Shirley Road Health Centre

Updated 24 October 2023

Shirley Road Health Centre is the location of Hanya Healthcare Ltd, a nurse led wound care service for children (over the age of 5 years) and adults. Details about the service provided can be found on their website at www.hanyahealthcare.com.

Hanya Healthcare Ltd has an administrative office at their provider address in Solihull. The provider rents a room at Shirley Road Health Centre, 189 Shirley Road, Acocks Green, Birmingham, B27 7NP as required, where it carries out their regulated activities. However, the majority of the provider’s regulated activity is carried out in the patient’s own home.

The service has one team member (the provider and registered manager) who is a registered nurse and independent prescriber.

Patients can access the service by telephone or through the provider website. The service is available Monday to Friday by appointment.

How we inspected this service

During the inspection, we carried out a site visit, spoke with staff, reviewed information about the service made available to us by the provider and intelligence held by CQC, reviewed a sample of clinical records, made observations and reviewed patient feedback.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 24 October 2023

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection of Hanya Healthcare Ltd at Shirley Road Health Centre on 25 September 2023 as part of our inspection programme and to provide a rating for the service. The service has not previously been inspected.

Hanya Healthcare Ltd at Shirley Road Health Centre is an independent nurse led wound care service.

The service has a registered manager. 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.

Our key findings were:

• The service provided care in a way that kept patients safe.
• Clinical records seen demonstrated the delivery of safe and effective care and treatment with appropriate follow up provided.
• The provider worked with other services when needed to ensure patients safety.
• There were policies in place to support the running of the service and risk assessments to support the delivery of the service and minimise risks to patients.
• All patients received an initial assessment to ensure that the service could meet their needs.
• Patient feedback seen showed that patients were treated with kindness and respect.
• Patients received timely care which was flexible to their needs.
• We found the service was well led.

The areas where the provider should make improvements are:

• Record the source of any results in patient records so that it is clear how they have been obtained to inform care and treatment.
• Maintain clear and complete records of staff immunisation status in line with government recommendations and risk assess where these are not available.
• Improve awareness of the complaints process for patients.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care