One Welbeck Endoscopy Centre

Updated 29 November 2021

One Welbeck Digestive Health is operated by ASI London A Limited. The service has no overnight beds. Facilities include four endoscopy rooms and 12 single bedded patient rooms. The service did not treat anyone under the age of 18.

The service provides oesophago-gastro-duodenoscopies, colonoscopies, Bravo capsule tests, Pillcam endoscopies and endoscopic ultrasounds (EUS). These are examinations to detect changes in the stomach and the intestines. We inspected this service using our comprehensive inspection methodology. We carried out an unannounced visit to the centre on 04 October 2021.

All episodes of care were privately funded. The service increased the number of consultants performing endoscopies, the support staff, endoscopy rooms and single bedded rooms based on patient demand. Records showed that in December 2019 the service had completed 995 procedures. From September 2020 to September 2021 the service completed a total of 6,675 procedures.

30 gastroenterologists (doctors who investigate, diagnose and treat diseases of the stomach, intestines, liver, gallbladder and pancreas) worked at the service under practising privileges. There were 11 registered nurses, eight health care assistants and two receptionists. The service had a contract with an external company to provide anaesthetics and had access to 28 anaesthetists. The accountable officer for controlled drugs (CDs) was the registered manager.

Updated 29 November 2021

Our rating of this location stayed the same. 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. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. The service managed safety incidents well and learnt lessons from them. Staff collected safety information and used it to improve the service.
• Staff provided good care to patients and monitored their pain. 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 people who use the service, 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 an endoscopic procedure.
• 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. The service engaged well with patients and managed services and all staff were committed to improving services continually.

However:

• An expired box of medication had not been detected by the medicine’s management audit.
• The data protection policy did not contain guidance on the use of close circuit television (CCTV).

Updated 8 May 2020

We rated this service as good because it was safe, effective, caring, responsive and well-led.

Updated 29 November 2021

Our rating of this service stayed the same. We rated it as good because:

• 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 the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
• The service controlled infection risk well. Staff used equipment and control measures to protect patients, themselves and others from infection. They kept equipment and the premises visibly clean.
• Doctors, nurses and other healthcare professionals worked together as a team to benefit patients. They supported each other to provide good care.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
• The service was inclusive and took account of patients’ individual needs and preferences. Staff made reasonable adjustments to help patients access services.
• Leaders had the skills and abilities to run the service. They understood and managed the priorities and issues the service faced. They were visible and approachable in the service for patients and staff. They supported staff to develop their skills and take on more senior roles.

However:

• An expired box of medication had not been detected by the medicine’s management audit.
• The data protection policy did not contain guidance on the use of close circuit television (CCTV).