We carried out a review of the data available to us about Bodyscan W1 on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bodyscan W1, you can give feedback on this service.
This was a focused inspection to check on issues of concern from our previous inspection.
Our rating of this location improved. We rated it as good because:
However:
Bodyscan W1 is operated by Bodyscan Limited. The service provides a diagnostic imaging service to adults only. We inspected this service using our comprehensive inspection methodology. We carried out the unannounced inspection on the 19th February 2019
The service uses a dual energy X-ray absorptiometry (DEXA) scanner to measure body composition and provide patients with an indication of their levels of fat and bone density. The facility is operated out of one room rented from another independent health provider which used the DEXA scanner to carry out bone density testing.
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.
We rated that service as requires improvement overall.
However:
The lack of record keeping verifying clients, their medical conditions and proper verification of identity plus results of scans as well as lack of records authorising scans by a registered clinician laid the process open to the risk of inappropriate and time inappropriate scans being undertaken. The lack of individual contemporaneous client records containing all of this information in one place was in breach of HSCA Regulation 17 (2) (c).
There were no prior medical referrals of clients to this service. There were doubts over the availability of the registered clinician/referral assessor having the time capacity to review and authorise all scans before they were undertaken.
We saw no evidence or records to show that the registered clinician/referral assessor had approved all scans before they were undertaken. For the protection of the client and for the protection of the scanning operator, the requirements for informed consent were not being met.
Guidance which treatment was based on was not formally reviewed to ensure it remained up to date.
The services’ complaints documentation referred patients who were dissatisfied with the outcome of their complaint to the Local Government Ombudsman. The correct body for patients to refer to is the Independent Healthcare Sector Complaints Adjudication Service (ISCAS).
Policies did not have review dates so it was not clear when they would expire.
There was no lone working policy assessing and mitigating risk to staff working alone
However:
The service provided mandatory training in key skills to all staff and made sure everyone completed it.
Staff understood how to protect patients from abuse and harm. Staff had training on how to recognise and report safeguarding concerns and they knew how to apply it. There was a clear safeguarding policy in place.
The service controlled the risk of infection and there was a clean clinical environment with the right equipment in place.
The manager demonstrated that when things went wrong, patients were apologised to and the service used the incident as an opportunity to learn and improve.
Patients had their needs around nutrition, hydration and pain management taken care of.
Service staff with different areas of expertise worked together to improve the service.
Patients were cared for with sensitivity and compassion
Patients’ privacy and dignity was respected at all times.
Staff had a good understanding of the emotional impact of body composition reporting and were sensitive to the vulnerabilities and requirements patients visiting the service might have.
Staff answered patients’ questions about the scanning process and the details of their body composition reports
The service was planned and delivered in a way which met the needs of patients.
Information was provided to patients prior to their appointment which included what to expect, how to find the service and that fasting as required.
Patients could access the service promptly at a time which suited them. Patients were able to choose appointments through the service’s website where all bookings were made. The service were always able to see patients within three days. There were no waiting times.
Themes from complaints and patient concerns raised informally were discussed between staff and used to ensure the service improved.
Staff we spoke with were highly positive about working for the service and said the manager was personable and approachable. Staff told us they felt supported and valued.
Staff and the manager of the service we spoke with described a positive working culture where staff worked collaboratively and with a common purpose to improve the service and care for patients.
The manager we spoke with described promoting a culture of learning and improvement through regular communication with staff and monitoring of the service.
Risks to the service were identified and mitigated.
The service had a comprehensive list of policies and procedures which staff could refer to inform their work.
Nigel Acheson
Deputy Chief Inspector of Hospitals