Background to this inspection
Updated
3 October 2023
The OrthTeam Centre Manchester is operated by Didsbury MSK Ltd and is a joint venture with Spire Healthcare. The service specialises in orthopaedic and musculoskeletal problems from sports injuries to degenerative and arthritic conditions.
The centre is located in Didsbury Manchester and is open Monday to Friday between 8am and 8pm for patients across Greater Manchester and beyond. The service occasionally operates on Saturdays to meet the needs of patients. Provision of care is for private and self-funding patients over the age of 12 years. Consultations are available for children under the age of 12 years.
The service provides outpatient consultations within the specialities of orthopaedics, neurosurgery, neurology, sport and exercise medicine, pain management and peripheral nerve injuries. They also offer diagnostic services for all of the above specialties including ultrasound, x-ray, digital x-ray and 3T MRI scanning. A range of image guided injections and treatment injections are also provided in the onsite fluoroscopy room. Other facilities include 7 consultation and examination rooms and a treatment and rehabilitation room.
Activity during the reporting period June 2022 to June 2023:
- There were 18,057 outpatient clinic appointments.
- There were 6072 MRI scans, 3341 x-ray scans, 2976 ultrasound scans and 654 image guided injection treatments.
The service has been registered with the Care Quality Commission (CQC) since 2019 and has been monitored through our engagement and transitional monitoring approach. The registered manager has been in post for 3 years.
The service is registered to provide treatment of disease, disorder or injury (TDDI), surgical procedures and diagnostic and screening procedures. The regulated activity of surgical procedures applies to the treatment injections they provide.
The main service provided by this hospital was outpatients. Where our findings on diagnostic imaging also apply to outpatients, we do not repeat the information but cross-refer to the outpatient service.
We have not previously inspected The OrthTeam Centre Manchester.
Updated
3 October 2023
We have not previously rated this location. We rated it as good because
- Staff had training in key skills, understood how to protect patients from abuse, and managed safety well. The service controlled infection risk well. The design, maintenance and use of facilities, premises and equipment kept people safe. Staff identified and quickly acted upon patients at risk of deterioration. The service used systems and processes to safely prescribe, administer, record and store medicines. The service managed patient safety incidents well.
- The service provided care and treatment based on national guidance and evidence-based practice. Staff protected the rights of patients subject to the Mental Health Act 1983. Staff assessed and monitored patients regularly to see if they were in pain, and gave pain relief in a timely way. The service made sure staff were competent for their roles. Staff worked together as a team to benefit patients. Staff gave patients practical support and advice to lead healthier lives. Staff supported patients to make informed decisions about their care and treatment.
- Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs. Staff provided emotional support to patients, families and carers to minimise their distress. Staff supported patients, families and carers to understand their condition and make decisions about their care and treatment.
- The service planned and provided care in a way that met the needs of local people and the communities served. The service was inclusive and took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services. People could access the service when they needed it and received the right care promptly. Waiting times for treatment were in line with national standards. It was easy for people to give feedback and raise concerns about care received.
- Leaders had the skills and abilities to run the service. They understood and managed the priorities and issues the service faced. The service had a vision for what it wanted to achieve and a strategy to turn it into action. Staff felt respected, supported and valued. Leaders operated effective governance processes, throughout the service and with partner organisations. Leaders actively and openly engaged with patients, staff, equality groups, the public and local organisations to plan and manage services. All staff were committed to continually learning and improving services.
However:
In Outpatients;
- Not all records had the required information saved.
- Staff did not always carry out daily safety checks of emergency resuscitation equipment.
- The service did not carry out audits to evaluate clinical effectiveness of treatment.
In Diagnostic Imaging;
- Staff did not always have the correct level of training on how to recognise and report abuse and not all staff in the diagnostic imaging department had completed safeguarding adults level three training.
- Staff did not always carry out daily safety checks of emergency resuscitation equipment.
- The number of radiographers and radiology assistants did not always match the planned numbers.
- The local rules for radiation were not always visible and had not been reviewed and signed by all staff who worked in the department.
Updated
3 October 2023
The main service provided by this hospital was outpatients. Where our findings on diagnostic imaging also apply to outpatients, we do not repeat the information but cross-refer to the outpatient service.
We have not previously inspected The OrthTeam Centre Manchester. We rated this service as good because it was safe, caring, responsive and well-led. We inspect but do not rate effective for diagnostic imaging.
Updated
3 October 2023
We have not previously inspected The OrthTeam Centre Manchester. We rated this service as good because it was safe, caring, responsive and well-led. We inspect but do not rate effective for outpatients.