Background to this inspection
Updated
3 August 2022
The service is in a two-storey building. The entrance has full disabled access. Facilities are spread over two floors and include two procedure rooms, an outpatient area and diagnostic facilities. A second patient waiting area is located on the first floor which was fully accessible by stairs or by a passenger lift. All staffing areas are closed off to the public with a key fob entry system.
The service carried out 22 HyCoSy procedures in the last 12 months.
The service is also licensed by the Human Fertilisation and Embryology Authority (HFEA) which regulates all aspects of the IVF services at CARE Birmingham.
The service has a registered manager.
Updated
3 August 2022
We have not previously rated the 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. Staff assessed risks to patients, acted on them and kept good care records.
- 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.
- 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 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. The service engaged well with patients to plan and manage services and all staff were committed to improving services continually.
However:
- The service did not always control infection risk well. Cleaning scheduling records were inconsistent and not up to date and some ultrasound equipment was dusty.
Updated
3 August 2022
We have not previously rated the service. We have rated the service overall as good.