The London Welbeck Hospital

Updated 6 June 2022

The London Welbeck Hospital is operated by Welbeck Healthcare Limited. It is a non-acute hospital providing elective cosmetic surgery procedures and is open 24 hours a day, seven days a week. The hospital has 14 beds and overnight facilities are also available. The hospital provides services to adults over the age of 18 years. There is a core team of permanent staff including the registered manager, three resident medical officers, ward and theatre managers and nursing staff, operating department practitioners, healthcare care assistants and administrative team members. Surgeons and anaesthetists working at the hospital use the hospital facilities under practising privileges.

The provider has three operating theatres, two consulting rooms and a ward.

The hospital provides cosmetic surgery procedures including breast augmentation and reduction, rhinoplasty, liposuction and abdominoplasty.

The provider is registered for the following regulated activities:

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

We carried out an unannounced inspection on 19 April 2022. The hospital was previous inspected in November 2016 however it was not rated at the time as we did not have the authority to rate the type of service.

To get to the heart of patients’ experiences of care and treatment, we ask the same five questions of all services: are they safe, effective, caring, responsive to people's needs, and well-led? Throughout the inspection, we took account of what people told us and how the provider understood and complied with the Mental Capacity Act 2005.

Updated 6 June 2022

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, gave patients enough to eat and drink, 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.
• Staff treated patients with compassion and kindness, respected their privacy and dignity, and took account of their individual needs.
• 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.
• Leaders ran services well using reliable information systems and supported staff to develop their skills. Staff felt respected, supported and valued and were clear about their roles and accountabilities.

However:

• We checked the equipment on the resuscitation trolley next to theatres and found that atropine in the anaphylaxis box on the was out of date and had expired in January 2022. There were also two blades in the tracheostomy kit which were out of date and had expired in February and March 2022 and a pair of gloves with the kit which were out of date and had expired in February 2021. The weekly checklist had been ticked as checked and complete even though these items were out of date.
• Not all staff were able to identify who the safeguarding lead was in the hospital.
• Not all staff had a full understanding and knowledge of the duty of candour.
• The service’s staff survey response rates were low.

Updated 6 June 2022

The London Welbeck Hospital is operated by Welbeck Healthcare Limited. It is a non-acute hospital providing elective cosmetic surgery procedures and is open 24 hours a day, seven days a week. The hospital has 14 beds and overnight facilities are also available. The hospital provides services to adults over the age of 18 years. There is a core team of permanent staff including the registered manager, three resident medical officers, ward and theatre managers and nursing staff, operating department practitioners, healthcare care assistants and administrative team members. Surgeons and anaesthetists working at the hospital use the hospital facilities under practising privileges.

The provider has three operating theatres, two consulting rooms and a ward.

The hospital provides cosmetic surgery procedures including breast augmentation and reduction, rhinoplasty, lipsosuction and abdominoplasty.

We rated the service good overall. We rated safe as requires improvement and good for effective, caring, responsive and well led.