OneWelbeck Orthopaedics

Updated 13 March 2023

OneWelbeck Orthopaedics is a multidisciplinary outpatient and diagnostics centre operated by ASI London Limited, under the name WelbeckHealth Partners.

The service offers orthopaedic and neurology outpatient care including pain and sports medicine, neurophysiology, orthopaedic therapy, minor surgery, and gastrointestinal (GI) physiotherapy. Diagnostic imaging services included musculoskeletal ultrasound, ultrasound guided injections, standing computed tomography (CT), GI ultrasound, ear, nose and throat (ENT) ultrasound, and incision and drainage. The service offers a dedicated pain clinic as part of 9 specialties. Services are provided from a purpose-built hospital with a range of clinical specialties operated by the provider with separate CQC registrations. Outpatients has 7 consulting rooms and one treatment room, and the diagnostics service has 2 scanning rooms.

The provider operates another diagnostic imaging service in the same building. This has separate CQC registration and is not included in this report, but we refer to it to better provide context and detail of areas such as staffing and governance.

The service provides care and treatment for private patients including those who self-pay and patients seen under insurance arrangements.

The service registered in March 2020 and became operational in May 2020. We have not previously inspected or rated the service. The service is registered to provide:

• Diagnostic and screening procedures
• Treatment of disease, disorder, or injury

There is a registered manager in post.

The main service provided by this hospital is outpatients. Where our findings – for example, management arrangements – also apply to diagnostic imaging, we do not repeat the information but cross-refer to the outpatients service.

Updated 13 March 2023

We have not previously 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 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 learned lessons from them.
• Staff provided good care and treatment and managed pain effectively. Managers 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 and gaps in care in the region. Staff 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. The service engaged well with patients and the wider healthcare community to plan and manage services and all staff were committed to improving services continually.

However:

• There was no risk assessment in place to ensure cleaning and decontamination of non-clinical areas, such as the soft furnishings in the waiting area.
• Although individual consultants measured patient outcomes for their patients, the service did not audit care outcomes such as treatment success rates.
• There was no formal audit process in place to assess consistent standards of practice, including use of the WHO checklist for outpatient minor surgery procedures.

Updated 13 March 2023

We have not previously inspected diagnostic imaging. Please see the main summary

Where arrangements were the same for diagnostic imaging and outpatients, we have reported our findings in the outpatients section.

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

Updated 13 March 2023

We have not previously inspected outpatients. Please see the main summary.