Nuffield Health Warwickshire Hospital

Updated 19 February 2025

Nuffield Health Warwickshire Hospital is operated by Nuffield Health. The hospital has 42 beds. Facilities include 3 operating theatres, an endoscopy suite and x-ray, outpatient and diagnostic facilities. The hospital provides surgery, medical care, services for children and young people, outpatients and diagnostic imaging and treated private and NHS patients. We conducted a planned unannounced on-site assessment of medical services on the 17 and 18 July 2024 and surgical services on the 25 July 2024 following information of concern we had received. We followed the Care Quality Commission (CQC) Single Assessment Framework (SAF) and assessed against the safe, effective, caring, responding and well-led key questions. The overall rating for this hospital was good.

Updated 18 June 2024

Nuffield Health Warwickshire Hospital is operated by Nuffield Health. The hospital has 42 beds. Facilities include three operating theatres, an endoscopy suite and x-ray, outpatient and diagnostic facilities. The hospital provides surgery, medical care, services for children and young people, and outpatients and diagnostic imaging. We carried out an assessment of medical care services and surgery only. Medical care services was a small proportion of hospital activity. The main service was surgery. Medical care at this hospital included endoscopy and oncology services. The endoscopy service provided upper and lower gastrointestinal endoscopy, urological endoscopic investigations and urodynamic investigations. The oncology service offered an ambulatory chemotherapy service to patients who attended for treatment on a day case basis. The hospital saw both private and NHS patients. We inspected the assessment service group for adults only. During our assessment, we spoke with 26 members of staff of all roles and responsibilities, 4 patients and reviewed 4 patient records. We conducted an evidence-based and onsite inspection from the 17 to 18 July 2024. We reviewed the safe, effective, caring, responsive and well led key questions. The overall rating for all key questions was good. We found; Care and treatment was safe, patients were cared for in a safe environment and there was evidence of a learning culture. Staff monitored the effectiveness of care and used findings to make improvements. Staff provided emotional support to patients and their families and understood patients’ personal needs. The service was inclusive and took account of patients’ individual needs and preferences, people could access the service when they needed it and received the right care promptly. Leaders operated effective governance processes and used systems to manage performance effectively. However, medicines were not always stored at recommended fridge temperatures.

Updated 31 July 2024

Nuffield Health Warwickshire provides a range of private treatments and services. They had specialists in orthopaedics, spinal surgery, eye care, paediatric surgery, cosmetic surgery, and general surgery. The hospital saw both private and NHS patients. We inspected the assessment service group for adults only. As part of our assessment, we looked at 8 patient records, spoke with 3 patients, 1 relative and 22 members of staff including the theatre manager, director of clinical services, ward manager, scrub nurses, anaesthetists, consultants, healthcare assistants, a recovery nurse, pre-operative assessment lead and staff nurses. This assessment was completed as a risk-based assessment following information received about the service. Surgery has been rated as good overall. We found: There was evidence of a learning culture and patients were cared for in a safe environment. There were processes in place to assess the needs of the patients using evidence-based guidance. Staff provided patients with patient-centred care and treatment. There were governance processes in place which were effective, and staff knew their roles and responsibilities.

Updated 10 March 2017

Children and young people’s (CYP) services were a small proportion of hospital activity. The main service was surgery. Where arrangements were the same, we have reported findings in the surgery section.

We rated this service as outstanding. We rated it outstanding for caring and responsive. Safe, effective and well-led were rated good.

• A large toy car was stored in the play area for children who wanted to drive themselves to theatre for their operation rather than walking or being transported on a hospital bed.

• CYP attending pre-assessment were shown the type of equipment that would be used when they were admitted to hospital. For example, syringes, cannulas and blood pressure cuffs. Younger children had the equipment demonstrated on ‘Nuffy Bear’ (Nuffield Heath toy bear) and were able to familiarise themselves by playing with the equipment.

• A CYP satisfaction survey had been developed to capture service user feedback from children, young people of all ages and their parents.

• Parents we spoke with felt informed and their children were treated as individuals.

• Staff provided information for parent and children in suitable formats.

• Parents and children we spoke to told us how caring and supportive staff were and how staff went out of their way to make the hospital ‘child friendly’. This was also reflected in the positive feedback in patient satisfaction surveys completed by children and their parents.

• Investigations of incidents, comments and complaints identified where improvements were needed and these were acted upon in CYP services.

• Staff complied with infection prevention procedures and healthcare- associated infection rates were low.

• CYP had their needs assessed, care planned and delivered in line with national guidelines.

• Policies and procedures reflected current guidelines and adherence was monitored with a schedule of local audits.

• CYP were assessed through pre-assessment clinics for their suitability to undergo treatment at the hospital.

• Areas used were not dedicated solely for use by CYP. However, CYP had their individual needs assessed and plans were put in place to meet those needs wherever possible. This was to make the hospital stay less traumatic.

• Staff were aware of their responsibilities surrounding consent and staff understood their responsibilities under the Mental Health Act 2005 and the Children Act’s 1989 and 2004.

• Governance arrangements ensured appropriately trained staff cared for CYP at all times.

• There were processes and procedures in place for staff to manage CYPs pain and to ensure their hydration and nutrition needs were met.

• There was CYP representation at leadership and local meetings at the hospital.

• CYP champion roles were in place in all departments to ensure engagement and understanding of CYP issues across the hospital.

• There were systems in place to ensure staff were competent to provide effective care. Annual appraisal and registration checks were carried out. Emergency scenario training to care for the sick child had been implemented hospital wide.

Updated 10 March 2017

Overall, we rated the outpatients and diagnostic imaging service as good because:

• There was a good track record of safety in the outpatients and diagnostic imaging departments.

• There was a positive attitude towards learning from incidents and sharing learning with other departments.

• All staff had an understanding and awareness of duty of candour principles.

• There were good processes in place to ensure that equipment was stored, maintained and used safely.

• Care was planned and delivered in line with national guidance and best practice guidelines.

• There was an effective process of cyclical audits to identify areas for improvement and best practice.

• Staff worked together to plan and assess care for patients.

• Patients we spoke with told us that staff were kind, caring and respectful.

• There were effective governance arrangements in place to support the delivery of quality care and the hospital’s strategy.