagnostic imaging including non-invasive pre-natal blood testing.

We undertook this inspection to check that the provider had made improvements following our last inspection in November 2021.

We carried out the short notice announced inspection on 29 November 2022.

To get to the heart of patients' experience 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.

The main service provided by this clinic was surgery. Where our findings on surgery - for example, management arrangements - also apply to other services, we do not repeat information but cross-refer to the surgery service level.

The clinic holds contracts with the NHS for the provision of vasectomy procedures.

The clinic has had a registered manager in post since 2005.

The main services provided by the clinic are minor surgical procedures performed under local anaesthetic and ultrasound scans. Ultrasound scans include medical scans and baby scans.

The clinic also provides the following services that we do not regulate; osteopathy, podiatry, acupuncture, physiotherapy, reflexology, counselling and cognitive behavioural therapy which we did not inspect.

No services are carried out on patients under the age of 18 years.

Updated 16 December 2022

Our rating of this location improved. We rated it as good 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. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, 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 local people, 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.

Updated 16 December 2022

Our rating of this service improved. We rated it as good 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.
• Staff provided care and treatment based on national guidance. Staff worked well together for the benefit of patients and supported them to make decisions about their care. The service organised clinic lists to accommodate patient access.
• Staff treated patients with compassion and kindness, respected their privacy and dignity and took account of their individual needs. They provided emotional support to patients, families and carers.
• The service planned care to meet the needs of local people, took account of patients’ individual needs, and made it easy for people to give feedback. People could access the service when they needed it.
• Staff were supervised and managed effectively.
• The service had oversight of the effectiveness of the care and treatment.
• There was evidence of health promotion for this service.
• There was involvement of the scanning service within the governance arrangements.

Diagnostic imaging is a small proportion of the clinics activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

Updated 16 December 2022

Our rating of this service improved. We rated it as good 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 provided good care and treatment, gave patients enough to eat and drink, and gave them pain relief when they needed it. Managers monitored the effectiveness of the service and made sure staff were competent. Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information. Key services were available seven days a week.
• 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 local people, 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.

We rated this service as good because it was safe, effective, caring, responsive and well led.