The Care Quality Commission
  • Doctor
  • Independent doctor

Healthshare Ltd

Overall: Good read more about inspection ratings

Suite 1, 50 Churchill Square, Kings Hill, West Malling, Kent, ME19 4YU (01732) 525935

Provided and run by:
Healthshare Limited

All Inspections

17, 18 and 19 July 2023

During a routine inspection

We carried out an announced comprehensive inspection at Healthshare Ltd on 17, 18 and 19 July 2023, to follow up the breaches of regulations found in our previous inspection in October 2018.

Following our last inspection, we asked the provider to make improvements regarding infection prevention and control, oversight of safety issues, risks and monitoring the progress of actions to address these. We checked these areas as part of this comprehensive inspection and found improvements had been made these had been effectively resolved.

This service is now 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

Our key findings were:

  • The service had clear systems to keep people safe and safeguarded from abuse.
  • There were systems to assess, monitor and manage risks to patient safety.
  • Staff had the information they needed to deliver safe care and treatment to patients.
  • The service learned and made improvements when things went wrong.
  • The provider had systems to keep clinicians up to date with current evidence-based practice.
  • Staff had the skills, knowledge and experience to carry out their roles.
  • The service obtained consent to care and treatment in line with legislation and guidance.
  • Staff treated patients with kindness, respect and compassion.
  • The service organised and delivered services to meet patients’ needs.
  • Leaders had the capacity and skills to deliver high-quality, sustainable care.
  • The service had a clear vision and credible strategy to deliver high quality care and promote good outcomes for patients.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.
  • There were clear and effective processes for managing risks, issues and performance.

This service is registered with the Care Quality Commission (CQC) under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Healthshare Ltd provides physiotherapy; this service is not within CQC scope of registration therefore we did not inspect or report on these services.

The service has a registered manager. A registered manager is a person who is registered with the CQC 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.

The service is registered with the CQC to deliver the Regulated Activity of treatment of disease, disorder or injury.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

29 and 30 October 2018

During a routine inspection

We rated the service as requires improvement because:

  • The provider’s approach to improve the quality of its services was not effective or embedded throughout the organisation.
  • The provider was not recording or managing risks effectively.
  • Staff adherence to hand hygiene and effective cleaning procedures was poor.
  • Medicines were not stored safely or securely and storage records were incorrect. However, staff prescribed and gave medicines safely.
  • Staff did not use validated pain assessment tools.
  • The provider did not routinely collect patient outcome data for all patients so their sample size was too small to give useful results.
  • The three leaders of the organisation did not receive a formal appraisal and the board did not have sufficient oversight of safety issues.
  • The provider had new systems for identifying risks that were yet to be embedded.
  • Action plans were not clearly documented or followed up to gauge improvement.

However:

  • The provider worked well with other agencies to protect patients from avoidable harm.
  • Staff kept detailed records of patients’ care and treatment and always had access to up-to-date, accurate and comprehensive information on patients’ care and treatment.
  • The service had enough staff with the right qualifications, skills, training and experience to keep people safe and to provide the right care and treatment.
  • Staff worked together as a team to benefit patients. Doctors, physiotherapists and other healthcare professionals supported each other to provide good care.
  • Staff understood their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005.
  • Staff cared for patients with compassion and provided emotional support to patients to minimise their distress.
  • Staff involved patients and those close to them in decisions about their care and treatment.
  • The provider planned and provided services in a way that met the needs of local people.
  • The provider treated concerns and complaints seriously, investigated them, learned lessons from the results, and shared these with all staff.
  • Managers at all levels had the right skills and abilities to run a service providing high-quality sustainable care.
  • The provider engaged well with patients, staff, the public and local organisations to plan and manage appropriate services, and collaborated with partner organisations effectively.

Following this inspection, we issued the provider with a requirement notice for breaches of regulations. We told the provider that it must provide us with an action plan setting out how it will comply with the regulations.

We informed the provider that it should make other improvements, even though a regulation had not been breached, to help the service improve.

Details are at the end of the report.