Spire Bushey Diagnostic Centre

Updated 2 December 2021

Spire Bushey Diagnostic Centre is operated by Spire Healthcare Limited. It is located less than two miles from the main Spire Bushey Hospital site. The centre opened in November 2017. It provides diagnostic imaging services and outpatient clinics from a two-storey purpose-built facility which has 10 consulting rooms, four pre-assessment clinics and a diagnostic imaging unit. This was the first time we inspected this location.

Outpatients

Outpatients services at Spire Bushey Diagnostic Centre consists of ten consultation rooms and four treatment rooms across two floors of a purpose-built centre. The service provides a variety of services including outpatient appointments/ consultations for a variety of specialities including orthopaedic, pain clinics, rheumatology and general surgery. In addition, the service completes some low risk clinical procedures.

The centre is open from 8am to 9pm Monday to Friday, 8am to 2pm on Saturdays and 9am to 1.30pm on Sundays. The outpatient service sees around 2500 new referrals and 3000 follow up patients each month.

Staff are provided by Spire Bushey hospital, and work across both sites when necessary. The leadership team is largely based at Spire Bushey, but there is daily presence by at least one member of the senior team.

During inspection we spoke with eight members of staff, and four patients and relatives.

Diagnostic Imaging

At Spire Bushey Diagnostic Centre, patients have access to the diagnostic imaging services and investigations. The service provides magnetic resonance imaging (MRI), ultrasound and x-ray imaging services.

The diagnostic imaging service is open from 8am to 9pm Monday to Friday and 8am to 6pm at weekends.

Staff work across Spire Bushey Hospital and the diagnostic centre site. The imaging department management team are based at the Spire Bushey Hospital site but there is a daily presence by members of the senior leadership team.

During this inspection, we spoke with 10 members of staff which included radiographers, mangers, healthcare assistant and administrative staff. We reviewed 10 patient records, and reviewed policies and audits. We also spoke with four patients and observed their MRI and x-ray imaging being completed.

Updated 2 December 2021

This is the first time we have inspected this service. 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 managed safety incidents well and learned lessons from them.
• 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. 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.

Updated 2 December 2021

This was the first time we inspected this service. 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 managed safety incidents well and learned lessons from them.
• 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. 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.

We rated this service as good because it was safe, caring, responsive and well led. We currently do not rate effective.

Updated 2 December 2021

This was the service's first inspection. 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. They managed medicines well. The service managed safety incidents well and learned lessons from them.
• Staff provided good care and treatment 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.

We rated this service as good because it was safe, caring, responsive, and well led. We currently do not rate effective.